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Bupivacaine- local anesthetic medicinethat blocks the nerve impulses

Bupivacaine, marketed under the brand name Marcaine among others, is a medication used to decrease feeling in a specific area. More

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Description

Bupivacaine, marketed under the brand name Marcaine among others, is a medication used to decrease feeling in a specific area.

Generic Name

Bupivacaine- local anesthetic medicinethat blocks the nerve impulses

Chemical names

1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide; DL-Bupivacaine; Marcaine

Brand names

Anawin Heavy, Anawin Inj, Buloc, Buloc-H, Buloc-P, Bupitroy, Bupitroy Heavy, Bupivac, Bupivacaine, Bupivan, Marcain, Sensorcaine, Sensorcaine Heavy, Sensorcaine Spinal

IUPAC name

1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide

Pharmacokinetics

Actions

Dosage/Dosage form

The recommended dose range is 25-150 mg.

Therapeutic uses

In percutaneous infiltration anesthesia.

Adverse effects/Side effects

Cardiac and sudden respiratory arrest, depression. Hypotension, bradycardia, arrhythmias and cardiac arrest; methaemoglobinaemia; seizures, restlessness, dizziness. Hypersensitivity. Prolonged block.

Interaction

Contraindications

  • Hypersensitivity to local anaesthetics of amide type. IV regional anaesthesia; paracervical block in obstetrics; spinal anaesthesia <18 yr.
  •  Solutions containing preservatives for caudal or epidural block.
  • Lactation. 

Storage

Stored by health care providers in a refrigerator.

Information

Molecular weight

288.4277

Molecular formula

C18H28N2O

CAS number

38396-39-3

Precautions

  • Management includes careful and constant monitoring of CV and respiratory vital signs and the patient’s state of consciousness after each local anesthetic injections.
  • Hypotension may also be managed by giving IV fluids such as sodium chloride injection.
  • Establish and maintains a patent airway, oxygen may be needed. If necessary, drugs may be used to control convulsions.