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February 9, 2012
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bupivicaine-injection, Marcaine, Sensorcaine

GENERIC NAME: BUPIVICAINE - INJECTION (byoo-PIV-ah-kane)

BRAND NAME(S): Marcaine, Sensorcaine

Warning | Medication Uses | How To Use | Side Effects | Precautions | Drug Interactions | Overdose | Notes | Missed Dose | Storage

WARNING: The highest strength of this medication (0.75%) should not be used during labor and delivery since rarely, sometimes fatal problems (including the heart stopping, severe seizures) have occurred. For labor and delivery, use of the lower strengths of this drug is recommended.

USES: This medication is a local anesthetic (amide-type) used to cause loss of feeling during surgical/dental procedures, or during labor and delivery.

HOW TO USE: This medication is used only in a hospital or clinic setting. It should only be administered by a healthcare professional. Bupivicaine is injected into the area around your spine, into your gums, or into other areas of skin so you will not feel pain during a procedure. It should never be injected directly into a vein. A preservative-free form of this medication should be used if it is being injected into the spine (spinal anesthesia). Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid.

SIDE EFFECTS: Temporary loss of feeling, decreased muscle strength or dizziness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these unlikely but serious side effects occur: drowsiness, fatigue, nausea, vomiting, blurred vision, small pupils, ringing in the ears, inability to urinate. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: twitching, restlessness, tremors, shivering, fever, slowed breathing, slowed/irregular heartbeat, seizures. A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before taking bupivicaine, tell your doctor or pharmacist if you are allergic to it; or to other amide-type local anesthetics such as lidocaine or mepivacaine; or if you have any other allergies. Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver disease, heart disease, high blood pressure. This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Protect the injected area from injury until you regain feeling. If the injection was in your mouth, avoid chewing gum or food to keep from biting your tongue or the inside of your cheeks. Caution is advised when using this drug in the elderly because they may be more sensitive to its effects, especially lowering of blood pressure. Caution is advised when using this drug in children because they may be more sensitive to its effects, especially seizures. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This medication passes into breast milk. Breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.




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