Bupivacaine

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Bupivacaine
Trade names

Marcaine

Clinical data
Drug class

Local Anesthetic

Uses

Regional anesthesia, neuraxial anesthesia

Contraindications

Allergy (rare), bier block (due to risk of tourniquet failure and systemic drug absorption causing cardiac arrest)

Routes of administration

Intrathecal, epidural, peripheral nerve block, local infiltration

Dosage

Maximum dose: 2-2.5mg/kg, not to exceed 175mg per dose or 400mg/24h Spinal anesthesia: commonly 7.5-12mg of 0.75% bupivacaine for C-section under spinal

Pharmacodynamics
Mechanism of action

Sodium channel blockade

Adverse effects

Cardiotoxicity, LAST

Pharmacokinetics
Onset of action

Within 15 mins

Duration of action

2-8h

Metabolism

Liver

Elimination half-life

approx 3h

Protein binding

95%

Physical and chemical data
Article quality
Editor rating
Unrated
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Provide a brief summary of this drug here.

Uses

Contraindications

Absolute contraindications

Precautions

Pharmacology

Pharmacodynamics

Mechanism of action

Adverse effects

Pharmacokinetics

Chemistry and formulation

History

References