Bupivacaine
Identification
- Summary
Bupivacaine is a local anesthetic used in a wide variety of superficial and invasive procedures.
- Brand Names
- Exparel, Kenalog, Marbeta, Marcaine, Marcaine With Epinephrine, Marvona Suik, P-Care M, P-Care MG, P-care, Readysharp Anesthetics Plus Ketorolac, Readysharp-A, Readysharp-p40, Readysharp-p80, Sensorcaine, Sensorcaine With Epinephrine, Vivacaine, Xaracoll
- Generic Name
- Bupivacaine
- DrugBank Accession Number
- DB00297
- Background
Bupivacaine is a widely used local anesthetic agent.
- Type
- Small Molecule
- Groups
- Approved, Investigational
- Structure
Structure for Bupivacaine (DB00297)
- Weight
- Average: 288.4277
Monoisotopic: 288.220163528 - Chemical Formula
- C18H28N2O
- Synonyms
- (±)-bupivacaine
- (RS)-bupivacaine
- 1-Butyl-2',6'-pipecoloxylidide
- 1-Butyl-N-(2,6-dimethylphenyl)-2-piperidinecarboxamide
- Bupivacaina
- Bupivacaine
- Bupivacainum
- dl-1-Butyl-2',6'-pipecoloxylidide
- DL-Bupivacaine
- Racemic bupivacaine
- External IDs
- AH 250
- DUR-843
- LAC-43
- SKY 0402
- SKY-0402
- SKY0402
- Win 11318
Pharmacology
- Indication
Bupivacaine is indicated for the production of local or regional anesthesia or analgesia for surgery, for oral surgery procedures, for diagnostic and therapeutic procedures, and for obstetrical procedures.
Bupivacaine is indicated to induce post-surgical analgesia in adults for up to 72 hours following arthroscopic subacromial decompression by administration into the subacromial space under direct arthroscopic visualization.4
Bupivacaine, together with the NSAID meloxicam, is indicated for the production of postsurgical analgesia in adult patients for up to 72 hours following bunionectomy, open inguinal herniorrhaphy or total knee arthroplasty.5
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- Acute Gouty Arthritis
- Adrenal cortical hypofunctions
- Alopecia Areata (AA)
- Ankylosing Spondylitis (AS)
- Berylliosis
- Bullous dermatitis herpetiformis
- Congenital Adrenal Hyperplasia (CAH)
- Congenital Hypoplastic Anemia
- Dermatomyositis
- Discoid Lupus Erythematosus (DLE)
- Edema of the cerebrum
- Epicondylitis
- Hemolytic Anemia
- Keloids Scars
- Leukemias
- Mycosis Fungoides (MF)
- Necrobiosis lipoidica diabeticorum
- Ocular Inflammation
- Ophthalmia, Sympathetic
- Osteoarthritis (OA)
- Pain, Labor
- Polymyositis
- Postoperative pain
- Psoriatic Arthritis
- Psoriatic plaque
- Pure Red Cell Aplasia
- Regional Enteritis
- Rheumatoid Arthritis
- Secondary thrombocytopenia
- Stevens-Johnson Syndrome
- Synovitis
- Systemic Lupus Erythematosus (SLE)
- Temporal Arteritis
- Trichinosis
- Tuberculous Meningitis
- Ulcerative Colitis
- Uveitis
- Acute Bursitis
- Acute Idiopathic Nephrotic Syndrome
- Acute Lupus Erythematosus
- Acute Multiple sclerosis
- Acute Rheumatic heart disease, unspecified
- Acute nonspecific tenosynovitis
- Cancer-associated hypercalcemia
- Cystic tumors of aponeurosis
- Cystic tumors of tendon
- Disseminated Pulmonary Tuberculosis
- Exfoliative erythroderma
- Inflammatory lesions of granuloma annulare
- Inflammatory lesions of lichen planus
- Inflammatory lesions of lichen simplex
- Non-suppurative Thyroiditis
- Permphigus
- Severe Allergic Reactions
- Associated Therapies
- Contraindications & Blackbox Warnings
Contraindications & Blackbox WarningsWith our commercial data, access important information on dangerous risks, contraindications, and adverse effects.Our Blackbox Warnings cover Risks, Contraindications, and Adverse Effects- Pharmacodynamics
Bupivacaine is a widely used local anesthetic agent. Bupivacaine is often administered by spinal injection prior to total hip arthroplasty. It is also commonly injected into surgical wound sites to reduce pain for up to 20 hours after surgery. In comparison to other local anesthetics it has a long duration of action. It is also the most toxic to the heart when administered in large doses. This problem has led to the use of other long-acting local anaesthetics:ropivacaine and levobupivacaine. Levobupivacaine is a derivative, specifically an enantiomer, of bupivacaine. Systemic absorption of local anesthetics produces effects on the cardiovascular and central nervous systems. At blood concentrations achieved with therapeutic doses, changes in cardiac conduction, excitability, refractoriness, contractility, and peripheral vascular resistance are minimal. However, toxic blood concentrations depress cardiac conduction and excitability, which may lead to atrioventricular block, ventricular arrhythmias and to cardiac arrest, sometimes resulting in fatalities. In addition, myocardial contractility is depressed and peripheral vasodilation occurs, leading to decreased cardiac output and arterial blood pressure. Following systemic absorption, local anesthetics can produce central nervous system stimulation, depression or both.
- Mechanism of action
Local anesthetics such as bupivacaine block the generation and the conduction of nerve impulses, presumably by increasing the threshold for electrical excitation in the nerve, by slowing the propagation of the nerve impulse, and by reducing the rate of rise of the action potential. Bupivacaine prevents depolarization by bindng to the intracellular portion of sodium channels and blocking sodium ion influx into neurons. In general, the progression of anesthesia is related to the diameter, myelination and conduction velocity of affected nerve fibers. Clinically, the order of loss of nerve function is as follows: (1) pain, (2) temperature, (3) touch, (4) proprioception, and (5) skeletal muscle tone. The analgesic effects of Bupivicaine are thought to potentially be due to its binding to the prostaglandin E2 receptors, subtype EP1 (PGE2EP1), which inhibits the production of prostaglandins, thereby reducing fever, inflammation, and hyperalgesia.
Target Actions Organism ASodium channel protein type 10 subunit alpha inhibitorHumans UProstaglandin E2 receptor EP1 subtype other/unknownHumans - Absorption
Systemic absorption of local anesthetics is dose- and concentration-dependendent on the total drug administered. Other factors that affect the rate of systemic absorption include the route of administration, blood flow at the administration site, and the presence or absence of epinephrine in the anesthetic solution.
Bupivacaine formulated for instillation with meloxicam produced varied systemic measures following a single dose of varying strength. In patients undergoing bunionectomy, 60 mg of bupivacaine produced a Cmax of 54 ± 33 ng/mL, a median Tmax of 3 h, and an AUC∞ of 1718 ± 1211 ng*h/mL. For a 300 mg dose used in herniorrhaphy, the corresponding values were 271 ± 147 ng/mL, 18 h, and 15,524 ± 8921 ng*h/mL. Lastly, a 400 mg dose used in total knee arthroplasty produced values of 695 ± 411 ng/mL, 21 h, and 38,173 ± 29,400 ng*h/mL.5
- Volume of distribution
Not Available
- Protein binding
Bupivacaine is ~95% protein bound.5
- Metabolism
Amide-type local anesthetics such as bupivacaine are metabolized primarily in the liver via conjugation with glucuronic acid. The major metabolite of bupivacaine is 2,6-pipecoloxylidine, which is mainly catalyzed via cytochrome P450 3A4.
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- Route of elimination
Only 6% of bupivacaine is excreted unchanged in the urine.
- Half-life
2.7 hours in adults and 8.1 hours in neonates.
Bupivacaine applied together with meloxicam for postsurgical analgesia had a median half-life of 15-17 hours, depending on dose and application site.5
- Clearance
Not Available
- Adverse Effects
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The mean seizure dosage of bupivacaine in rhesus monkeys was found to be 4.4 mg/kg with mean arterial plasma concentration of 4.5 mcg/mL. The intravenous and subcutaneous LD 50 in mice is 6 to 8 mg/kg and 38 to 54 mg/kg respectively. Recent clinical data from patients experiencing local anesthetic induced convulsions demonstrated rapid development of hypoxia, hypercarbia, and acidosis with bupivacaine within a minute of the onset of convulsions. These observations suggest that oxygen consumption and carbon dioxide production are greatly increased during local anesthetic convulsions and emphasize the importance of immediate and effective ventilation with oxygen which may avoid cardiac arrest.
- Pathways
Pathway Category Bupivacaine Action Pathway Drug action - Pharmacogenomic Effects/ADRs
- Not Available
Interactions
- Drug Interactions
- This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction Integrate drug-drug
interactions in your software1,2-Benzodiazepine The risk or severity of adverse effects can be increased when Bupivacaine is combined with 1,2-Benzodiazepine. Abametapir The serum concentration of Bupivacaine can be increased when it is combined with Abametapir. Abatacept The metabolism of Bupivacaine can be increased when combined with Abatacept. Abiraterone The metabolism of Bupivacaine can be decreased when combined with Abiraterone. Acebutolol The serum concentration of Bupivacaine can be increased when it is combined with Acebutolol. Acetaminophen The risk or severity of methemoglobinemia can be increased when Bupivacaine is combined with Acetaminophen. Acetazolamide The therapeutic efficacy of Acetazolamide can be decreased when used in combination with Bupivacaine. Acetophenazine The risk or severity of adverse effects can be increased when Bupivacaine is combined with Acetophenazine. Aclidinium Bupivacaine may increase the central nervous system depressant (CNS depressant) activities of Aclidinium. Adalimumab The metabolism of Bupivacaine can be increased when combined with Adalimumab. 
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- No interactions found.
Products
Comprehensive & structured drug product infoFrom application numbers to product codes, connect different identifiers through our commercial datasets.Easily connect various identifiers back to our datasets- Product Ingredients
Ingredient UNII CAS InChI Key Bupivacaine hydrochloride 7TQO7W3VT8 73360-54-0 HUCIWBPMHXGLFM-UHFFFAOYSA-N Bupivacaine hydrochloride anhydrous AKA908P8J1 18010-40-7 SIEYLFHKZGLBNX-UHFFFAOYSA-N - International/Other Brands
- Bupivan (Sun) / Carbostesin (AstraZeneca) / Marcain (AstraZeneca) / Marcaina (AstraZeneca) / Posimir (Durect) / Sensorcaine-MPF (Astra Zeneca) / Xaracoll (Innocoll Holdings Limited)
- Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Bupivacaine HCl Injection, solution 1.25 mg/1mL Epidural Cantrell Drug Company 2011-08-01 2015-01-14 US 
Bupivacaine HCl Injection, solution 2.5 mg/1mL Epidural Cantrell Drug Company 2012-05-18 2015-01-14 US Bupivacaine Heavy Injection BP Solution 15 mg Intraspinal Auro Pharma Inc Not applicable Not applicable Canada 
Bupivacaine Hydrochloride Injection, solution 7.5 mg/1mL Epidural; Retrobulbar Hospira, Inc. 2007-03-31 2007-05-31 US Bupivacaine Hydrochloride Injection, solution 2.5 mg/1mL Epidural; Infiltration Hospira, Inc. 2007-03-31 Not applicable US Bupivacaine Hydrochloride Injection, solution 7.5 mg/1mL Epidural; Retrobulbar Hospira, Inc. 2007-03-31 2007-05-31 US Bupivacaine Hydrochloride Injection, solution 5 mg/1mL Epidural; Infiltration Hospira, Inc. 2006-05-23 2006-05-23 US Bupivacaine Hydrochloride Injection 5 mg/1mL Epidural; Intracaudal; Perineural Areva Pharmaceuticals 2019-07-12 Not applicable US Bupivacaine Hydrochloride Injection, solution 2.5 mg/1mL Epidural; Infiltration Hospira, Inc. 2007-03-31 2007-05-31 US Bupivacaine Hydrochloride Injection, solution 5 mg/1mL Epidural Hospira, Inc. 2006-08-09 2006-08-09 US - Generic Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Bupivacaine Hydrochloride Injection, solution 7.5 mg/1mL Epidural; Retrobulbar Sagent Pharmaceuticals 2015-04-01 2015-04-01 US Bupivacaine Hydrochloride Injection, solution 5 mg/1mL Epidural; Intracaudal; Perineural REMEDYREPACK INC. 2019-04-26 Not applicable US Bupivacaine Hydrochloride Injection, solution 5 mg/1mL Epidural; Intracaudal; Perineural Hikma Pharmaceuticals USA Inc. 2021-02-11 Not applicable US Bupivacaine Hydrochloride Injection, solution 7.5 mg/1mL Epidural; Retrobulbar AuroMedics Pharma LLC 2013-11-05 Not applicable US Bupivacaine Hydrochloride Injection, solution 2.5 mg/1mL Epidural; Infiltration; Intracaudal Asclemed Usa, Inc. 2013-11-05 Not applicable US Bupivacaine Hydrochloride Injection, solution 5 mg/1mL Perineural Sagent Pharmaceuticals 2015-04-01 2015-04-01 US Bupivacaine Hydrochloride Injection, solution 5 mg/1mL Perineural Hikma Pharmaceuticals USA Inc. 2021-02-11 Not applicable US Bupivacaine Hydrochloride Injection, solution 2.5 mg/1mL Epidural; Infiltration; Intracaudal AuroMedics Pharma LLC 2013-11-05 Not applicable US Bupivacaine Hydrochloride Injection, solution 2.5 mg/1mL Infiltration; Perineural General Injectables & Vaccines, Inc 2010-07-01 Not applicable US Bupivacaine Hydrochloride Injection, solution 2.5 mg/1mL Epidural; Infiltration; Intracaudal Cardinal Health 2010-01-06 2019-04-30 US - Mixture Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image Bl Bupivacaine hydrochloride (5 mg/1mL) + Isopropyl alcohol (0.7 mL/1) + Lidocaine hydrochloride (20 mg/1mL) + Povidone-iodine (0.10 g/1) Kit Epidural; Infiltration; Topical Sa3, Llc 2015-07-01 2017-12-01 US Bt Bupivacaine hydrochloride (5 mg/1mL) + Isopropyl alcohol (0.7 mL/1) + Povidone-iodine (0.10 g/1) + Triamcinolone acetonide (40 mg/1mL) Epidural; Infiltration; Intra-articular; Intramuscular; Topical Sa3, Llc 2015-07-01 2017-12-01 US BUPIROP�0.5% Bupivacaine hydrochloride (5 mg) + Epinephrine bitartrate (5 mcg) Solution Infiltration ROPSOHN LABORATORIOS S.A.S. (PLANTA INYECTABLES) 2006-11-10 2016-11-17 Colombia 
BUPITROY� HEAVY 5 MG/ML Bupivacaine hydrochloride anhydrous (20 mg) + D-glucose monohydrate (320 mg) Solution Intraspinal PROCLIN PHARMA S.A. 2013-10-09 Not applicable Colombia BUPIVACAINA 0.5 % EPINEFRINA 1:200.000 AMPOLLAS Bupivacaine hydrochloride (50 mg) + Epinephrine bitartrate (50 mcg) Solution Epidural ROPSOHN LABORATORIOSS.A.S. (PLANTA INYECTABLES) 2006-11-10 2018-10-01 Colombia BUPIVACAINA CLORHIDRATO 0.5 % PESADA SOLUCION INYECTABLE Bupivacaine hydrochloride anhydrous (20 mg) + Dextrose, unspecified form (320 mg) Solution Intraspinal ROPSOHN LABORATORIOS S.A.S. (PLANTA INYECTABLES) 2016-08-23 Not applicable Colombia BUPIVACAINA CLORHIDRATO 5MG/ML + DEXTROSA80 MG/ML AMPOLLA Bupivacaine hydrochloride anhydrous (20 mg) + Dextrose, unspecified form (320 mg) Solution Intraspinal SETAA PHARMA S.A.S. 2019-08-27 Not applicable Colombia Bupivacaine Hci and Epinephrine Bupivacaine hydrochloride (5 mg/1mL) + Epinephrine bitartrate (0.005 mg/1mL) Injection, solution Perineural HF Acquisition Co LLC, DBA HealthFirst 2019-12-09 Not applicable US Bupivacaine HCl 0.5% and Epinephrine 1:200,000 Injection Bupivacaine hydrochloride anhydrous (5 mg) + Epinephrine bitartrate (0.0091 mg) Solution Infiltration Novocol Inc. 2012-05-07 Not applicable Canada Bupivacaine Hydrochloride and Epinephrine Bupivacaine hydrochloride (2.5 mg/1mL) + Epinephrine bitartrate (5 ug/1mL) Injection, solution Epidural; Infiltration; Intracaudal Cardinal Health 1988-06-16 2017-10-31 US - Unapproved/Other Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image Bupivacaine HCl Bupivacaine hydrochloride (1.25 mg/1mL) Injection, solution Epidural Cantrell Drug Company 2011-08-01 2015-01-14 US Bupivacaine HCl Bupivacaine hydrochloride (2.5 mg/1mL) Injection, solution Epidural Cantrell Drug Company 2012-05-18 2015-01-14 US Bupivacaine Hydrochloride Bupivacaine hydrochloride anhydrous (5 mg/1mL) Injection Epidural; Intracaudal; Perineural Areva Pharmaceuticals 2019-07-12 Not applicable US Bupivacaine Hydrochloride Bupivacaine hydrochloride anhydrous (2.5 mg/1mL) Injection Epidural; Intracaudal; Perineural Areva Pharmaceuticals 2019-07-12 Not applicable US Bupivacaine Hydrochloride Bupivacaine hydrochloride anhydrous (5 mg/1mL) Injection Epidural; Intracaudal; Perineural Areva Pharmaceuticals 2019-07-12 Not applicable US Bupivacaine Hydrochloride Bupivacaine hydrochloride anhydrous (2.5 mg/1mL) Injection Epidural; Intracaudal; Perineural Areva Pharmaceuticals 2019-07-12 Not applicable US Bupivilog Kit Bupivacaine hydrochloride (5 mg/1mL) + Povidone-iodine (10 mg/1mL) + Triamcinolone acetonide (40 mg/1mL) Kit Epidural; Intra-articular; Intramuscular; Topical Asclemed Usa, Inc. 2014-02-04 Not applicable US Chi-Myst Resolve Topical Bupivacaine hydrochloride (0.09 g/30mL) + Chitosan low molecular weight (20-200 mpa.s) (0.03 g/30mL) + Ketorolac tromethamine (0.09 g/30mL) + Lidocaine hydrochloride (50 g/30mL) Spray, metered Topical Prescription Care Llc 2016-06-01 Not applicable US Chi-Myst Resolve Topical Bupivacaine hydrochloride (0.3 g/100mL) + Chitosan low molecular weight (20-200 mpa.s) (0.1 g/100mL) + Ketorolac tromethamine (0.3 g/100mL) + Lidocaine hydrochloride (5 g/100mL) Spray, metered Topical Prescription Care Llc 2016-06-01 Not applicable US Chi-Myst Synergy Topical Bupivacaine hydrochloride (0.09 g/30mL) + Chitosan low molecular weight (20-200 mpa.s) (0.03 g/30mL) + Ketorolac tromethamine (0.45 g/30mL) + Lidocaine hydrochloride (1.5 g/30mL) Spray, metered Topical Prescription Care Llc 2016-06-01 Not applicable US
Categories
- ATC Codes
- N01BB01 — BupivacaineN01BB51 — Bupivacaine, combinations
- Drug Categories
- Agents that reduce seizure threshold
- Amides
- Amines
- Anesthetics
- Anesthetics, Local
- Anilides
- Aniline Compounds
- Central Nervous System Agents
- Central Nervous System Depressants
- Cytochrome P-450 CYP2C19 Substrates
- Cytochrome P-450 CYP2D6 Substrates
- Cytochrome P-450 CYP3A Substrates
- Cytochrome P-450 CYP3A4 Substrates
- Cytochrome P-450 Substrates
- Hypotensive Agents
- Local Anesthesia
- Local Anesthetics (Amide)
- Methemoglobinemia Associated Agents
- Nervous System
- Neuraxial Anesthetics
- Peripheral Nervous System Agents
- Sensory System Agents
- Chemical TaxonomyProvided by Classyfire
- Description
- This compound belongs to the class of organic compounds known as alpha amino acid amides. These are amide derivatives of alpha amino acids.
- Kingdom
- Organic compounds
- Super Class
- Organic acids and derivatives
- Class
- Carboxylic acids and derivatives
- Sub Class
- Amino acids, peptides, and analogues
- Direct Parent
- Alpha amino acid amides
- Alternative Parents
- Piperidinecarboxamides / Anilides / m-Xylenes / N-arylamides / Trialkylamines / Secondary carboxylic acid amides / Azacyclic compounds / Organopnictogen compounds / Organic oxides / Hydrocarbon derivatives show 1 more
- Substituents
- 2-piperidinecarboxamide / Alpha-amino acid amide / Amine / Anilide / Aromatic heteromonocyclic compound / Azacycle / Benzenoid / Carbonyl group / Carboxamide group / Hydrocarbon derivative show 16 more
- Molecular Framework
- Aromatic heteromonocyclic compounds
- External Descriptors
- piperidinecarboxamide, tertiary amino compound, aromatic amide (CHEBI:77431)
- Affected organisms
- Humans and other mammals
Chemical Identifiers
- UNII
- Y8335394RO
- CAS number
- 38396-39-3
- InChI Key
- LEBVLXFERQHONN-UHFFFAOYSA-N
- InChI
- InChI=1S/C18H28N2O/c1-4-5-12-20-13-7-6-11-16(20)18(21)19-17-14(2)9-8-10-15(17)3/h8-10,16H,4-7,11-13H2,1-3H3,(H,19,21)
- IUPAC Name
- 1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide
- SMILES
- CCCCN1CCCCC1C(=O)NC1=C(C)C=CC=C1C
References
- Synthesis Reference
Thuresson, B. and Egner, B.P.H.; U.S. Patent 2,792,399; May 14, 1957; assigned to AB Bofors, Sweden. Thuresson, B. and Pettersson, B.G.; US. Patent 2,955.1 11; October 4,1960; assigned to AB Bofors, Sweden.
US2955111- General References
- Rosenblatt MA, Abel M, Fischer GW, Itzkovich CJ, Eisenkraft JB: Successful use of a 20% lipid emulsion to resuscitate a patient after a presumed bupivacaine-related cardiac arrest. Anesthesiology. 2006 Jul;105(1):217-8. [Article]
- Picard J, Meek T: Lipid emulsion to treat overdose of local anaesthetic: the gift of the glob. Anaesthesia. 2006 Feb;61(2):107-9. [Article]
- Link [Link]
- FDA Approved Drug Products: POSIMIR (bupivacaine) infiltration [Link]
- FDA Approved Drug Products: ZYNRELEF (bupivacaine and meloxicam) solution [Link]
- External Links
- Human Metabolome Database
- HMDB0014442
- KEGG Compound
- C07529
- PubChem Compound
- 2474
- PubChem Substance
- 46506768
- ChemSpider
- 2380
- BindingDB
- 50350790
- 1815
- ChEBI
- 77431
- ChEMBL
- CHEMBL1098
- Therapeutic Targets Database
- DAP001229
- PharmGKB
- PA135057240
- Guide to Pharmacology
- GtP Drug Page
- RxList
- RxList Drug Page
- Drugs.com
- Drugs.com Drug Page
- Wikipedia
- Bupivacaine
- FDA label
- Download (147 KB)
- MSDS
- Download (73.3 KB)
Clinical Trials
- Clinical Trials
Phase Status Purpose Conditions Count 4 Active Not Recruiting Supportive Care Postoperative pain 1 4 Active Not Recruiting Treatment ACL Surgery 1 4 Active Not Recruiting Treatment Anterior Cruciate Ligament Injury 1 4 Active Not Recruiting Treatment Colorectal Disorders 1 4 Active Not Recruiting Treatment Headache 1 4 Active Not Recruiting Treatment Immunosuppression / Neoplasms, Lung / Pain 1 4 Active Not Recruiting Treatment Migraine 1 4 Active Not Recruiting Treatment Modified Radical Mastectomy 1 4 Active Not Recruiting Treatment Opioids Use / Post Operative Nausea and Vomiting (PONV) / Postoperative pain 1 4 Active Not Recruiting Treatment Pain 1
Pharmacoeconomics
- Manufacturers
- Hospira inc
- International medicated systems ltd
- App pharmaceuticals llc
- Packagers
- APP Pharmaceuticals
- A-S Medication Solutions LLC
- AstraZeneca Inc.
- Cardinal Health
- General Injectables and Vaccines Inc.
- Hospira Inc.
- Medisca Inc.
- Pharmakon
- Pharmedium
- Physicians Total Care Inc.
- Prescript Pharmaceuticals
- Dosage Forms
Form Route Strength Kit Epidural; Infiltration; Topical Injection, solution Parenteral Injection, solution Parenteral Solution Intraspinal Solution Parenteral 7.5 mg Solution Epidural 50 mg Solution Subcutaneous 5 mg Solution Epidural Solution Parenteral 5 mg Solution Intramuscular 5 mg Solution Epidural; Intrathecal 50 mg Injection, solution Injection, solution 0.25 % Injection, solution 0.50 % Injection, solution Epidural 1.25 mg/1mL Injection, solution Epidural 2.5 mg/1mL Injection Parenteral 250 mg Injection Epidural; Intracaudal; Perineural 2.5 mg/1mL Injection Epidural; Intracaudal; Perineural 5 mg/1mL Injection Intravenous 7.5 mg/1mL Injection, solution Enteral; Epidural; Intracaudal 5 mg/1mL Injection, solution Epidural; Infiltration 2.5 mg/1mL Injection, solution Epidural; Infiltration 5 mg/1mL Injection, solution Epidural; Infiltration; Intracaudal 2.5 mg/1mL Injection, solution Epidural; Infiltration; Intracaudal 5 mg/1mL Injection, solution Epidural; Infiltration; Intracaudal; Perineural 2.5 mg/1mL Injection, solution Epidural; Intracaudal 5 mg/1mL Injection, solution Epidural; Intracaudal; Perineural 5 mg/1mL Injection, solution Epidural; Retrobulbar 7.5 mg/1mL Injection, solution Infiltration; Perineural 2.5 mg/1mL Injection, solution Intraspinal 7.5 mg/1mL Injection, solution Perineural 5 mg/1mL Solution Parenteral 0.0025 g Solution Parenteral 100 mg Injection, solution Dental; Infiltration Injection, solution Epidural; Infiltration; Intracaudal Injection, solution Epidural; Infiltration; Intracaudal; Perineural Solution Intraspinal 7.5 mg / mL Solution Intraspinal 7.5 mg Solution Epidural; Infiltration 2.5 mg Solution Epidural; Infiltration 5 mg Solution Epidural; Retrobulbar 7.5 mg Solution Infiltration 2.5 mg Solution Infiltration 5 mg Solution Epidural; Infiltration; Intracaudal 2.5 mg Solution Epidural; Infiltration; Intracaudal 5 mg Solution Epidural; Infiltration; Intracaudal 7.5 mg Solution Epidural; Infiltration 2.5 mg / mL Solution Epidural; Infiltration 5 mg / mL Solution Epidural; Retrobulbar 7.5 mg / mL Solution Infiltration 5 mg / mL Injection Subarachnoid 7.5 mg/1mL Solution Parenteral 125 mg Kit Epidural; Intra-articular; Intramuscular; Topical Solution Epidural 7.5 mg Solution Parenteral Solution Parenteral 50 mg Injection Intraspinal Solution Parenteral Spray, metered Topical Injection Epidural; Intracaudal 5 mg/ml Kit Epidural; Infiltration; Intramuscular; Intravenous; Topical Kit Epidural; Infiltration; Intracaudal; Subcutaneous; Topical Injection Retrobulbar Kit Epidural; Infiltration; Intra-articular; Intralesional; Intramuscular; Intravenous; Soft tissue; Subcutaneous; Topical Kit Epidural; Infiltration; Intra-articular; Intralesional; Intramuscular; Soft tissue; Topical Injection, suspension, liposomal Infiltration 13.3 mg/1mL Injection, solution Epidural Solution Epidural 75 mg Kit Epidural; Infiltration; Intra-articular; Intralesional; Intramuscular; Topical Injection Epidural Injection, solution Epidural Injection, solution Epidural; Infiltration Injection, solution Epidural 5 mg/1mL Injection, solution Infiltration 2.5 mg/1mL Injection, solution Infiltration 5 mg/1mL Injection, solution Subcutaneous Solution Epidural; Retrobulbar 150 mg Solution Infiltration 125 mg Solution Infiltration 250 mg Liquid Epidural; Infiltration 2.5 mg Liquid Infiltration Injection Epidural Liquid Epidural; Infiltration 5 mg Liquid Epidural; Retrobulbar 7.5 mg Liquid Intraspinal 7.5 mg Liquid Epidural; Infiltration Injection, solution Subarachnoid 7.5 mg/1mL Solution Intraspinal 15 mg Injection, solution Infiltration Kit Intravenous Kit Epidural; Infiltration; Intra-articular; Intramuscular Kit Epidural; Infiltration; Intra-articular; Intramuscular; Topical Kit Epidural; Infiltration; Intramuscular; Intrasynovial; Soft tissue; Topical Kit Epidural; Infiltration; Intracaudal; Perineural Kit Topical Kit Intra-articular; Intralesional; Intramuscular Kit Intramuscular; Intravenous Kit Epidural; Infiltration Solution Injection Injection Infiltration; Parenteral 2.5 mg/1mL Injection Parenteral 5 mg/1mL Injection, solution Infiltration; Perineural Injection, solution Perineural Solution Infiltration Injection Epidural; Infiltration; Parenteral 2.5 mg/1mL Injection Epidural; Parenteral 5 mg/1mL Injection Epidural; Parenteral; Retrobulbar 7.5 mg/1mL Injection, solution Epidural; Intracaudal; Perineural Injection, solution Epidural; Retrobulbar Injection Epidural; Parenteral Injection Epidural; Parenteral; Retrobulbar Solution Epidural; Infiltration Implant Parenteral 100 mg/1 Solution Intralesional Solution 2.5 mg/1ml Solution 5 mg/1ml Injection, solution 5 mg/1ml - Prices
Unit description Cost Unit Bupivacaine hcl powder 18.36USD g Sensorcaine-dextr 0.75% amp 2.36USD ml Marcaine spinal ampul 0.93USD ml Bupivacaine 0.5% on-q pump 0.63USD ml Bupivacaine hcl 0.5% on-q pump 0.63USD ml Bupivacaine 0.25% on-q pump 0.62USD ml Marcaine 0.25% vial 0.26USD ml Bupivacaine hcl-ns 0.0625% 0.25USD ml Bupivacaine-ns 0.1% on-q pump 0.25USD ml Sensorcaine 0.25% vial 0.2USD ml Bupivacaine hcl-ns 0.1% 0.17USD ml Bupivacaine hcl-ns 0.2% 0.15USD ml Bupivacaine 0.25% vial 0.11USD ml Bupivacaine 0.25% ampul 0.1USD ml Bupivacaine hcl-ns 0.125% bag 0.1USD ml Bupivacaine hcl-ns 0.25% 0.1USD ml DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.- Patents
Patent Number Pediatric Extension Approved Expires (estimated) Region US8182835 No 2012-05-22 2018-09-18 US US8834921 No 2014-09-16 2018-09-18 US US9205052 No 2015-12-08 2018-09-18 US US9585838 No 2017-03-07 2021-12-24 US USRE47826 No 2009-05-20 2029-05-20 US US8753665 No 2005-09-15 2025-09-15 US US8846072 No 2005-09-15 2025-09-15 US US8153661 No 2005-09-15 2025-09-15 US US8153149 No 2005-09-15 2025-09-15 US
Properties
- State
- Solid
- Experimental Properties
Property Value Source melting point (°C) 107-108 °C PhysProp water solubility 2400 mg/L (at 25 °C) YALKOWSKY,SH & DANNENFELSER,RM (1992) logP 3.41 HANSCH,C ET AL. (1995) pKa 8.1 Not Available - Predicted Properties
Property Value Source Water Solubility 0.0977 mg/mL ALOGPS logP 3.31 ALOGPS logP 4.52 ChemAxon logS -3.5 ALOGPS pKa (Strongest Acidic) 13.62 ChemAxon pKa (Strongest Basic) 8 ChemAxon Physiological Charge 1 ChemAxon Hydrogen Acceptor Count 2 ChemAxon Hydrogen Donor Count 1 ChemAxon Polar Surface Area 32.34 Å2 ChemAxon Rotatable Bond Count 5 ChemAxon Refractivity 90.19 m3·mol-1 ChemAxon Polarizability 34.2 Å3 ChemAxon Number of Rings 2 ChemAxon Bioavailability 1 ChemAxon Rule of Five Yes ChemAxon Ghose Filter Yes ChemAxon Veber's Rule Yes ChemAxon MDDR-like Rule No ChemAxon - Predicted ADMET Features
Property Value Probability Human Intestinal Absorption + 0.9814 Blood Brain Barrier + 0.936 Caco-2 permeable + 0.6669 P-glycoprotein substrate Substrate 0.8435 P-glycoprotein inhibitor I Inhibitor 0.8582 P-glycoprotein inhibitor II Non-inhibitor 0.7836 Renal organic cation transporter Non-inhibitor 0.6471 CYP450 2C9 substrate Non-substrate 0.7957 CYP450 2D6 substrate Substrate 0.8346 CYP450 3A4 substrate Substrate 0.7045 CYP450 1A2 substrate Inhibitor 0.6863 CYP450 2C9 inhibitor Non-inhibitor 0.9099 CYP450 2D6 inhibitor Inhibitor 0.8932 CYP450 2C19 inhibitor Non-inhibitor 0.9026 CYP450 3A4 inhibitor Inhibitor 0.6205 CYP450 inhibitory promiscuity High CYP Inhibitory Promiscuity 0.6066 Ames test Non AMES toxic 0.8462 Carcinogenicity Non-carcinogens 0.8859 Biodegradation Not ready biodegradable 0.9729 Rat acute toxicity 2.2574 LD50, mol/kg Not applicable hERG inhibition (predictor I) Weak inhibitor 0.8283 hERG inhibition (predictor II) Inhibitor 0.7851
Spectra
- Mass Spec (NIST)
- Download (8.44 KB)
- Spectra
Targets
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- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Yes
- Actions
- Inhibitor
- General Function
- Voltage-gated sodium channel activity
- Specific Function
- Tetrodotoxin-resistant channel that mediates the voltage-dependent sodium ion permeability of excitable membranes. Assuming opened or closed conformations in response to the voltage difference acro...
- Gene Name
- SCN10A
- Uniprot ID
- Q9Y5Y9
- Uniprot Name
- Sodium channel protein type 10 subunit alpha
- Molecular Weight
- 220623.605 Da
References
- Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
- Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
- Sheets MF, Fozzard HA, Lipkind GM, Hanck DA: Sodium channel molecular conformations and antiarrhythmic drug affinity. Trends Cardiovasc Med. 2010 Jan;20(1):16-21. doi: 10.1016/j.tcm.2010.03.002. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Other/unknown
- General Function
- Prostaglandin e receptor activity
- Specific Function
- Receptor for prostaglandin E2 (PGE2). The activity of this receptor is mediated by G(q) proteins which activate a phosphatidylinositol-calcium second messenger system. May play a role as an importa...
- Gene Name
- PTGER1
- Uniprot ID
- P34995
- Uniprot Name
- Prostaglandin E2 receptor EP1 subtype
- Molecular Weight
- 41800.655 Da
References
- Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. [Article]
- Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. [Article]
- Beloeil H, Gentili M, Benhamou D, Mazoit JX: The effect of a peripheral block on inflammation-induced prostaglandin E2 and cyclooxygenase expression in rats. Anesth Analg. 2009 Sep;109(3):943-50. doi: 10.1213/ane.0b013e3181aff25e. [Article]
Enzymes
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Vitamin d3 25-hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It performs a variety of oxidation react...
- Gene Name
- CYP3A4
- Uniprot ID
- P08684
- Uniprot Name
- Cytochrome P450 3A4
- Molecular Weight
- 57342.67 Da
References
- Gantenbein M, Attolini L, Bruguerolle B, Villard PH, Puyoou F, Durand A, Lacarelle B, Hardwigsen J, Le-Treut YP: Oxidative metabolism of bupivacaine into pipecolylxylidine in humans is mainly catalyzed by CYP3A. Drug Metab Dispos. 2000 Apr;28(4):383-5. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Steroid hydroxylase activity
- Specific Function
- Responsible for the metabolism of a number of therapeutic agents such as the anticonvulsant drug S-mephenytoin, omeprazole, proguanil, certain barbiturates, diazepam, propranolol, citalopram and im...
- Gene Name
- CYP2C19
- Uniprot ID
- P33261
- Uniprot Name
- Cytochrome P450 2C19
- Molecular Weight
- 55930.545 Da
References
- Gantenbein M, Attolini L, Bruguerolle B, Villard PH, Puyoou F, Durand A, Lacarelle B, Hardwigsen J, Le-Treut YP: Oxidative metabolism of bupivacaine into pipecolylxylidine in humans is mainly catalyzed by CYP3A. Drug Metab Dispos. 2000 Apr;28(4):383-5. [Article]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Substrate
- General Function
- Steroid hydroxylase activity
- Specific Function
- Responsible for the metabolism of many drugs and environmental chemicals that it oxidizes. It is involved in the metabolism of drugs such as antiarrhythmics, adrenoceptor antagonists, and tricyclic...
- Gene Name
- CYP2D6
- Uniprot ID
- P10635
- Uniprot Name
- Cytochrome P450 2D6
- Molecular Weight
- 55768.94 Da
References
- Gantenbein M, Attolini L, Bruguerolle B, Villard PH, Puyoou F, Durand A, Lacarelle B, Hardwigsen J, Le-Treut YP: Oxidative metabolism of bupivacaine into pipecolylxylidine in humans is mainly catalyzed by CYP3A. Drug Metab Dispos. 2000 Apr;28(4):383-5. [Article]
- Prescriber's digital reference, Marcaine with Epinephrine-bipuvacaine-hydrochloride [Link]
Drug created on June 13, 2005 13:24 / Updated on August 05, 2021 19:40