What is the recommended maximum dose of epinephrine in local anesthetics for patients with hypertension according to the chapter?

The recommended maximum dose of epinephrine in local anesthetics for patients with hypertension is one to two carpules (1.8 mL) of 2% lidocaine with 1:100,000 epinephrine. For patients with uncontrolled hypertension (BP >180/110 mm Hg), the use of epinephrine should be limited or avoided altogether.

In patients with hypertension, the use of modest doses of local anesthetic containing epinephrine, specifically one to two carpules of 2% lidocaine with 1:100,000 epinephrine, is generally considered safe. However, for those with uncontrolled hypertension, where blood pressure exceeds 180/110 mm Hg, the use of epinephrine is not advised, and elective dental care should be deferred. If urgent treatment is necessary, careful consideration of the use of epinephrine is required, and consultation with the patient's physician is recommended.