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There are 2 ten-letter words containing ACAI

PHENACAINEphenacaine n. (Pharmacology) A local anesthetic, the only anesthetic other than cocaine that is approved for ophthalmic use.
PHENACAINE n. a crystalline base or its hydrochloride of local anaesthetic.
TETRACAINEtetracaine n. (Pharmacology) A crystalline basic ester C15H24N2O2 that is closely related chemically to procaine and…
TETRACAINE n. a crystalline basic ester.

Scrabble words — in black are valid world wide — in RED are not valid in North America — in GREEN are valid only in North America.
Definitions are short excerpt from the WikWik.org and 1Word.ws.

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