Bbocain5mg/ml
Rx- Generic:
- Bupivacaine
- Dosage form:
- Injection
- Pack size:
- Injection
At a glance
Bupivacaine is a local anesthetic used in dental, surgical, diagnostic, and therapeutic procedures to anesthetize or numb the surgical area. It is also used for pain relief during labor. It blocks nerve impulses that send pain signals to the brain, providing temporary numbness.
Indications
- Local anesthesia (numb tissues in a specific area)
- Dental surgery
- Surgical procedures
- Labor pain (obstetrical analgesia)
- Peripheral and sympathetic nerve block
- Epidural and spinal block
Dosage
Adults (Injection):
Percutaneous infiltration anesthesia: 9 mg (with adrenaline 1:200,000), repeat after 2-10 minutes if needed. Max: 90 mg per dental sitting.
Peripheral nerve block: 12.5 mg (0.25% solution) or 25 mg (0.5% solution). Max: 150 mg/dose.
Sympathetic nerve block: 0.25% solution: 50-125 mg.
Retrobulbar block: 0.75% solution: 15-30 mg.
Caudal block (surgery): 0.25% solution: 37.5-75 mg; 0.5% solution: 75-150 mg.
Lumbar epidural block (surgery): 0.25% solution: 25-50 mg; 0.5% solution: 50-100 mg.
Spinal block: 0.5% solution: 10-20 mg (2-4 mL).
Acute pain (labor pain): 0.25% solution: 15-30 mg (6-12 mL); 0.375%: 22.5-45 mg; 0.5%: 30-60 mg. Infusion: 0.1%: 10-15 mg/hr; 0.125%: 10-15 mg/hr.
Children (>12 years): Infiltration: 0.25% locally; max 175 mg. Caudal block: 15-30 mL of 0.25% or 0.5% (preservative-free). Epidural block: 10-20 mL of 0.25% or 0.5%. Peripheral nerve block: 5 mL of 0.25-0.5%; max 400 mg/day.
Side effects
Common side effects:
Nausea, paresthesia (tingling or pricking sensation), slow heart rate (bradycardia), decreased blood pressure, dizziness, urinary retention, increased blood pressure, vomiting.
Effects typically last 2-4 hours.
Precautions & warnings
- Numbness may last 2-4 hours after injection. Do not drive or operate machinery until the effect wears off.
- May affect concentration or cause sleepiness; avoid driving or using tools/machines until the next day.
- Consult your doctor immediately if you experience dizziness, lightheadedness, vision/hearing problems, or numbness around lips, tongue, and mouth.
- Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.
- Inform your doctor about any underlying heart disease or heart rhythm problems.
- Caution in patients with liver and kidney disease.