Bupivacaine Hcl

It is a long acting and is used for obstetric epidural block. It has slow onset of action, taking upto 30 minutes for full effect.

Indications

Infiltration, block, caudal, epidural, lumbor anaesthesia with long duration of action.

Dosage

Max. dose is 150 mg in a 4-hour period.

Contra-Indications

Intravenous regional anaes-thesia. Digital block.

Special Precautions

-Monitor for signs of CNS toxicity -Use caution in patients with cardiovascular disease -Not recommended for intravenous regional anesthesia -Adjust dosage for elderly and debilitated patients -Ensure resuscitative equipment and medications are available during administration

Side Effects

-Hypotension -Bradycardia -Nausea -Dizziness -Allergic reactions

Drug Interactions

-Increased risk of adverse effects when used with other local anesthetics -Beta-blockers and antihypertensives may enhance cardiovascular effects -Caution with other CNS depressants