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-articular Local Anesthetic Injection and Hematoma Aspiration

Phase 4
Terminated
Conditions
Interventions
First Posted Date
2016-11-01
Last Posted Date
2018-08-17
Lead Sponsor
Loyola University
Target Recruit Count
2
Registration Number
NCT02951884
Locations
🇺🇸

Loyola University Medical Center, Maywood, Illinois, United States

Ropivacaine Versus Bupivacaine as Preemptive Analgesia in Surgical Site in Ankle Fracture Patients

First Posted Date
2016-10-31
Last Posted Date
2018-12-31
Lead Sponsor
Instituto Mexicano del Seguro Social
Target Recruit Count
93
Registration Number
NCT02949674
Locations
🇲🇽

UMAE Dr. Victorio de La Fuente Narvaez, Ciudad de Mexico, Mexico

Hip Arthroscopy Pain Control Randomized Control Trial (RCT)

First Posted Date
2016-10-27
Last Posted Date
2018-01-10
Lead Sponsor
Walter Reed National Military Medical Center
Target Recruit Count
74
Registration Number
NCT02947178
Locations
🇺🇸

Walter Reed National Military Medical Center, Bethesda, Maryland, United States

Serratus Plane Block For Breast Reduction Surgery

Phase 4
Completed
Conditions
Interventions
First Posted Date
2016-10-12
Last Posted Date
2017-01-24
Lead Sponsor
Ataturk University
Target Recruit Count
40
Registration Number
NCT02930733
Locations
🇹🇷

Ataturk University, Erzurum, Turkey

TAP Block With Magnesium Sulfate Added to Local Anesthetic in Abdominal Hysterectomy

First Posted Date
2016-10-12
Last Posted Date
2016-10-12
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT02930707

Effect of Wound Infiltration by Ketamine Versus Dexmedetomidine Added to Bupivacaine on Surgical Stress

First Posted Date
2016-10-07
Last Posted Date
2018-01-09
Lead Sponsor
Assiut University
Target Recruit Count
90
Registration Number
NCT02927379
Locations
🇪🇬

South Egypt Cancer Instuite, Assuit, Egypt

Comparing Ropivacaine and Bupivacaine in DTFNB Anesthesia in Patients Undergoing Phacoemulsification

First Posted Date
2016-10-06
Last Posted Date
2017-01-25
Lead Sponsor
Government Medical College, Haldwani
Target Recruit Count
100
Registration Number
NCT02925832
Locations
🇮🇳

Government medical college, Haldwani, Uttarakhand, India

Comparative Study Between Levobupivacaine and Bupivacaine for Nerve Block During Pediatric Primary Cleft Palate Surgery

First Posted Date
2016-10-05
Last Posted Date
2017-09-07
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT02923869
Locations
🇪🇬

Assiut university hospital, Assiut, Egypt

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