Macaine Hcl 0,5 % Injection 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, reduce for elderly.
Special Populations
- Elderly
- Debilitated patients
- Children under 12
Pregnancy & Breastfeeding
Safety in pregnancy/lactation not established; may affect fetus.
Key Drug Interactions
- Antidysrhythmics
- Propranolol
- Calcium-channel blockers
Contraindications
- Hypersensitivity to bupivacaine
- Active CNS disease
- Coagulation disorders
Common side effects
- Dizziness
- Nausea
- Urinary retention
- Bradycardia
Counselling Points
- Avoid accidental intravascular injection
- Monitor for CNS effects
- Use caution in elderly and debilitated patients
Serious warnings
- Risk of cardiac arrest
- Systemic toxicity
- Hypotension
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