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

The Effect of Intraperitoneal Bupivacaine Versus Bupivacaine With Neostigmine on Pain in Laparoscopic Cholecystectomy

First Posted Date
2020-01-28
Last Posted Date
2020-09-03
Lead Sponsor
Kasr El Aini Hospital
Target Recruit Count
56
Registration Number
NCT04244097
Locations
🇪🇬

Sara Farouk Kassem Habib, Cairo, El Azbakeya, Egypt

Bupivacaine Levels After ESPB

First Posted Date
2020-01-23
Last Posted Date
2022-04-05
Lead Sponsor
Maltepe University
Target Recruit Count
17
Registration Number
NCT04239053
Locations
🇹🇷

Maltepe University Medical Faculty, Istanbul, Maltepe, Turkey

Liposomal Bupivacaine + Bupivacaine vs. Bupivacaine Alone on Opioid Use After Elective c/Section

First Posted Date
2020-01-18
Last Posted Date
2024-04-10
Lead Sponsor
Wake Forest University Health Sciences
Registration Number
NCT04232306
Locations
🇺🇸

Atrium Health, Charlotte, North Carolina, United States

Quadratus Lumborum Block for Congenital Hip Dislocation Surgery

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2019-12-30
Last Posted Date
2019-12-30
Lead Sponsor
Ataturk University
Target Recruit Count
40
Registration Number
NCT04212832
Locations
🇹🇷

Ataturk University, Erzurum, Yakutiye, Turkey

Pericapsular Nerve Group (PENG) Block for Congenital Hip Dislocation Surgery

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2019-12-26
Last Posted Date
2022-09-13
Lead Sponsor
Ataturk University
Target Recruit Count
48
Registration Number
NCT04212039
Locations
🇹🇷

Ataturk University, Erzurum, Turkey

Efficacy of Repeated Locoregional Anesthetics Blocks With Bupivacaine in Patients Suffering of Chronic Dentoalveolar Pain.

Phase 2
Conditions
Interventions
First Posted Date
2019-12-20
Last Posted Date
2020-08-31
Lead Sponsor
University Hospital, Clermont-Ferrand
Target Recruit Count
50
Registration Number
NCT04207411
Locations
🇫🇷

CHU de Clermont-Ferrand, Clermont-Ferrand, France

End Tidal Anesthetic Concentration in Different Anesthesia Techniques Where Depth of Anesthesia Adjusted With Entropy

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2019-12-18
Last Posted Date
2022-03-17
Lead Sponsor
Istanbul University
Target Recruit Count
44
Registration Number
NCT04203290
Locations
🇹🇷

İstanbul University, Istanbul, Turkey

A Comparison of 4% Articaine Versus 0.5%Bupivacaine for Ambulatory Surgery Under Supraclavicular Block

First Posted Date
2019-12-06
Last Posted Date
2020-04-28
Lead Sponsor
Ain Shams University
Target Recruit Count
60
Registration Number
NCT04189198
Locations
🇪🇬

Ain Shams University hosptal, Cairo, Abbasya, Egypt

Evaluation of Safety, Pharmacokinetics and Pharmacodynamics of EXPAREL® Administered Via a Single Intrathecal Injection to Healthy Volunteers

First Posted Date
2019-11-22
Last Posted Date
2021-05-06
Lead Sponsor
Pacira Pharmaceuticals, Inc
Target Recruit Count
20
Registration Number
NCT04173611
Locations
🇺🇸

Duke University, Durham, North Carolina, United States

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