NBDHE Review Questions: Quiz 149 February 23, 2016 by Hassan Shah According to Malamed, the maximum local anesthetic dose of lidocaine (with or without vasoconstrictor) is _____. A. 1.5 mg/kg. B. 2.0 mg/kg. C. 4.4 mg/kg. D. 7.0 mg/kg. Δ