Bupivacaine

Chemical formula: C₁₈H₂₈N₂O  Molecular mass: 288.428 g/mol  PubChem compound: 2474

Therapeutic indications

Bupivacaine is indicated for:

Lumbar epidural anaesthesia

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)

Lumbar epidural block

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Acute pain

Population group: only children (1 year - 12 years old)

Acute pain

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Lumbar epidural anaesthesia for caesarean section

Population group: women, only adults (18 - 65 years old)

Anesthesia for cesarean section

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Thoracic epidural anaesthesia

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)

Local anaesthetic thoracic epidural block

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Caudal epidural block

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)

Epidural injection of anesthetic substance, therapeutic, caudal, continuous

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Major nerve block

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)

Peripheral block anesthesia

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Local anaesthesia

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)

Local anaesthesia

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Acute pain

Population group: only adolescents (12 years - 18 years old) , adults (18 years old or older)

Acute pain

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Major nerve block

Population group: only children (1 year - 12 years old)

Peripheral block anesthesia

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Local anaesthesia

Population group: only children (1 year - 12 years old)

Local anaesthesia

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Contraindications

Bupivacaine is contraindicated in the following cases:

Intravenous regional anaesthesia (Bier's-block)

Biers block

Hypersensitivity to bupivacaine

Bupivacaine allergy

Active disease of the central nervous system

Encephalomyeloneuropathy

Pyogenic infection of the skin

Pyoderma

Cardiogenic shock, hypovolaemic shock

at least one of
Cardiogenic shock
Hypovolemic shock

Coagulation disorders, ongoing anticoagulation treatment

at least one of
Blood coagulation disorder
Antithrombotic agents

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Factors such as age, gender, and health history are evaluated to create a personalized medication regimen.

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