MedPath

Bupivacaine

Generic Name
Bupivacaine
Brand Names
Exparel, Kenalog, Marbeta, Marcaine, Marcaine With Epinephrine, Marvona Suik, P-Care M, P-Care MG, P-care, Posimir, Readysharp Anesthetics Plus Ketorolac, Readysharp-A, Readysharp-p40, Readysharp-p80, Sensorcaine, Sensorcaine With Epinephrine, Vivacaine, Xaracoll, Exparel liposomal
Drug Type
Small Molecule
Chemical Formula
C18H28N2O
CAS Number
38396-39-3
Unique Ingredient Identifier
Y8335394RO
Background

Bupivacaine is a widely used local anesthetic agent.

Indication

As an implant, bupivacaine is indicated in adults for placement into the surgical site to produce postsurgical analgesia for up to 24 hours following open inguinal hernia repair.

Bupivacaine, in liposome suspension, is indicated in patients aged 6 years and older for single-dose infiltration to produce postsurgical local analgesia. In adults, it is also indicated as an interscalene brachial plexus nerve block to produce postsurgical regional analgesia.

Bupivacaine, in combination with meloxicam, is indicated for postsurgical analgesia in adult patients for up to 72 hours following foot and ankle, small-to-medium open abdominal, and lower extremity total joint arthroplasty surgical procedures.

Bupivacaine, alone or in combination with epinephrine, is indicated in adults for the production of local or regional anesthesia or analgesia for surgery, dental and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures. Specific concentrations and presentations are recommended for each type of block indicated to produce local or regional anesthesia or analgesia. Finally, its use is not indicated in all blocks given clinically significant risks associated with use.

Associated Conditions
Acute Gouty Arthritis, Adrenocortical Insufficiency, Alopecia Areata (AA), Ankylosing Spondylitis (AS), Berylliosis, Bullous dermatitis herpetiformis, Congenital Adrenal Hyperplasia (CAH), Congenital Hypoplastic Anemia, Dermatomyositis (DM), Discoid Lupus Erythematosus (DLE), Edema of the cerebrum, Epicondylitis, Hemolytic Anemia, Hypercalcemia caused by Cancer, Keloids Scars, Leukemias, Mycosis Fungoides (MF), Necrobiosis lipoidica diabeticorum, Ocular Inflammation, Ophthalmia, Sympathetic, Osteoarthritis (OA), Pain, Labor, Polymyositis, Postoperative pain, Psoriatic Arthritis, Psoriatic plaque, Pure Red Cell Aplasia, Regional Enteritis, Rheumatoid Arthritis, Secondary thrombocytopenia, Stevens-Johnson Syndrome, Synovitis, Systemic Lupus Erythematosus, Temporal Arteritis, Trichinosis, Tuberculous Meningitis, Ulcerative Colitis, Uveitis, Acute Bursitis, Acute Idiopathic Nephrotic Syndrome, Acute Lupus Erythematosus, Acute Multiple sclerosis, Acute Rheumatic heart disease, unspecified, Acute nonspecific tenosynovitis, Cystic tumors of aponeurosis, Cystic tumors of tendon, Disseminated Pulmonary Tuberculosis (TB), Exfoliative erythroderma, Inflammatory lesions of granuloma annulare, Inflammatory lesions of lichen planus, Inflammatory lesions of lichen simplex, Non-suppurative Thyroiditis, Permphigus, Severe Allergic Reactions
Associated Therapies
General Anesthesia, Local Anaesthesia therapy, Regional nerve block therapy

Determination of the Optimal Volume of 0.5% Bupivacaine Liposome in Single-Injection Interscalene Brachial Plexus Block: A Bayesian Phase I/II Trial

Conditions
Shoulder Arthroscopy
Interventions
First Posted Date
2025-05-15
Last Posted Date
2025-05-15
Lead Sponsor
Affiliated Hospital of Jiaxing University
Target Recruit Count
60
Registration Number
NCT06972680
Locations
🇨🇳

Jiaxing University Affiliated Hospital, Jiaxing, Zhejiang, China

Ultrasound vs. Surgical ESP Block With Bupivacaine-Dexmedetomidine in Lumbar Fusion Surgery

Phase 4
Recruiting
Conditions
Post Operative Pain
Interventions
Procedure: Ultrasound Guided erector spinae plane block (UB)
Procedure: Surgical erector spinae plane block (SB)
First Posted Date
2025-05-06
Last Posted Date
2025-05-07
Lead Sponsor
Fayoum University Hospital
Target Recruit Count
52
Registration Number
NCT06958718
Locations
🇪🇬

Fayoum University hospital, Fayoum, Fayoum Governorate, Egypt

Magnesium Sulfate in Addition to Bupivacaine in Ultrasound-guided Transmuscular Quadratus Lumborum Block for Post-Operative Analgesia After Total Hip Arthroplasty

Phase 2
Recruiting
Conditions
Pain Score Reduction
Interventions
Drug: Bupivacaine + Magnesium sulfate
First Posted Date
2025-05-04
Last Posted Date
2025-05-11
Lead Sponsor
Tanta University
Target Recruit Count
70
Registration Number
NCT06956950
Locations
🇪🇬

Faculty of medicine, Tanta, El-Gharbia, Egypt

Comparison of Superior Hypogastric Plexus Block and Peritoneal Bupivacaine in Pain Management

Completed
Conditions
Superior Hypogastric Plexus Block
Intraperitoneal Bupivacaine
Interventions
Drug: Intraperitoneal Bupivacaine spray
First Posted Date
2025-05-02
Last Posted Date
2025-05-02
Lead Sponsor
Enes Celik
Target Recruit Count
94
Registration Number
NCT06954896
Locations
🇹🇷

Mardin Artuklu University, Mardin, Turkey

Analgesic Effect of Bupivacaine Plus Ketamine Versus Bupivacaine Alone in Transversalis Fascia Plane Block

Phase 1
Not yet recruiting
Conditions
Analgesia
Interventions
First Posted Date
2025-04-20
Last Posted Date
2025-04-20
Lead Sponsor
Ain Shams University
Target Recruit Count
68
Registration Number
NCT06935669
Locations
🇪🇬

Ain Shams University faculty of medicine, Cairo, Egypt

Effects of 10 Versus 20 mL Local Anesthetic for Popliteal Plexus Block on Opioid Consumption, Pain, and Patient-Reported Outcomes After Total Knee Arthroplasty

Phase 4
Conditions
Total Knee Arthroplasty
Regional Anesthesia
Multimodal Analgesic Approach
Postoperative Opioid-related Complications
Interventions
First Posted Date
2025-04-03
Last Posted Date
2025-04-11
Lead Sponsor
Regionshospitalet Silkeborg
Target Recruit Count
120
Registration Number
NCT06908837
Locations
🇩🇰

Elective Surgery Centre at Silkeborg Regional Hospital, Silkeborg, Denmark Central Region, Denmark

Pericapsular Nerve Group and Lumbar Erector Spinae Plane Blocks for Geriatrics Undergoing Total Hip Arthroplasty

Not Applicable
Recruiting
Conditions
Pericapsular Nerve
Lumbar Erector Spinae Plane Blocks
Geriatrics
Total Hip Arthroplasty
General Anesthesia
Interventions
Drug: General anesthesia
First Posted Date
2025-04-01
Last Posted Date
2025-04-01
Lead Sponsor
Tanta University
Target Recruit Count
120
Registration Number
NCT06904703
Locations
🇪🇬

Faculty of Medicine, Tanta, Egypt

Caudal Epidural Vs. TAP Block for Postoperative Analgesia in Pediatric Infraumbilical Surgery: a RCT

Not Applicable
Completed
Conditions
Postoperative Pain
Pediatric Surgery
Anesthesia, Local
Regional Anesthesia
Abdominal Surgery
Interventions
Procedure: Caudal Epidural Block
Procedure: Transversus Abdominis Plane (TAP) Block
First Posted Date
2025-03-26
Last Posted Date
2025-04-01
Lead Sponsor
Namik Kemal University
Target Recruit Count
60
Registration Number
NCT06895382
Locations
🇹🇷

Tekirdag Namik Kemal University, Tekirdağ, Turkey

Intrathecal Hydromorphone vs Intrathecal Morphine to Treat Post Cesarean Pain in Patients With Opioid Use Disorder Taking Buprenorphine

Phase 4
Not yet recruiting
Conditions
Opioid Use Disorder
Interventions
First Posted Date
2025-03-25
Last Posted Date
2025-03-25
Lead Sponsor
University of North Carolina, Chapel Hill
Target Recruit Count
46
Registration Number
NCT06784180
Locations
🇺🇸

University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States

Dexmedetomidine Versus Magnesium Sulfate as Adjuvants to Intraperitoneal Bupivacaine for Postoperative Analgesia After Elective Laparoscopic Cholecystectomy

Not Applicable
Completed
Conditions
Dexmedetomidine
Magnesium Sulfate
Adjuvants
Intraperitoneal Bupivacaine
Postoperative Analgesia
Elective Laparoscopic Cholecystectomy
Interventions
First Posted Date
2025-03-17
Last Posted Date
2025-03-17
Lead Sponsor
Tanta University
Target Recruit Count
75
Registration Number
NCT06879288
Locations
🇪🇬

Tanta University, Tanta, El-Gharbia, Egypt

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