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BUPIVACAINE HCL-0.9% NACL (bupivacaine HCl in 0.9 % sodium chloride/PF)
- Regional anesthesia for labor pain
- Regional anesthesia for surgery
- Administration of local anesthesia
- Local anesthesia for procedure
- Major nerve block for surgery
- Regional anesthesia for c-section
- Bupivacaine (pf) In 0.9% Nacl Injection Syringe
- Bupivacaine (pf) In 0.9% Nacl Injection Pump Reservoir
- Bupivacaine (pf) In 0.9% Nacl Epidural Syringe
- Bupivacaine (pf) In 0.9% Nacl Epidural Solution
- Bupivacaine (pf) In 0.9 % Sod Chlor Epidural Pump Reservoir
bupivacaine (PF) 150 mg/30 mL (5 mg/mL) 0.5 % in 0.9 % NaCl syringe
- Dosage information is not available
bupivacaine (PF) 50 mg/20 mL (2.5 mg/mL) 0.25% in 0.9 % NaCl syringe
- Dosage information is not available
bupivacaine (PF) 75 mg/30 mL (2.5 mg/mL) 0.25% in 0.9 % NaCl syringe
- Dosage information is not available
bupivacaine (PF) 0.125 % (1,250 mcg/mL) in 0.9 % NaCl pump reservoir
- Dosage information is not available
bupivacaine(PF) 25 mg/10 mL(2.5 mg/mL)0.25%-0.9 %NaCl epidural syringe
- Dosage information is not available
bupivacaine (PF) 0.0625 % (625 mcg/mL)in 0.9% sodium chloride epidural
- Dosage information is not available
bupivacaine (PF) 0.1 % (1,000 mcg/mL) in 0.9% sodium chloride epidural
- Dosage information is not available
bupivacaine (PF) 0.125 %(1,250 mcg/mL)in 0.9% sodium chloride epidural
- Dosage information is not available
bupivacaine (PF) 0.25 % in 0.9 % sodium chloride epidural solution
- Dosage information is not available
bupivacaine (PF) 0.125 % in 0.9% sod. chloride epidural pump reservoir
- Dosage information is not available
- None
Contraindicated
- None
Severe
Moderate
- None
- Methemoglobinemia
- Severe hypotension
- Shock
Contraindicated
- First degree atrioventricular heart block
- Glucose-6-phosphate dehydrogenase (g6Pd) deficiency
- Hemolytic anemia from PK and g6PD deficiencies
- Kidney disease with likely reduction in GFR
- Second degree atrioventricular heart block
Severe
Moderate
- Bradycardia
- Severe hepatic disease
BUPIVACAINE HCL-0.9% NACL (bupivacaine HCl in 0.9 % sodium chloride/PF)
- Regional anesthesia for labor pain
- Regional anesthesia for surgery
- Administration of local anesthesia
- Local anesthesia for procedure
- Major nerve block for surgery
- Regional anesthesia for c-section
- None
- Constipation
- Nausea
- Vomiting
More Frequent
Severe
Less Severe
- None
- None
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Acute respiratory insufficiency
- Anaphylaxis
- Angioedema
- Bradycardia
- Cardiac arrhythmia
- Chondrolysis of articular cartilage
- CNS depression
- CNS toxicity
- Excitement
- Heart block
- Hemiparesis
- Hypertension
- Hypotension
- Methemoglobinemia
- Myocardial dysfunction
- Paralysis
- Seizure disorder
- Tachycardia
- Twitching
- Unconsciousness
- Urticaria
- Vasodilation of blood vessels
- Ventricular arrhythmias
Less Severe
- Blurred vision
- Chills
- Diplopia
- Dizziness
- Dysgeusia
- Erythema
- Fecal incontinence
- Muscle weakness
- Nervousness
- Oral hypoesthesia
- Paresthesia
- Pruritus of skin
- Skin rash
- Sneezing
- Symptoms of anxiety
- Tinnitus
- Tremor
- Urinary incontinence
- Urinary retention
- Visual changes
Contraindicated
None
Severe Precaution
None
Management or Monitoring Precaution
None
Bupivacaine
- Severity Level:
2
- Additional Notes: Contraindicated for obstetrical paracervical block anesthesia
Contraindicated
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Precaution Exists
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
No Known Risk
Bupivacaine
Epidural adm in study of 27 women showed no adverse effects in infants.
| General | Excretion Potential | Effect on Infant | Notes |
| No known risks; does not adversely affect lactation | Excreted | Not known; no or inclusive data | Epidural adm in study of 27 women showed no adverse effects in infants. |
Contraindicated
None
Precaution Exists
Bupivacaine (epidural)
Cardiovascular-Pre-existing hypertension may predispose to higher incidence of hypotension with drug administration.
| Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
| Increased Risk / Adverse Effects | Y | N | Y | N | N | N |
BEERS: N HEDIS: N STOPP: N
No Known Risk
None
- None
| Regional anesthesia for c-section | |
| O82 | Encounter for cesarean delivery without indication |
| 0-9 | A-Z |
|---|---|
| O82 | Encounter for cesarean delivery without indication |
Formulary Reference Tool