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

Intra-operative Uterosacral Ligament Bupivacaine Injection During Minimally Invasive Hysterectomy

Early Phase 1
Completed
Conditions
Interventions
First Posted Date
2019-11-08
Last Posted Date
2022-11-09
Lead Sponsor
Johns Hopkins University
Target Recruit Count
180
Registration Number
NCT04157075
Locations
🇺🇸

Johns Hopkins Hospital, Baltimore, Maryland, United States

🇺🇸

Howard County General Hospital, Columbia, Maryland, United States

Erector Spinae Plane Block Versus Conventional Analgesia in Complex Spine Surgery

First Posted Date
2019-11-07
Last Posted Date
2024-05-24
Lead Sponsor
Hospital for Special Surgery, New York
Target Recruit Count
46
Registration Number
NCT04156581
Locations
🇺🇸

Hospital for Special Surgery, New York, New York, United States

Effect of Addition of Steroids on Duration of Analgesia

Early Phase 1
Active, not recruiting
Conditions
Interventions
First Posted Date
2019-10-15
Last Posted Date
2024-05-13
Lead Sponsor
University of California, Los Angeles
Target Recruit Count
28
Registration Number
NCT04126824
Locations
🇺🇸

University of California, Los Angeles, Westwood, California, United States

🇺🇸

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

Continuous Vs Single Shot Block After ACL

Early Phase 1
Terminated
Conditions
Interventions
First Posted Date
2019-09-24
Last Posted Date
2023-10-18
Lead Sponsor
Northwell Health
Target Recruit Count
9
Registration Number
NCT04101682
Locations
🇺🇸

Plainview Hospital, Plainview, New York, United States

Transversus Thoracic Muscle Plane Block for Open Heart Surgery

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2019-09-19
Last Posted Date
2020-01-29
Lead Sponsor
Ataturk University
Target Recruit Count
48
Registration Number
NCT04094532
Locations
🇹🇷

Ataturk University, Erzurum, Yakutiye, Turkey

Efficacy Of Quadratus Lumborum II Block For Laparoscopic Sleeve Gastrectomy

Phase 4
Completed
Conditions
Interventions
First Posted Date
2019-08-28
Last Posted Date
2023-01-05
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
41
Registration Number
NCT04073056
Locations
🇺🇸

Mount Sinai St. Lukes Hospital, New York, New York, United States

Minimum Effective Volume of Local Anesthetic for Peribulbar Block.Does it Differ With the Eyeball Axial Length?

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2019-07-29
Last Posted Date
2019-10-22
Lead Sponsor
Ain Shams University
Target Recruit Count
121
Registration Number
NCT04036201
Locations
🇪🇬

Faculty of Medicine ,Ain Shams University, Cairo, القاهرة, Egypt

Local Anesthetics on Postsurgical Analgesia Following Posterior Colporrhaphy

First Posted Date
2019-07-25
Last Posted Date
2021-11-18
Lead Sponsor
Walter Reed National Military Medical Center
Target Recruit Count
120
Registration Number
NCT04032327
Locations
🇺🇸

Walter Reed National Military Medical Center (WRNMMC), Bethesda, Maryland, United States

Pain Control in Colorectal Surgery: Liposomal Bupivacaine Block Versus Intravenous Lidociane

Phase 4
Completed
Conditions
Interventions
First Posted Date
2019-07-02
Last Posted Date
2022-08-09
Lead Sponsor
Wake Forest University Health Sciences
Target Recruit Count
61
Registration Number
NCT04005859
Locations
🇺🇸

Atrium Health - Carolinas Medical Center, Charlotte, North Carolina, United States

Study to Evaluate the Pharmacokinetics, Pharmacodynamics and Safety, of EXPAREL Administered as Sciatic Nerve Block (In Popliteal Fossa), for Postsurgical Analgesia in Subjects Undergoing Bunionectomy

Phase 1
Completed
Conditions
Interventions
First Posted Date
2019-06-28
Last Posted Date
2021-01-11
Lead Sponsor
Pacira Pharmaceuticals, Inc
Target Recruit Count
45
Registration Number
NCT04002089
Locations
🇺🇸

First Surgical Hospital, Bellaire, Texas, United States

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