Doctor insights on:
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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.
Given injection (Kenalog/Bupivacaine) for costochondritits 4 weeks ago. 3 days after developed non-itchy redness on upper left chest, down outer half of left arm to wrist, occasional slight ache. Dermatologist & Physiatrist had no answers. Any ideas?
Difficult to say: It is difficult to say what happened here. I do not know your medical history. Let us say you were in perfect health other than costochondritis and you got this reddness after the injection , anybody would think that there could be a relation between injected medication and rash. Leave it to dermatologist to manage. It may gradually disappear on it's on. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
So call your doc: This is the HT public information site.We are thousands of volunteer docs based primarily in the US who answer medical questions.We do not offer treatments. State medical boards require a physician/patient relationship,a retrievable record,recent exam with vital signs for prescribing.Failure to do so can lead to loss or restriction of license. It may seem minor to you but it is not. ...Read moreSee 1 more doctor answer
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isnt good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
- Talk to a doctor live online for free
- Bupivacaine allergy medication
- Bupivacaine hydrochloride medication
- Ask a doctor a question free online
- Bupivacaine allergy
- Bupivacaine and epinephrine
- Bupivacaine hydrochloride
- Side effects of bupivacaine and epinephrine
- Bupivacaine and epinephrine medication