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 of Popliteal Block and Bupivacaine Concentration Used for Analgesia in Foot and Ankle Surgery

First Posted Date
2020-03-04
Last Posted Date
2020-03-04
Lead Sponsor
Bozyaka Training and Research Hospital
Target Recruit Count
68
Registration Number
NCT04294732
Locations
🇹🇷

Hazal Ezgi Çifci, İzmir, Eyalet/Yerleşke, Turkey

Pre-emptive Quadratus Lumborum Block for Laparoscopic Bariatric Surgery

First Posted Date
2020-03-04
Last Posted Date
2020-08-25
Lead Sponsor
Ain Shams University
Target Recruit Count
30
Registration Number
NCT04294329
Locations
🇪🇬

Anesthesiology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Study to Evaluate the Pharmacokinetics and Safety of EXPAREL Administered as a Pectoral Plane Block in Women Undergoing Breast Augmentation

First Posted Date
2020-03-03
Last Posted Date
2024-01-29
Lead Sponsor
Pacira Pharmaceuticals, Inc
Target Recruit Count
30
Registration Number
NCT04293809
Locations
🇺🇸

HD Research, Bellaire, Texas, United States

Utility of Liposomal Bupivacaine Transversus Abdominal Plane Block for Open Myomectomy

First Posted Date
2020-02-17
Last Posted Date
2023-08-15
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
140
Registration Number
NCT04272086
Locations
🇺🇸

Icahn School of Medicine at Mount Sinai, New York, New York, United States

The Efficacy of Transversalis Fascia Plane Block in Pediatric Inguinal Hernia Repair

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2020-02-17
Last Posted Date
2022-11-16
Lead Sponsor
Ataturk University
Target Recruit Count
60
Registration Number
NCT04272320
Locations
🇹🇷

Ataturk University, Erzurum, Turkey

Ultrasound Guided Retrolaminar Block for Pediatric Inguinal Hernia

First Posted Date
2020-02-12
Last Posted Date
2020-05-19
Lead Sponsor
Mahmoud Mohammed Alseoudy
Target Recruit Count
60
Registration Number
NCT04266132
Locations
🇪🇬

Mansoura university children hospital, Mansoura, Egypt

Bupivacaine Hydrochloride for Pain Control in Cutaneous Surgery

First Posted Date
2020-02-07
Last Posted Date
2024-03-18
Lead Sponsor
Northwestern University
Target Recruit Count
100
Registration Number
NCT04260854
Locations
🇺🇸

Northwestern University Department of Dermatology, Chicago, Illinois, United States

Regional Anesthesia in Total Hip and Knee Arthroplasty

First Posted Date
2020-02-06
Last Posted Date
2022-08-08
Lead Sponsor
Ottawa Hospital Research Institute
Target Recruit Count
135
Registration Number
NCT04257682

Role of Opioids in Epidural Solutions

Phase 4
Completed
Conditions
Interventions
First Posted Date
2020-02-05
Last Posted Date
2023-04-12
Lead Sponsor
Tel-Aviv Sourasky Medical Center
Target Recruit Count
135
Registration Number
NCT04251962
Locations
🇮🇱

Division of Anesthesia, Pain and Critical Care, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel

Multimodal Pain Study in Free Flap Patients

First Posted Date
2020-01-29
Last Posted Date
2023-08-18
Lead Sponsor
University of Kansas Medical Center
Target Recruit Count
30
Registration Number
NCT04246697
Locations
🇺🇸

University of Kansas Medical Center, Kansas City, Kansas, United States

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