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

Intrathecal Nalbuphine Versus Midazolam in Cesarean Section

First Posted Date
2019-04-17
Last Posted Date
2019-12-24
Lead Sponsor
Zagazig University
Target Recruit Count
90
Registration Number
NCT03918187
Locations
🇪🇬

Olfat Abd Elmoniem Ibrahem Amin, Zagazig, Eygpt/zagazig, Egypt

Bubiket Study: Ultrasound Guided Fascia Iliaca Nerve Block With Bupivacaine and Adjuvant Ketamine vs. Bupivacaine Alone

Phase 4
Withdrawn
Conditions
Interventions
First Posted Date
2019-04-10
Last Posted Date
2021-10-11
Lead Sponsor
Antonios Likourezos
Registration Number
NCT03909594
Locations
🇺🇸

Maimonides Medical Center, Brooklyn, New York, United States

Liposomal Bupivacaine After Cesarean Delivery

First Posted Date
2019-04-09
Last Posted Date
2020-07-31
Lead Sponsor
Wright State University
Registration Number
NCT03907813
Locations
🇺🇸

Miami Valley Hospital, Dayton, Ohio, United States

Liposomal Bupivacaine in Vaginal Hysterectomy

First Posted Date
2019-04-08
Last Posted Date
2021-10-15
Lead Sponsor
Mayo Clinic
Target Recruit Count
28
Registration Number
NCT03907033
Locations
🇺🇸

Mayo Clinic in Arizona, Phoenix, Arizona, United States

Open-Label CA-008 (Vocacapsaicin) in Bunionectomy

First Posted Date
2019-03-21
Last Posted Date
2021-10-27
Lead Sponsor
Concentric Analgesics
Target Recruit Count
36
Registration Number
NCT03885596
Locations
🇺🇸

Lotus Clinical Research, LLC, Pasadena, California, United States

Effect of Adding Dexamethasone to Intrathecal Bupivacaine on Blood Sugar of Patients Undergoing Diabetic Foot Surgeries

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2019-03-12
Last Posted Date
2022-02-25
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT03871049
Locations
🇪🇬

Assiut University Hospital, Assiut, Egypt

Comparing the Efficacy of Local Anesthetics in Mohs Surgery

First Posted Date
2019-03-12
Last Posted Date
2020-06-16
Lead Sponsor
Ottawa Hospital Research Institute
Target Recruit Count
105
Registration Number
NCT03871478
Locations
🇨🇦

Mohs Surgery Clinic, Ottawa, Ontario, Canada

Surgical Site Infiltration of Exparel vs TAP Block With Exparel in Patients Undergoing Laparotomy Via Midline Incision

First Posted Date
2019-03-12
Last Posted Date
2021-07-14
Lead Sponsor
Danbury Hospital
Target Recruit Count
43
Registration Number
NCT03870685
Locations
🇺🇸

Danbury Hospital, Danbury, Connecticut, United States

Dexmedetomidine Added to Bupivacaine Versus Bupivacaine inTransincisionalU/S Guided Quadratus Lumborum Block in Open Renal Surgeries , A New Technique

First Posted Date
2019-03-11
Last Posted Date
2020-05-19
Lead Sponsor
Ain Shams University
Target Recruit Count
80
Registration Number
NCT03869047
Locations
🇪🇬

Ain Shams University hospitals, Cairo, Egypt

Post-operative Analgesic Effects of Dexamethasone Added to Bupivacaine in Transversusabdominis Plane (TAP) Block

First Posted Date
2019-03-05
Last Posted Date
2020-04-28
Lead Sponsor
Assiut University
Target Recruit Count
90
Registration Number
NCT03863977
Locations
🇪🇬

Assiut university hospitals, Assiut, Assiut Governorate, Egypt

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