Marcain Spinal Heavy

Marcain Spinal Heavy



Aspen Asia


Cordial Trading
Concise Prescribing Info
Bupivacaine HCl 0.5% w/ dextrose monohydrate 8%
Lower abdominal surgery (including caesarean section), urological & lower limb, including hip surgery lasting 1.5-3 hr.
Dosage/Direction for Use
Adult Lower limb, urological & perineal surgery 1.5-3 mL. Lower abdominal operations including caesarean section 2-4 mL Childn >15 kg 0.25-0.3 mg/kg; between 5 & 15 kg 0.3-0.4 mg/kg; infant up to 5 kg 0.4-0.5 mg/kg.
Acute active disease of the CNS eg, meningitis, tumours, poliomyelitis & cranial haemorrhage, active TB or metastatic lesions in the vertebral column. Septicaemia. Spinal stenosis & active disease (eg, spondylitis, tumour) or recent trauma (eg, fracture) in the vertebral column. Pernicious anaemia w/ subacute combined degeneration of the spinal cord. Pyrogenic infection of the skin at or adjacent to the site of puncture. Cardiogenic or hypovolaemic shock. Coagulation disorders or ongoing anticoagulant treatment.
Special Precautions
Resuscitative equipment & drugs should be immediately available. Hypovolaemia due to haemorrhage or dehydration, aortocaval occlusion, coronary or cerebrovascular disease. Pregnancy, chronic neurological disorders. May temporarily impair locomotion & alertness.
Adverse Reactions
Hypotension, bradycardia, post-dural puncture headache. Rarely, high or total spinal blockade resulting in CV & resp depression, neurological complications, allergic reactions.
Drug Interactions
Agents structurally related to local anaesth.
ATC Classification
N01BB01 - bupivacaine ; Belongs to the class of amides. Used as local anesthetics.
Marcain Spinal Heavy inj 0.5 %
4 mL x 5 × 1's
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