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Bupivacaine

Anaesthetics, Perioperatve Medicines and Medical Gases
Injection · Solution5 mg · 4 ml37 brands · 18 makers
Bupivacaine is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Anaesthetics, Perioperatve Medicines and Medical Gases. 37 brand names for this medicine are listed in the NepalDoc medicine catalog.
Generic namebupivacaine
Therapeutic classAnaesthetics, Perioperatve Medicines and Medical Gases > 1.2 Local anaesthetics
Form & strength (NLEM)Injection: 0.25%, 0.5% (hydrochloride) in vial; Injection for spinal anesthesia: bupivacaine 5 mg (hydrochloride)/ ml (0.5%) in 4 ml ampoule to be mixed with 7.5% glucose solution
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

Bupivacaine Hydrochloride Injection 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 of Bupivacaine Hydrochloride Injection are recommended for each type of block indicated to produce local or regional anesthesia or analgesia.

From the U.S. FDA-approved label for Bupivacaine. Full label: DailyMed.

Bupivacaine Hydrochloride Injection 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 of Bupivacaine Hydrochloride Injection are recommended for each type of block indicated to produce local or regional anesthesia or analgesia. Bupivacaine Hydrochloride Injection contains bupivacaine, an amide local anesthetic.

From the U.S. FDA-approved label for Bupivacaine. Full label: DailyMed.

Not for intrathecal use. Avoid use of solutions containing antimicrobial preservatives (i.e., multiple-dose vials) for epidural or caudal anesthesia. Three mL of Bupivacaine Hydrochloride and Epinephrine Injection without antimicrobial preservative (0.5% bupivacaine with 1:200,000 epinephrine) is recommended for use as a test dose prior to caudal and lumbar epidural blocks when clinical conditions permit.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

Bupivacaine Hydrochloride Injection/Bupivacaine Hydrochloride and Epinephrine Injection is contraindicated in: obstetrical paracervical block anesthesia. Its use in this technique has resulted in fetal bradycardia and death. intravenous regional anesthesia (Bier Block). patients with a known hypersensitivity to bupivacaine or to any local anesthetic agent of the amide-type or to other components of Bupivacaine Hydrochloride Injection/Bupivacaine Hydrochloride and Epinephrine Injection. Obstetrical paracervical block anesthesia.

Excerpt from the U.S. FDA-approved label. Talk to a pharmacist or doctor before use.

Serious Neurologic Adverse Reactions with Epidural Administration Serious neurologic events, some resulting in death, have been reported with epidural injection of corticosteroids. Specific events reported include, but are not limited to, spinal cord infarction, paraplegia, quadriplegia, cortical blindness, and stroke. These serious neurologic events have been reported with and without use of fluoroscopy. The safety and effectiveness of epidural administration of corticosteroids have not been established, and corticosteroids are not approved for this use. General This product is not suitable for multi-dose use.

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

The following clinically significant adverse reactions have been reported and described in the Warnings and Precautions section of the labeling: Cardiac Arrest in Obstetrical Anesthesia Dose-Related Toxicity Methemoglobinemia Chondrolysis with Intra-Articular Infusion Severe, Persistent Hypertension, Cerebrovascular Accidents, and Bradycardia Due to Drug Interactions Cardiac Arrest with Intravenous Regional Anesthesia Use…

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

37 products from 18 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Anawin 0.5% 20ML InjectionBupivacaine (0.5% 20ML)Neon Laboratories Ltd
Anawin Heavy InjectionBupivacaineNeon Laboratories Ltd
Bupicain Heavy InjectionBupivacaineClaris Lifesciences Ltd
Bupitroy 2.5mg/ml VIALBupivacaine (2.5mg/ml)Troikaa Pharmaceuticals Ltd.
Bupitroy H VIALBupivacaineTroikaa Pharmaceuticals Ltd.
Sensorcain 2.5mg/ml VIALBupivacaine (2.5mg/ml)Astra Zeneca
Sensorcain 5mg/ml VIALBupivacaine (5mg/ml)Astra Zeneca
Sensorcaine 0.5% InjectionBupivacaine (0.5%)Astra Zeneca
Sensorcaine Heavy 0.5% InjectionBupivacaine (0.5%)Astra Zeneca
Ultracaine Heavy 5mg InjectionBupivacaine (5mg)Jayson
Anawin 0.25% InjectionBupivacaine (0.25%)Neon Laboratories Ltdvial of 20 ml Injection
Anawin 0.5% InjectionBupivacaine (0.5%)Neon Laboratories Ltdvial of 20 ml Injection
Anawin Heavy 5mg InjectionBupivacaine (5mg)Neon Laboratories Ltdvial of 4 ml Injection
Bipivac 2.5mg InjectionBupivacaine (2.5mg)Miracalus Pharma Pvt Ltdvial of 20 ml Injection
Bipivac 5mg InjectionBupivacaine (5mg)Miracalus Pharma Pvt Ltdvial of 20 ml Injection
Buloc 0.5% InjectionBupivacaine (0.5%)Celon Laboratories Ltdvial of 20 ml Injection
Buloc H 20mg InjectionBupivacaine (20mg)Celon Laboratories Ltdvial of 4 ml Injection
Bupicain 5mg InjectionBupivacaine (5mg)Themis Medicare Ltdvial of 20 ml Injection
Bupicain Heavy 80mg InjectionBupivacaine (80mg)Themis Medicare Ltdvial of 4 ml Injection
Bupicain InjectionBupivacaine (0.25%)Themis Medicare Ltdvial of 20 ml Injection
Bupicaine InjectionBupivacaine (0.5% w/v)SPM Drugs Pvt Ltdvial of 20 ml Injection
Bupidural 0.25% InjectionBupivacaine (0.25%)Cachet Pharmaceuticals Pvt Ltdvial of 1 Injection
Bupidural 5mg InjectionBupivacaine (5mg)Cachet Pharmaceuticals Pvt Ltdvial of 1 Injection
Bupifix 0.5% InjectionBupivacaine (5mg)Varenyam Healthcare Pvt Ltdvial of 20 ml Injection
Bupifix-H InjectionBupivacaine (5mg)Varenyam Healthcare Pvt Ltdampoule of 4 ml Injection
Bupitroy 0.5% InjectionBupivacaine (0.5%)Troikaa Pharmaceuticals Ltdvial of 20 ml Injection
Bupivac Heavy InjectionBupivacaine (NA)Harson Laboratoriesvial of 4 ml Injection
Bupizuva 2.5mg InjectionBupivacaine (2.5mg/ml)Abbottvial of 20 ml Injection
Bupizuva Heavy 5mg InjectionBupivacaine (5mg)Abbottvial of 4 ml Injection
Levo Anawin 0.25% InjectionBupivacaine (0.25%)Neon Laboratories Ltdvial of 10 ml Injection

Showing 30 of 37 catalog products. Search the full catalog in the app.

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

Store at 20 °C to 25 °C (68 °F to 77 °F); excursions permitted between 15 °C to 30 °C (59 °F to 86 °F).

Storage information from the U.S. FDA-approved label.

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

NepalDoc — Nepal's Healthcare Super-App (Beta) / नेपालको स्वास्थ्य सुपर-एप (बेटा).
Medicine information only — not medical advice. Confirm with a pharmacist or doctor.