MedPath

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

Lignocaine vs Bupivacaine Infiltration for Postpartum Perineal Pain After Vaginal Delivery With Episiotomy in Primigravidae

Not Applicable
Recruiting
Conditions
Postpartum Perineal Pain
Episiotomy
Vaginal Delivery
Primigravidae
Bupivacaine
Lignocaine
Interventions
First Posted Date
2024-08-23
Last Posted Date
2024-08-23
Lead Sponsor
Ain Shams University
Target Recruit Count
60
Registration Number
NCT06568289
Locations
🇪🇬

Ain Shams University, Cairo, Egypt

Evaluation of Pain Management After Surgery When Using Exparel in the Pediatric Population

Phase 2
Not yet recruiting
Conditions
Medial Patellofemoral Ligament (MPFL) Reconstruction
Sports Injuries in Children
Analgesia
Pain, Postoperative
Interventions
First Posted Date
2024-08-19
Last Posted Date
2025-04-02
Lead Sponsor
Texas Scottish Rite Hospital for Children
Target Recruit Count
100
Registration Number
NCT06559215
Locations
🇺🇸

Texas Scottish Rite Hospital for Children, Frisco, Texas, United States

Comparison of Intraperitoneal Bupivacaine Alone or With Dexmedetomidine

Not Applicable
Completed
Conditions
LAPAROSCOPIC CHOLECYSTECTOMY
Interventions
First Posted Date
2024-08-19
Last Posted Date
2024-08-21
Lead Sponsor
RESnTEC, Institute of Research
Target Recruit Count
68
Registration Number
NCT06560892
Locations
🇵🇰

Quaid-e-Azam Medical College, Bahawalpur, Punjab, Pakistan

Efficacy and Safety of Liposomal Bupivacaine Using Periarticular Injection in Total Knee Arthroplasty

Phase 4
Recruiting
Conditions
Osteoarthritis, Knee
Interventions
Drug: traditional peri-articular injection
First Posted Date
2024-08-16
Last Posted Date
2024-08-16
Lead Sponsor
Dezhou Hospital Qilu Hospital of Shandong University
Target Recruit Count
60
Registration Number
NCT06557018
Locations
🇨🇳

Qilu Hospital of Shandong University Dezhou Hospital (Dezhou People's Hospital), Dezhou, Shandong, China

Dexmedetomidine As An Adjuvant To Bupivacaine 0.1% in Labor Analgesia

Not Applicable
Completed
Conditions
Labor Analgesia
Labor Pain
Interventions
First Posted Date
2024-08-13
Last Posted Date
2024-08-13
Lead Sponsor
Services Institute of Medical Sciences, Pakistan
Target Recruit Count
165
Registration Number
NCT06550414
Locations
🇵🇰

Hameed Lateef Hospital, Lahore, Punjab, Pakistan

Exparel Versus Bupivacaine in Post-operative Pain Control

Phase 4
Recruiting
Conditions
Liposomal Bupivacaine
Interventions
First Posted Date
2024-08-09
Last Posted Date
2025-02-13
Lead Sponsor
Case Western Reserve University
Target Recruit Count
100
Registration Number
NCT06547255
Locations
🇺🇸

Case Western Reserve University, Cleveland, Ohio, United States

The Difference Between Using Local and General Dexamethasone in Arthroscopic Anterior Cruciate Ligament Repair

First Posted Date
2024-08-05
Last Posted Date
2024-08-05
Lead Sponsor
Benha University
Target Recruit Count
123
Registration Number
NCT06537518
Locations
🇪🇬

Benha faculty of Medicine, Banhā, El Qalyoubia, Egypt

Compare Intraperitoneal Instillation of Bupivacaine+dexmedetomidine Versus Bupivacaine+dexamethasone on Postoperative Pain After Lap Cholecystectomy

Not Applicable
Completed
Conditions
Postoperative Pain
Interventions
First Posted Date
2024-08-02
Last Posted Date
2025-03-11
Lead Sponsor
Aswan University Hospital
Target Recruit Count
100
Registration Number
NCT06535256
Locations
🇪🇬

Zaher, Cairo, Egypt

🇪🇬

Zaher, Cairo, Egypt

Postoperative Analgesic Effectiveness of Bupivacaine With and Without Dexmedetomidine in Patients With Abdominal Surgery

Phase 2
Completed
Conditions
Hypotension
Vomiting
Post Operative Pain
Nausea
Bradycardia
Interventions
First Posted Date
2024-08-01
Last Posted Date
2024-08-01
Lead Sponsor
Sahiwal medical college sahiwal
Target Recruit Count
64
Registration Number
NCT06531603
Locations
🇵🇰

Sahiwal Medical College, Sahiwal, Punjab, Pakistan

A Study of Bupivacaine Liposome Injection in the Treatment of Pain After Thoracoscopic Surgery

Phase 2
Not yet recruiting
Conditions
Local Analgesia Via Nerve Block
Interventions
First Posted Date
2024-07-31
Last Posted Date
2024-07-31
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
96
Registration Number
NCT06529432
Locations
🇨🇳

Zhongshan Hospital Affiliated to Fudan University, Shanghai, Shanghai, China

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