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

Ultrasound-Guided Versus Conventional Method for Caudal Block

First Posted Date
2018-02-09
Last Posted Date
2018-02-09
Lead Sponsor
Omer Karaca
Target Recruit Count
275
Registration Number
NCT03427437
Locations
🇹🇷

Baskent University, Konya, Turkey

Suprazygomatic Block in Cleft Palate Surgery in Children

First Posted Date
2018-01-26
Last Posted Date
2018-09-24
Lead Sponsor
Assiut University
Target Recruit Count
80
Registration Number
NCT03412474
Locations
🇪🇬

Assiut University Hospital, Assiut, Egypt

Safety and Efficacy of Addition of Hyaluronidase to Lidocaine and Bupivacaine in Scalp Nerves Block in Elective Craniotomy Operations, Comparative Study

First Posted Date
2018-01-26
Last Posted Date
2018-04-27
Lead Sponsor
Cairo University
Target Recruit Count
64
Registration Number
NCT03411330
Locations
🇪🇬

Ahmed Abdalla Mohamed, Cairo, Egypt

Laparoscopic Guided Transversus Abdominis Plane Block for Postoperative Analgesia After Pediatric Laparoscopic Surgery.

First Posted Date
2018-01-03
Last Posted Date
2020-07-14
Lead Sponsor
Assiut University
Target Recruit Count
44
Registration Number
NCT03388671
Locations
🇪🇬

Pediatric hospital, faculty of medicine, Assiut university, Assiut, Assiut Governorate, Egypt

Subcutaneous Bupivacaine Decrease Post-op Pain in Patients Undergoing C-Section

First Posted Date
2017-12-26
Last Posted Date
2020-01-13
Lead Sponsor
Montefiore Medical Center
Target Recruit Count
26
Registration Number
NCT03383588
Locations
🇺🇸

Albert Einstein College of Medicine/ Montefiore Medical Center, Bronx, New York, United States

Post C-Section Pain Control Using EXPAREL

Phase 4
Withdrawn
Conditions
Interventions
First Posted Date
2017-12-19
Last Posted Date
2021-05-18
Lead Sponsor
University of Minnesota
Registration Number
NCT03377595
Locations
🇺🇸

University of Minnesota, Minneapolis, Minnesota, United States

Fascia Iliaca Blocks for Pain Control After Total Hip Arthroplasty

First Posted Date
2017-12-15
Last Posted Date
2023-10-10
Lead Sponsor
Henry Ford Health System
Target Recruit Count
122
Registration Number
NCT03375112
Locations
🇺🇸

Henry Ford Hospital, Detroit, Michigan, United States

Effect of Ultra-low Dose Naloxone During Supraclavicular Brachial Plexus Block on Post-operative Opioi

First Posted Date
2017-12-13
Last Posted Date
2018-05-02
Lead Sponsor
Mansoura University
Target Recruit Count
64
Registration Number
NCT03372486
Locations
🇪🇬

Mansoura University, Central Hospital, emergency Unit, Mansourah, Dakahlia, Egypt

PEMF and PEC Blocks in Mastectomy Reconstruction Patients

First Posted Date
2017-12-04
Last Posted Date
2022-03-09
Lead Sponsor
Columbia University
Target Recruit Count
60
Registration Number
NCT03360214
Locations
🇺🇸

Columbia University Irving Medical Center, New York, New York, United States

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