Bunascan

Bunascan

bupivacaine

Manufacturer:

Fahrenheit
Concise Prescribing Info
Contents
Bupivacaine HCl anhydrate
Indications/Uses
Epidural block for surgery, field block (minor & major nerve blocks & infiltration); post-op or labour pain.
Dosage/Direction for Use
Lumbar epidural abdominal, pelvic & lower limb surgery including caesarean section 5 mg/mL (75-150 g). Thoracic epidural upper abdominal & thoracic surgery 2.5 mg/mL (12.5-37.5 g) or 5 mg/mL (25-50 g). Caudal epidural 2.5 mg/mL (37.5-100 g) or 5 mg/mL (75-125 g). Other blocks local inflitration 2.5 mg/mL (12.5-150 g) or 5 mg/mL (25-150 g). Intercostal (per segment) 2.5 mg/mL (10-20 g) or 5 mg/mL (15-25 g). Brachial plexus 5 mg/mL (100-150 g). Sciatic 3 in 1 (femoral, obturator & lateral cutaneous) 5 mg/mL (50-100 g). Pudendal 2.5-5 mg/mL (7.5-100 g). Caudal epidural post-op pain management 2.5 mg/mL (50-75 mg bolus). Lumbar epidural bolus & continuous (including labour pain management) 2.5-5 mg/mL (15-60 mg bolus followed by 12.5-18.75 mg/hr. Thoracic epidural continuous infusion for post-op pain management 1.25 mg/mL (6.25-12.5 mg/hr).
Contraindications
Hypersensitivity to amide type local anaesth or Na metabisulfite in adrenaline-containing soln. Uncorrected hypotension. Presence of infection in the region the proposed inj &/or septicaemia. Obstet paracervical block, IV regional anaesth (Bier's block) & all IV infusions.
Special Precautions
Careful & constant monitoring of CV & resp vital signs & patient's state of consciousness should be accomplished after each local anaesth inj. Patients w/ impaired CV function. Risk of developing an epidural or spinal haematoma which can result in long-term or permanent paralysis in patients anti-coagulated or scheduled to be anti-coagulated w/ LMWH or heparinoids. Frequently monitor for signs & symptoms of neurological impairment. Patients w/ epilepsy, impaired cardiac conduction, bradycardia, severe shock or digitalis intoxication. Stokes-Adams syndrome or Wolff-Parkinson-White syndrome. Myasthenia gravis. Epidural, caudal & spinal anaesth when there are serious CNS disease. Reduced plasma protein conc, hyperthyroidism. Careful monitoring of the fetal heart rate is necessary. Drug sensitivities. May impair ability to drive or operate machinery. Severe hepatic disease. Pregnancy other than labour & lactation. Childn <12 yr.
Adverse Reactions
Maternal hypotension, backache, headache, neuropathy, peripheral nerve injury & arachnoiditis, cutaneous lesions, urticaria, oedema or anaphylactoid reactions. CNS, CV effects.
Drug Interactions
Potentiation of cardiac effects may occur w/ mexiletine & lignocaine.
MIMS Class
Anaesthetics - Local & General
ATC Classification
N01BB01 - bupivacaine ; Belongs to the class of amides. Used as local anesthetics.
Presentation/Packing
Form
Bunascan inj 5 mg/mL
Packing/Price
20 mL x 5 × 1's
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