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

Efficacy and Safety of the CollaRx Bupivacaine Implant Compared to the ON-Q Painbuster Following Abdominal Hysterectomy

Phase 2
Completed
Conditions
Pain, Postoperative
Interventions
Drug: ON-Q PainBuster Post-op Pain relief System
First Posted Date
2008-09-09
Last Posted Date
2020-11-04
Lead Sponsor
Innocoll
Target Recruit Count
27
Registration Number
NCT00749749
Locations
🇺🇸

Visions Clinical Research, Boynton Beach, Florida, United States

A Phase 3 Study to Evaluate the Safety and Efficacy of SKY0402 in Subjects Undergoing Total Knee Arthroplasty

Phase 3
Completed
Conditions
Postoperative Pain
Interventions
First Posted Date
2008-09-03
Last Posted Date
2013-08-06
Lead Sponsor
Pacira Pharmaceuticals, Inc
Target Recruit Count
245
Registration Number
NCT00745290
Locations
🇺🇸

Physicans Clinical Research Corp., Laguna Hills, California, United States

🇺🇸

Rush University Medical Center, Chicago, Illinois, United States

🇺🇸

Accurate Clinical Trials, Inc., Laguna Hills, California, United States

and more 16 locations

Study to Evaluate Postoperative Analgesia in Subjects Undergoing Hemorrhoidectomy

Phase 3
Completed
Conditions
Hemorrhoids
Interventions
First Posted Date
2008-09-01
Last Posted Date
2013-08-06
Lead Sponsor
Pacira Pharmaceuticals, Inc
Target Recruit Count
204
Registration Number
NCT00744848
Locations
🇺🇸

University of Louisville, Louisville, Kentucky, United States

🇺🇸

West Alabama Research Inc., Birmingham, Alabama, United States

🇺🇸

Accurate Clinical Trials, San Clemente, California, United States

and more 17 locations

Clonidine and Morphine in Caudal Anesthesia

First Posted Date
2008-05-06
Last Posted Date
2010-03-19
Lead Sponsor
Federal University of Minas Gerais
Target Recruit Count
80
Registration Number
NCT00672347
Locations
🇧🇷

Santa Casa de Belo Horizonte Hospital, Belo Horizonte, Minas Gerais, Brazil

Efficacy and Safety of A Collagen Bupivacaine Implant in Patients After Gastrointestinal Surgery

Phase 2
Terminated
Conditions
Pain, Postoperative
Interventions
First Posted Date
2008-04-18
Last Posted Date
2020-11-03
Lead Sponsor
Innocoll
Target Recruit Count
7
Registration Number
NCT00661466
Locations
🇺🇸

Albany Medical Center Hospital, Albany, New York, United States

Myofascial Pain:Acupuncture Versus Trigger Point Injection Combined With Dipyrone and Cyclobenzaprine

Not Applicable
Completed
Conditions
Myofascial Pain Syndromes
Interventions
First Posted Date
2008-03-13
Last Posted Date
2008-03-13
Lead Sponsor
Federal University of São Paulo
Target Recruit Count
30
Registration Number
NCT00635037
Locations
🇧🇷

Pain Setor of Federal University of Sao Paulo, Sao Paulo, SP, Brazil

Efficacy, Safety and Pharmacokinetic Profile of a Collagen Bupivacaine Implant in Men After Open Mesh Herniorrhaphy

Phase 2
Completed
Conditions
Postoperative Pain
Inguinal Hernia
Interventions
Drug: placebo collagen sponge
First Posted Date
2008-02-29
Last Posted Date
2021-01-11
Lead Sponsor
Innocoll
Target Recruit Count
53
Registration Number
NCT00626886
Locations
🇺🇸

Advanced Clinical Research Institute, Anaheim, California, United States

Efficacy and Safety of a Collagen Bupivacaine Implant in Women Following Abdominal Hysterectomy

Phase 2
Completed
Conditions
Postoperative Pain
Interventions
First Posted Date
2008-02-28
Last Posted Date
2021-07-23
Lead Sponsor
Innocoll
Target Recruit Count
54
Registration Number
NCT00624910
Locations
🇺🇸

Forsyth Medical Centre - OB Anesthesia, Winston-Salem, North Carolina, United States

Effects of Intravenous Local Anesthetic on Bowel Function After Colectomy

Phase 3
Completed
Conditions
Postoperative Ileus
Interventions
First Posted Date
2008-01-24
Last Posted Date
2008-01-24
Lead Sponsor
University of Virginia
Target Recruit Count
45
Registration Number
NCT00600158
Locations
🇺🇸

University of Virginia, Charlottesville, Virginia, United States

Analgesic Efficacy After Umbilical Hernia Repair in Children

Not Applicable
Completed
Conditions
Umbilical Hernia
Interventions
First Posted Date
2007-12-20
Last Posted Date
2014-08-15
Lead Sponsor
Children's Hospital of Philadelphia
Target Recruit Count
52
Registration Number
NCT00578136
Locations
🇺🇸

The Children's hospital of Philadelphia, Philadelphia, Pennsylvania, United States

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