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

Optimizing Anesthesia for Post Partum Tubal Ligations

Phase 2
Terminated
Conditions
Interventions
First Posted Date
2019-06-20
Last Posted Date
2021-12-17
Lead Sponsor
University of Alabama at Birmingham
Target Recruit Count
15
Registration Number
NCT03993314
Locations
🇺🇸

University of Alabama at Birmingham, Birmingham, Alabama, United States

Comparison of Analgesic Efficacy Between of Interscalene Block With Liposomal Bupivacaine With Bupivacaine and Dexamethasone

First Posted Date
2019-05-31
Last Posted Date
2024-05-07
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
90
Registration Number
NCT03969875
Locations
🇺🇸

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

To Evaluate the Effect of Wound Infiltration With Bupivacaine for Post-operative Pain Relief After Laparoscopic Cholecystectomy

First Posted Date
2019-05-22
Last Posted Date
2020-06-01
Lead Sponsor
Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Target Recruit Count
58
Registration Number
NCT03958513
Locations
🇧🇩

Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

Analgesic Efficacy of Fascia Iliaca Compartment Block

First Posted Date
2019-05-21
Last Posted Date
2019-05-21
Lead Sponsor
Samaa Rashwan
Target Recruit Count
60
Registration Number
NCT03957499
Locations
🇪🇬

Beni-Suef University Hospital, Banī Suwayf, Egypt

EXPAREL Facia Iliaca Compartment Block for Intertrochanteric Hip Fracture

First Posted Date
2019-05-20
Last Posted Date
2020-02-27
Lead Sponsor
Pacira Pharmaceuticals, Inc
Registration Number
NCT03955458
Locations
🇺🇸

Cleveland Clinic, Cleveland, Ohio, United States

Erector Spinae Plane Block for Congenital Hip Dislocation Surgery

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2019-05-14
Last Posted Date
2020-07-22
Lead Sponsor
Ataturk University
Target Recruit Count
60
Registration Number
NCT03949686
Locations
🇹🇷

Ataturk University, Erzurum, Turkey

Liposomal Bupivacaine Versus Interscalene Nerve Block

First Posted Date
2019-04-26
Last Posted Date
2023-05-10
Lead Sponsor
University of Cincinnati
Target Recruit Count
76
Registration Number
NCT03929146
Locations
🇺🇸

University of Cincinnati Medical Center, Cincinnati, Ohio, United States

Intranasal Injection of Dexmedetomidine and Bupivacaine in Septoplasty Surgeries

First Posted Date
2019-04-24
Last Posted Date
2019-08-01
Lead Sponsor
Cairo University
Target Recruit Count
40
Registration Number
NCT03926663
Locations
🇪🇬

Faculty of medicine,Beni-Suef University, Banī Suwayf, Egypt

Pediatric Postoperative Analgesia Herniorrhaphy Study

First Posted Date
2019-04-19
Last Posted Date
2023-06-05
Lead Sponsor
Heron Therapeutics
Registration Number
NCT03922048
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