Doctor insights on:
Bupivacaine Hydrochloride Medication
Therapeutic profile: The anti and proarrhythmic effects of bupivacaine have been studied (pubmed id 9605693). Similarly, the local anesthetic properties of class i arrhythmics (function through sodium channel blockade like local anesthetics) have been compared with Lidocaine and bupivacaine. Toxicity of bupivacaine must be understood in the context of complex cardiac effects. See pmid3408033 and tinyurl. Com/bjdzske. ...Read more
How many bupivacaine injections in the right scaplothoracic region are safe at one time? Is 8 ok? Are flu-like symptoms cause for concern?
Depends: You need to discuss the risks/benefits of multiple injections with your doctor. Depending on your condition, doing several injections, if beneficial, may be acceptable despite slightly higher risk. That decision needs to be made mutually in the clinic before the injections. ...Read more
No: Lidocaine and bupivacaine are in the same family of local anesthetics as they are both amino amides but there are difference in onset of action and duration of action and toxicities. Lido is a shorter acting agent whereas bupivacaine is a longer acting agent. ...Read more
Same as any allergy : If there are hives/body or throat swelling/local rash / rapid heart beat, shortness of breath, low blood pressure after injection it MAY indicate allergy. BUT almost every time a patient tells me that we find the reaction was actually related to something mixed with the Bupivacaine (like epinephrine etc) which can cause similar symptoms as a normal side effect hence important to clarify with doc. ...Read more
It varies: Marcaine is a local anesthetic (numbing medicine) that can be used for spinal or epidural anesthesia, or injected into an area to numb it. Depending on which technique is used, the numbing effect can last for several hours or more. Sometimes it's used in a continuous infusion to provide ongoing pain relief for 2 or 3 days. It stays in your system for a few hours after injection, then wears off. ...Read more
Yes!: It is perfectly safe for someone with a seizure disorder to receive Lidocaine or bupivacaine (marcaine) in the right dose for age and weight. You may have heard that an overdose of these drugs can cause seizures, and that is correct. But it has to be an extreme overdose, given quickly. In the right dose, these drugs are safe and very helpful for numbing, for nerve blocks, or epidurals. ...Read more
Hem ov cyst x8 weeks now on bcp history endo&dor tried aspiration & marcaine still painful how do I convince my dr to just remove it? I know his concerns
The size and appearance of the cyst are impotant. If it is indeed a cyst and under> say 8 cm, wo do not remove, we watch... Time, decrease in size and disappearance will be assurring. In your age, another cyst will probably prop up.
Do not persuade... Did you push for aspiration? Bcp is a reasonable approach... Besides, no one can tell with certainty whetherthe pain is related to the cyst. ...Read more
Local anesthetic: Long acting local anesthetic with generic name bupivacaine, belonging to the class of amide local anesthetics, as opposed to some other "caines" that have an esteric bond in their molecule (procaine (Novocain), tetracaine). It is used by prescription for nerve blocks, labor epidurals, local infiltration to relive pain by temporarily numbing the nerves responsible for the sensation from the area ...Read more
Multiple ways: Bupivacaine is a long-acting local anesthetic. As such, it can be injected around a site to be operated on (local infiltration), around a nerve or group of nerves supplying an area of the body (a nerve block), into the sac of fluid bathing the spinal cord (spinal block) or outside that sac (epidural block), essentially numbing up a larger area (usually the lower half of the body) ...Read more
I received 10 cc of kenalog/lidocaine/marcaine. This is a steroid but not the same as cortisone? How long will the effects last.
I had a hangnail infection, went to er and had cut open near the nailbed and drained. How long for numbness to go away? Been 18 hours, w/ Marcaine
8 TO 12 HOURS: Numbness due to Marcaine usually last up to 8-12hours but it may last longer up to 24 hours if it is used with epineephrine ...Read more
I am looking for any kind of research article that shows injections of marcaine as a treatment of peripheral neuropathy. Any ideas?
Is an Injection containing Kenalog, (triamcinolone) Marcaine, and lidocaine is the same as having a steroid shot? For shoulder injury. I keep seeing to avoid kenalog (triamcinolone)?
DiagnosticSUPINE celiac plexus block yesterday, only received bupivacaine. Painfree x10 hrs. Today, Bad new type of upper abd pain. Tender in mid & upper abd Doubled up at times. No fevers.
8/6 approx 1455hrs EUA & inject > Rectal areaL/A Marcaine &removal of Haemorrhoid @1900hrs.? How long should L/A last. Still, have faecal incontience & very numb rectal Not able to tell if having Bowel motion 1800hrs9thPH ULARS 2yrsago
Numbness = hours: Marcaine lasts 6-8 hours. Some temporarily altered sensation + laxity of the tissues after this procedure would be expected. Often people are prescribed laxatives which will also increase the chance of some leaking/soiling. If it is happening more than you think it should then can decrease laxative dose +\- a physical examination/review is needed. However, it sounds like it may just settle down. ...Read more
How often(frequency) can my wife receive celestone/lidocaine/marcaine injection for her sciatica(lumbar foraminal narrowing) and hip bursitis?
Safety: Safe is as few injections as you need to get relief. However, if you need these injections regularly, safe is a relative term but typically around 3-4 injections/year. Some patients can have as many as 3 injections per 6 months however that is not a good idea for too long. ...Read more
Following cortizone type injections(marcaine, kenalog, (triamcinolone)?) in hip I have pain in both legs — like growing pains. This has happened 3 out of 3 times.?
Pain from injection.: This could simply be irritation of the nerve root, could be a localized reaction to the injection giving you muscle pains. Hard to say without physical exam, but this seems to be an individualized reaction to the injections. If this side effect is too undesirable, I would recommend forgoing any further injections. ...Read more
Is a highly serotonergic medication such as viibryd (vilazodone hydrochloride) more prone to cause sedation or stimulation?
Viibryd (vilazodone hydrochloride): The side effect profile of this medication is more stimulating than sedating. However, individuals vary, and some do have sedation side effects with this medication. ...Read more
Why take low dosage of blood pressure medication 12.5 mg of hydrochloride if my blood pressure jumped around but was never high.
It depends: It may actually be for your kidneys, but not highly likely. More likely, it is to lower the "peaks" of your blood pressure, so they do not get as high. If you see #s >140 / >90, then your doc is likely doing this. If not, then you should ask your doc the rationale for the med since nothing is risk-free. ...Read more
Diltiazem: Diltiazem is a medicine which lowers the blood pressure but also lowers the heart rate. This gives it an extra advantage but also means that people on this drug should be monitored by a cardiologist for slow heart rates. There are also multiple drug interactions with this drug. It is quite safe when prescribed by an eerie need doctor. ...Read more
Couple of uses: Pilocarpine eye drops are used to treat glaucoma by lowering eye pressure. It is an old medication and is infrequently used today because of undesirable side effects, such as constriction of the pupil and headache. It is also used sometimes before certain eye procedures. Pilocarpine is also in salagen, an oral medication used for dry mouth as it stimulates salivation. ...Read more
Yes: Viibryd (vilazodone hydrochloride) is a new class of antidepressant. I have found it useful for anxiety as well as depression. It has different side effects than the others so might benefit people who didn't tolerate others well. No weight gain and maybe less sexual dysfunction, but can cause a lot of nausea and diarrhea and must be taken with food. ...Read more