Doctor insights on:
What do you think about injecting in the site of s total knree teplacement exparel. Read about it and people have so much less pain with lit.
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
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
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
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
In order to manage the pain after a sigmoid colectomy (open surgery), what are the differences in efficacy between Exparel and an epidural? Is one considered generally better?
Apples and oranges: Sorry if names sound similar, it might be confusing. Exparel is a brand name for the paricular formulation of a numbing medicine, or local anesthetic - liposomal bupivacaine. This or traditional bupivacaine could be administered via particular injection technique, that received the name from the anatomical location - epidural space. Your anesthesiologist or any specialist on HealthTap can help ...Read more
Views on using Exparel as pain control for a total knee replacement? Will not be using general anesticia. Epedural and propofol during procedure.
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
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.
Not effective: Medications start losing effectiveness once they expire. It is just like food which starys to degrade or spoil after the expiration date. It is a good idea only to take meds before the expiration date. Hope this helps! ...Read more
Latuda (lurasidone)?: I'm not sure, but might you have mis-spelled something and actually mean latuda (lurasidone)? This is an atypical antipsychotic medication, often used in bipolar I disorder (especially bipolar depression) and schizophrenia with hallucinations, delusions, and thought disorder. ...Read more
Sunscreen: If you tend to develop freckles, you'll discover they're less prominent if you use sunscreen, which is something that everybody should do anyway. There's no pill for this. If you talk with your genuine friends / people you might date, most will tell you that your freckles are just one of many things that they like about you. Why not embrace your genetic heritage? Photo Lady looks great. Best wishe ...Read more
Cervilane?: This drug is available in a number of countries. It is an ergot derivative used as a vasodilator. For a drug to be sold in the us it must pass rigorous fda testing and retesting phases before it can come to market. This can add up to millions an d millions of dollars which the manufacturer may not want to invest depending on how big a market the us represents. It is often a matter of economics. ...Read more
It depends: Pain medication in general is given to help control a variety of pain types. Not all pain medication is narcotic. Specifically narcotics are indicated for severe pain before, during and after surgery and for cancer pain. The use of narcotics beyond that is a decision your doctor will need to make. Other types of pain medication include non steroidal anti inflammatory and mood stabilizers. ...Read more
Awwww, no. Sorry.: This could be a hot song title! There are Drs who might evaluate you and offer short-term help if you are too overcome to take care of yourself. It would only take the edge off - not mend the break. Therapy might help you see what went wrong in a helpful way. Support groups can also let you know you're not alone. It will hurt, but most do get through it. Best! ...Read more
Carpal tunnel: No medication is used to treat carpal tunnel. It's a mechanical problem. Wrist splints is the initial treatment option. You can try non-steroidal antiinflammatory medications such as naproxen/ibuprofen but the effect of those is minimal if that. Steroid injections can be tried but they are falling out of favor. Carpal tunnel release appears long term cure. ...Read more