Bupivacaine Hcl 0,5 % Injection With Adrenaline 1 mL Injection
Clinical Summary
Quick overview from the medicine insert
Indication
Peripheral nerve block, caudal or epidural block.
Dosage (summary)
Varies by procedure; max 150 mg per injection.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Use cautiously; may affect uterine blood flow and fetal heart rate.
Key Drug Interactions
- Antidysrhythmics
- Beta blockers
- Halogenated anesthetics
Contraindications
- Sensitivity to bupivacaine/adrenaline
- IV regional anesthesia
- Severe heart disease
Common side effects
- Hypotension
- Urinary retention
- Dizziness
- Nausea
Counselling Points
- Monitor for signs of toxicity
- Avoid in compromised blood supply areas
- Ensure emergency equipment available
Serious warnings
- Risk of systemic toxicity
- Accidental intravascular injection
- CNS and cardiovascular effects
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