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

Erector Spinae Plane Block Versus Thoracic Epidural Block for Chest Trauma

First Posted Date
2019-01-08
Last Posted Date
2021-06-10
Lead Sponsor
Sameh Fathy
Target Recruit Count
50
Registration Number
NCT03797079
Locations
🇪🇬

Mansoura University Hospitals, Mansoura, Dakahlia, Egypt

Comparison of Two Norepinephrine Bolus Doses for Management of Post-spinal Hypotension During Cesarean Delivery

First Posted Date
2019-01-04
Last Posted Date
2021-09-24
Lead Sponsor
Cairo University
Target Recruit Count
110
Registration Number
NCT03792906
Locations
🇪🇬

Ahmed Mohamed Hasanin, Cairo, Egypt

COMPARISON OF TRANSVERSUS ABDOMINIS PLANE BLOCK, LOCAL ANESTHETIC INJECTION TO THE PORT SITES AND INTRAPERITONEAL LOCAL ANESTHESIA APPLICATIONS IN POSTOPERATIVE PAIN MANAGEMENT IN PATIENTS WITH LAPAROSCOPIC APPENDECTOMY

Phase 4
Completed
Conditions
Interventions
First Posted Date
2018-12-31
Last Posted Date
2021-03-23
Lead Sponsor
Fatih Sultan Mehmet Training and Research Hospital
Target Recruit Count
3
Registration Number
NCT03790020
Locations
🇹🇷

Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey

COMPARISON OF INTRAOPERATIVE LOCAL ANESTHETIC APPLICATIONS IN POSTOPERATIVE PAIN MANAGEMENT IN LAPAROSCOPIC CHOLECYSTECTOMY PATIENTS

Phase 4
Completed
Conditions
Interventions
First Posted Date
2018-12-31
Last Posted Date
2021-03-23
Lead Sponsor
Fatih Sultan Mehmet Training and Research Hospital
Target Recruit Count
3
Registration Number
NCT03790007
Locations
🇹🇷

Fatih Sultan Mehmet Research and Training Hospital, Istanbul, Turkey

Erector Spinae Plane Block for Peri-operative Pain Management in Pediatric Open Pyeloplasty Cases

First Posted Date
2018-12-31
Last Posted Date
2019-02-26
Lead Sponsor
Istanbul University
Target Recruit Count
40
Registration Number
NCT03790566
Locations
🇹🇷

Istanbul University Cerrahpasa Medical Faculty, Istanbul, Please Select, Turkey

Study in Subjects Undergoing Complete Abdominoplasty

First Posted Date
2018-12-28
Last Posted Date
2024-03-19
Lead Sponsor
Concentric Analgesics
Target Recruit Count
54
Registration Number
NCT03789318
Locations
🇺🇸

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

Comparing Analgesic Effects of Three Ultrasound Guided Regional Anesthetic Techniques in Pediatrics

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2018-12-19
Last Posted Date
2022-04-06
Lead Sponsor
Istanbul University
Target Recruit Count
135
Registration Number
NCT03780790
Locations
🇹🇷

Istanbul University, Istanbul, Turkey

ED90 for Hyperbaric Bupivacaine in Super Obese Parturients

First Posted Date
2018-12-19
Last Posted Date
2023-02-02
Lead Sponsor
Duke University
Target Recruit Count
45
Registration Number
NCT03781388
Locations
🇺🇸

Duke University Hospital, Durham, North Carolina, United States

Role of Dexamethasone for Erector Spinae Plane Block in Patients Undergoing Total Abdominal Hysterectomy

First Posted Date
2018-12-10
Last Posted Date
2020-08-05
Lead Sponsor
Aswan University Hospital
Target Recruit Count
150
Registration Number
NCT03769818
Locations
🇪🇬

Aswan University, Aswan, Egypt

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