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

Stellate Ganglion Block for Major Depressive Disorder.

First Posted Date
2021-01-27
Last Posted Date
2024-02-09
Lead Sponsor
Unity Health Toronto
Target Recruit Count
10
Registration Number
NCT04727229
Locations
🇨🇦

St. Michael's Hospital, Toronto, Ontario, Canada

Evaluating the Analgesic Efficacy of Combined Individual Nerve Block in Comparison to Interscalene Nerve Block

First Posted Date
2021-01-14
Last Posted Date
2022-02-14
Lead Sponsor
Ain Shams University
Target Recruit Count
128
Registration Number
NCT04709250
Locations
🇪🇬

Ain Shams University, Cairo, Egypt

Fascia Iliaca Compartment Block Versus Anterior Quadratus Lumborum Block

First Posted Date
2021-01-14
Last Posted Date
2024-10-09
Lead Sponsor
Ain Shams University
Target Recruit Count
128
Registration Number
NCT04709211
Locations
🇪🇬

Ain Shams University, Cairo, Abassia, Egypt

Comparison of Doses of Dexmedetomidine With Bupivacaine in Caudal Block for Duration of Analgesia in Paediatric Infraumblical Surgeries.

First Posted Date
2021-01-07
Last Posted Date
2021-01-07
Lead Sponsor
Dr. Ruth K.M. Pfau Civil Hospital, Karachi
Target Recruit Count
162
Registration Number
NCT04700228
Locations
🇵🇰

Dr. Haris Chohan, Karachi, Sindh, Pakistan

Compartment Psoas Block Efficacy and Safety

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2020-12-01
Last Posted Date
2020-12-01
Lead Sponsor
Bogomolets National Medical University
Target Recruit Count
90
Registration Number
NCT04648332
Locations
🇺🇦

Bogomolets NMU, Kyiv, Ukraine

REDUCE Trial: Perineural Dexamethasone on Scalp Nerve Blocks

First Posted Date
2020-12-01
Last Posted Date
2024-01-25
Lead Sponsor
Beijing Tiantan Hospital
Target Recruit Count
156
Registration Number
NCT04648358
Locations
🇨🇳

Beijing Tiantan Hospital, Beijing, Beijing, China

Transversus Abdominis Plan Block, Ultrasound or Laparoscopic?

First Posted Date
2020-11-18
Last Posted Date
2021-01-28
Lead Sponsor
Ankara City Hospital Bilkent
Target Recruit Count
60
Registration Number
NCT04634721
Locations
🇹🇷

Ankara Şehir Hastanesi, Ankara, Çankaya, Turkey

Enhanced Recovery After Cesarean Section With Low Dose Intrathecal Morphine.

First Posted Date
2020-11-05
Last Posted Date
2021-03-01
Lead Sponsor
Minia University
Target Recruit Count
60
Registration Number
NCT04618146
Locations
🇪🇬

Minia university, Minya, Egypt

Continuous Erector Spinae Block for Post Analgesia in Pediatric Patients

First Posted Date
2020-11-03
Last Posted Date
2023-02-03
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT04613830
Locations
🇪🇬

South Egypt Cancer instIitute, Assuit, Egypt

Implications of Different Analgesic Models on Inflammatory Markers After Laparoscopic Cholecystectomy

First Posted Date
2020-10-30
Last Posted Date
2021-08-30
Lead Sponsor
Assiut University
Target Recruit Count
110
Registration Number
NCT04609033
Locations
🇪🇬

Assiut University Hospitals, Assiut, Egypt

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