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Bupivacaine hydrochloride monohydrate

Cat No.:V70442 Purity: ≥98%
Bupivacaine HCl monohydrate is an NMDA receptor blocker/inhibitor.
Bupivacaine hydrochloride monohydrate
Bupivacaine hydrochloride monohydrate Chemical Structure CAS No.: 73360-54-0
Product category: iGluR
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
10mg
Other Sizes

Other Forms of Bupivacaine hydrochloride monohydrate:

  • Bupivacaine-d9 (Bupivacaine-d9)
  • Levobupivacaine-d9 hydrochloride
  • Bupivacaine N-oxide hydrochloride
  • Bupivacaine HCl (HSDB 7790)
Official Supplier of:
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Top Publications Citing lnvivochem Products
Product Description
Bupivacaine HCl monohydrate is an NMDA receptor blocker/inhibitor. Bupivacaine HCl monohydrate blocks sodium, L-calcium and potassium channels. Bupivacaine HCl monohydrate effectively blocks SCN5A channels with IC50 of 69.5 μM. Bupivacaine HCl monohydrate may be used in chronic pain research.
Biological Activity I Assay Protocols (From Reference)
Targets
NMDA Receptor
ln Vitro
In the spinal dorsal horn, a region intimately associated with central sensitization, bucivacaine blocks NMDA receptor-mediated synaptic transmission [1]. Bupivacaine shifts the half-maximal activation/deactivation membrane potential toward a little more negative membrane potential, which changes the voltage dependency of channel activation and steady-state inactivation. SCN5A channels have a minor sensitivity to bupivacaine (IC50=2.18±0.16 μM) when they are in the inactive state [2]. With an IC50 of 16.5 μM, bupivacaine dose-dependently and reversibly blocks SK2 channels [3].
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Systemic absorption of local anesthetics depends on the administered dose and concentration, as well as the total amount administered. Other factors affecting the rate of systemic absorption include the route of administration, blood flow at the administration site, and the presence of adrenaline in the anesthetic solution. When bupivacaine reconstituted with meloxicam is administered via infusion, systemic parameters vary after a single dose. In patients undergoing hallux valgus resection, the Cmax of 60 mg bupivacaine was 54 ± 33 ng/mL, the median Tmax was 3 hours, and the AUC∞ was 1718 ± 1211 ngh/mL. In hernia repair using a 300 mg dose, the corresponding values were 271 ± 147 ng/mL, 18 hours, and 15,524 ± 8921 ngh/mL, respectively. Finally, when a 400 mg dose was used in total knee arthroplasty, the corresponding values were 695 ± 411 ng/mL, 21 hours, and 38,173 ± 29,400 ngh/mL, respectively. Only 6% of bupivacaine was excreted unchanged in the urine. After absorption into the bloodstream, bupivacaine hydrochloride exhibits a higher binding rate to plasma proteins than any other local anesthetic; the reported binding rate is 82-96%. Bupivacaine hydrochloride has the lowest placental translocation among all parenteral local anesthetics, and therefore may have the least inhibitory effect on the fetus. Pregnant rats were intravenously infused with bupivacaine at a rate of 0.33 mg·kg⁻¹·min⁻¹ over 15 minutes. The fetus was delivered at the end of the infusion or 2 or 4 hours after administration. Blood and tissue samples were collected from the mother and fetus, and bupivacaine and its metabolites were determined by capillary gas chromatography-mass spectrometry. The elimination half-life of bupivacaine is 37.7 minutes. The major metabolite is 3'-hydroxybupivacaine. At the end of administration, bupivacaine and 3'-hydroxybupivacaine were detected in all samples. The concentration ratio of bupivacaine in fetal plasma to maternal plasma was 0.29, and in the placenta it was 0.63. The highest concentration of bupivacaine was found in the amnion: three times that of maternal plasma and eleven times that of fetal plasma. Four hours after administration, bupivacaine was undetectable in all maternal and fetal samples, while 3'-hydroxybupivacaine remained in all tissues except fetal plasma and the heart. These data indicate that significant amounts of bupivacaine were absorbed by the bilateral placenta, amnion, and myometrium. 3'-hydroxybupivacaine was present in all tissues except fetal plasma and the heart, even though the maternal compound was undetectable. Following tail, epidural, or peripheral nerve block with bupivacaine hydrochloride, peak blood concentrations of bupivacaine are reached within 30 to 45 minutes, subsequently decreasing to negligible levels over the next 3 to 6 hours. Plasma pharmacokinetic studies following direct intravenous injection of bupivacaine hydrochloride have shown that it conforms to a three-compartment open model. The first compartment represents the rapid distribution of the drug within the blood vessels. The second compartment represents the equilibrium of the drug in highly perfused organs such as the brain, myocardium, lungs, kidneys, and liver. The third compartment represents the equilibrium of the drug in low-perfused tissues such as muscle and fat. Clearance from tissue distribution depends primarily on the ability of binding sites in the circulatory system to transport the drug to the liver for metabolism. For more complete data on the absorption, distribution, and excretion of bupivacaine (6 items), please visit the HSDB records page. Metabolites/Metabolites Amide local anesthetics (such as bupivacaine) are primarily metabolized in the liver by binding to glucuronic acid. The major metabolite of bupivacaine is 2,6-piperidinimide, primarily catalyzed by cytochrome P450 3A4. Pregnant rats received intravenous infusion of bupivacaine at a rate of 0.33 mg·kg⁻¹·min⁻¹ over 15 minutes. The fetus was delivered at the end of the infusion or 2 or 4 hours after administration. Blood and tissue samples were collected from both mother and fetus, and bupivacaine and its metabolites were determined by capillary gas chromatography-mass spectrometry. The elimination half-life of bupivacaine was 37.7 minutes. The major metabolite was 3'-hydroxybupivacaine. Bupivacaine and 3'-hydroxybupivacaine were detected in all samples at the end of administration. The fetal-to-maternal concentration ratio of bupivacaine in plasma was 0.29, and in the placenta it was 0.63. The highest concentration of bupivacaine was found in the amnion: 3 times higher than in maternal plasma and 11 times higher than in fetal plasma. Four hours after administration, bupivacaine was undetectable in all maternal and fetal samples, while 3'-hydroxybupivacaine remained in all tissues except fetal plasma and the heart. These data indicate that significant amounts of bupivacaine were absorbed bilaterally by the placenta, as well as in the amnion and myometrium. Even though the maternal compound was undetectable, 3'-hydroxybupivacaine remained in all tissues except fetal plasma and the heart. Bupivacaine hydrochloride is primarily metabolized to piperidinyl dimethylamine (PPX) via N-dealkylation, a process that may occur in the liver. Bupivacaine is primarily excreted in the urine as a small amount of PPX, the unchanged drug (5%), and other unidentified metabolites. Amide-type local anesthetics (such as bupivacaine) are primarily metabolized in the liver via glucuronide conjugation. The major metabolite of bupivacaine is 2,6-piperidinimide, primarily catalyzed by cytochrome P450 3A4. Elimination pathway: Only 6% of bupivacaine is excreted unchanged in the urine. Half-life: 2.7 hours in adults, 8.1 hours in newborns. The median half-life of bupivacaine in combination with meloxicam for postoperative analgesia is 15-17 hours, depending on the dose and administration site. Pregnant rats received intravenous infusion of bupivacaine at a rate of 0.33 mg·kg⁻¹·min⁻¹ over 15 minutes. The fetus was delivered at the end of the infusion or 2 or 4 hours after administration. Blood and tissue samples were collected from the mother and fetus, and bupivacaine and its metabolites were determined by capillary gas chromatography-mass spectrometry. The elimination half-life of bupivacaine is 37.7 minutes. The elimination half-life of bupivacaine hydrochloride in adults is 1.5-5.5 hours, and in newborns it is 8.1 hours.
Toxicity/Toxicokinetics
Effects During Pregnancy and Lactation
◉ Overview of Lactation Use
Because bupivacaine has very low concentrations in breast milk and is not absorbed orally, the dose ingested by the infant is very small, therefore it has not caused any adverse effects on breastfed infants.
There have been reports that the combined use of bupivacaine with other anesthetics and analgesics during labor may interfere with breastfeeding. However, this assessment is controversial and complex due to the varying drug combinations, dosages, and patient populations involved in studies, as well as the differences in techniques used and flawed designs in many studies. In contrast, epidural bupivacaine initiated after umbilical cord ligation appears to improve breastfeeding success rates due to improved pain control. Overall, with good breastfeeding support, epidural bupivacaine, whether in combination with fentanyl or its derivatives, has little or no adverse effect on breastfeeding success rates. Labor analgesia may delay the onset of lactation.
◉ Effects on Breastfed Infants
No significant adverse reactions were observed in 13 breastfed infants whose mothers received epidural bupivacaine analgesia.
30 patients undergoing cesarean section received bilateral transversus abdominis plane block using a combination of 52 mg 0.25% bupivacaine hydrochloride and 266 mg 1.3% liposomal bupivacaine. Two infants experienced transient tachypnea, but the causal relationship could not be determined. During the 14-day follow-up period, none of the infants required readmission.
◉ Effects on Lactation and Breast Milk
30 women undergoing cesarean section received either spinal anesthesia (unspecified) (n = 15) or spinal anesthesia combined with bupivacaine (n = 15) followed by epidural infusion after umbilical cord ligation. The bupivacaine administration regimen was: an initial bolus dose of 12.5 mg, followed by a continuous infusion at a rate of 17.5 mg/hour for 3 days. Patients treated with bupivacaine experienced better pain relief, as evidenced by lower pain scores and a lower dosage of diclofenac sodium for analgesia. Furthermore, the daily milk production in the bupivacaine treatment group was higher than in the untreated group, and this difference was statistically significant from day 3 to day 11 postpartum (end of the study). The authors concluded that improved pain relief increased the success rate of breastfeeding. Twenty women who underwent cesarean section received either epidural bupivacaine or bupivacaine combined with buprenorphine after umbilical cord ligation. The bupivacaine administration regimen was: an initial bolus dose of 12.5 mg, followed by a continuous infusion of 17.5 mg/hour for 3 days. The buprenorphine administration regimen was: an initial bolus dose of 200 mcg, followed by a continuous infusion of 8.4 mcg/hour for 3 days. Breastfeeding began as soon as patients were able to sit up. Both groups of patients showed increased breast milk intake and infant weight within 10 days postpartum; however, the increase was greater in patients using bupivacaine alone. A prospective cohort study compared women who did not receive analgesia during labor (n = 63) with women who received continuous epidural analgesia with fentanyl combined with 0.05% to 0.1% bupivacaine (n = 39) or ropivacaine (n = 13). The total dose of bupivacaine ranged from 31 to 62 mg, and the mean total infusion time from initiation to delivery was 219 minutes. The study found no differences between the two groups in breastfeeding effectiveness or infant neurobehavioral status 8 to 12 hours postpartum, or in the number of infants exclusively or partially breastfed at 4 weeks postpartum. A randomized prospective study measured breastfeeding behavior in full-term healthy infants of 100 multiparous women who received epidural or intravenous fentanyl during labor. The epidural group initially received 100 mg bupivacaine via epidural injection, followed by a continuous infusion of 25 mg/hour. The intravenous fentanyl group received 15–20 mg bupivacaine via spinal injection. Breastfeeding behavior differed slightly between the two groups, with infants in the intravenous fentanyl group showing slightly less breastfeeding performance than those in the epidural group. However, all mothers were able to breastfeed within 24 hours. No serious breastfeeding problems were reported by any mother; 10 mothers in the epidural group reported mild to moderate breastfeeding problems, compared to 7 mothers in the intravenous fentanyl group. Twenty mothers in the epidural anesthesia group and 14 mothers in the intravenous anesthesia group used supplemental bottle feeding; the difference between the two groups was not statistically significant. A randomized, non-blinded study of women undergoing cesarean section compared the effects of epidural anesthesia with general anesthesia (induced by intravenous thiopental sodium 4 mg/kg and succinylcholine 1.5 mg/kg, followed by nitrous oxide and isoflurane). Results showed that the time to first breastfeeding was significantly shorter in the epidural anesthesia group than in the general anesthesia group (107 minutes vs. 228 minutes). This difference may be due to the effects of anesthesia on the infant, as infants in the general anesthesia group had significantly lower Apgar scores, neurological scores, and adaptation scores than the control group. A randomized, multicenter trial compared the breastfeeding initiation rate and duration in women receiving high-dose epidural bupivacaine monotherapy or a combination of two low-dose bupivacaines with fentanyl. This trial also compared a matched control group that did not receive epidural anesthesia. Results showed no difference in breastfeeding initiation rate and duration between the epidural anesthesia group and the non-epidural anesthesia group that did not receive medication. A non-randomized study of low-risk mothers and infants found no overall difference in neonatal sucking volume regardless of whether the mother received different doses of bupivacaine combined with fentanyl epidural infusion, different doses of fentanyl epidural infusion alone, or no labor analgesia. Subgroup analyses by sex and sucking frequency showed that high doses of bupivacaine and fentanyl had an effect on female infants but no effect on male infants. However, imbalances in many factors between study groups made the results difficult to interpret. In a prospective cohort study, 87 multiparous women received epidural bupivacaine and fentanyl analgesia during labor and vaginal delivery. The loading dose was 0.125% bupivacaine and 50–100 mcg fentanyl. Maintenance epidural analgesia was achieved using 0.0625% bupivacaine and 0.2 mcg/mL fentanyl. The median fentanyl dose received by women was 151 mcg (range 30–570 mcg). Women completed breastfeeding questionnaires at 1 week and 6 weeks postpartum. Most women had prior breastfeeding experience, had family support at home, and had adequate maternity leave. All women initiated breastfeeding at 1 week postpartum, and 95.4% were still breastfeeding at 6 weeks postpartum. A national survey of women from late pregnancy to 12 months postpartum and their infants compared the time to lactroogenesis II in mothers who received and did not receive pain medication during labor. Medication categories included: spinal or epidural anesthesia alone, spinal or epidural anesthesia combined with other medications, and other analgesics alone. Women who received any category of medication were approximately twice as likely to experience a delayed lactroogenesis II (>72 hours) compared to women who did not receive labor analgesia. A randomized study compared the effects of cesarean section under general anesthesia, spinal anesthesia, or epidural anesthesia versus vaginal delivery on serum prolactin and oxytocin levels and the time to lactation initiation. Spinal anesthesia used 10–11 mg of hypertonic 5% bupivacaine solution, while epidural anesthesia used 10 mL (50 mg) of 0.5% bupivacaine solution. After delivery, all patients received an intravenous infusion of 30 IU of oxytocin in 1 L of normal saline; if blood pressure was normal, 0.2 mg of ergonovine was added. Patients in the general anesthesia group (n = 21) had higher postoperative prolactin levels and a longer average time to lactation initiation (25 hours) than other groups (10.8–11.8 hours). Postpartum oxytocin levels were higher in the non-pharmacological vaginal delivery group than in the general anesthesia and spinal anesthesia groups, and serum oxytocin levels were higher in the epidural anesthesia group than in the spinal anesthesia group. A retrospective study in a Spanish public hospital compared infants born to mothers who received epidural anesthesia containing fentanyl and bupivacaine or ropivacaine during delivery. Infants born to mothers who received epidural anesthesia had lower rates of early breastfeeding. A randomized, double-blind study compared three epidural maintenance solutions used for labor analgesia: bupivacaine 1 mg/mL, bupivacaine 0.8 mg/mL plus fentanyl 1 mcg/mL, or bupivacaine 0.625 mg/mL plus fentanyl 2 mcg/mL. At 6 weeks postpartum, breastfeeding rates reached 94% or higher in all groups, with no significant difference between groups. All mothers delivered at term and had a strong desire to breastfeed; almost all mothers delivered vaginally. A prospective cohort study of 1204 Israeli women aimed to investigate the effectiveness of epidural analgesia during labor. This study employed the following protocol: 15 mL of 0.1% bupivacaine and 100 mcg fentanyl were administered in 5 mL increments, followed by continuous epidural infusion of 10 mL of 0.1% bupivacaine and 2 mcg/mL fentanyl in 5 mL increments, using a patient-controlled epidural analgesia (PCA) mode, with each additional 5 mL infusion and a lockout time of 15 minutes. At 6 weeks postpartum, mothers receiving epidural analgesia had lower rates of breastfeeding and exclusive breastfeeding (74% and 52%, respectively) than those not receiving epidural analgesia (83% and 68%, respectively). However, this difference was primarily due to parity, with minimal impact on multiparous women. A retrospective study compared women undergoing elective cesarean sections at a Turkish hospital, finding no difference in breastfeeding rates at 1 hour and 24 hours postpartum between women receiving bupivacaine spinal anesthesia (n = 170) and those receiving general anesthesia (n = 78). General anesthesia was induced with propofol, maintained with sevoflurane, and administered with fentanyl for postpartum anesthesia. However, at 6 months postpartum, 67% of women in the general anesthesia group were still breastfeeding, compared to 81% in the spinal anesthesia group – a statistically significant difference. A study of 169 pregnant women randomly assigned them to three groups, each receiving one of three solutions for epidural anesthesia during labor. One solution was a mixture of 0.1% or 0.125% bupivacaine with 5 micrograms of sufentanil, and another was a mixture of 0.1% bupivacaine with 10 micrograms of sufentanil, each in 15 ml volumes. There was no difference in mean LATCH scores among the three groups of infants. A Swedish observational study compared breastfeeding behavior in infants born to mothers who received intravenous or intramuscular oxytocin (regardless of whether they received concurrent epidural analgesia with sufentanil (median dose 10 micrograms) or bupivacaine (median dose 17.5 mg)). Infants born to mothers receiving only oxytocin infusion had comparable breastfeeding rates to infants born to mothers receiving no intervention. Mothers receiving oxytocin combined with epidural analgesia experienced reduced breastfeeding behavior and greater weight loss on postpartum day 2. Mothers of well-breastfed infants showed greater fluctuations in serum oxytocin levels than mothers of poorly breastfed infants. A non-randomized, non-blinded study conducted in a Serbian hospital included women near term undergoing cesarean section, comparing the effects of general anesthesia (n = 284) with spinal or epidural anesthesia (n = 249). Spinal anesthesia used hyperosmolar bupivacaine 12 mg and fentanyl 0.01 mg; epidural anesthesia used isotonic bupivacaine 0.5% (0.5 mg per 10 cm of height) and fentanyl 0.05 mg. General anesthesia was induced with propofol 2.3 mg/kg and succinylcholine 1.5 mg/kg followed by endotracheal intubation and inhalation of an anesthetic gas mixture and oxygen. Reports indicate that the pre-delivery nitric oxide (likely nitrous oxide) content in the gas was 50%, increasing to 67% post-delivery. Sevoflurane was also used in some cases. After delivery and umbilical cord clamping, the mothers received intravenous fentanyl 3 mcg/kg and rocuronium bromide 0.5 mg/kg to promote placental delivery. Post-operatively, neostigmine and atropine were used to reverse neuromuscular blockade. All patients received diclofenac sodium 1 mg/kg every 8 hours for 24 hours post-delivery. 98% of patients under general anesthesia also received 100 mg tramadol, and 78.5% received 1 g acetaminophen. Patients under regional anesthesia did not receive tramadol or acetaminophen. Lactation occurred earlier in patients receiving regional anesthesia (56% and 29% at 18 and 24 hours post-operation, respectively), while 86% of women under general anesthesia did not begin lactation until 36 to 48 hours post-operation.
Protein binding
Bupivacaine has a protein binding rate of approximately 95%.
References

[1]. Actions of Bupivacaine, a widely used local anesthetic, on NMDA receptor responses. J Neurosci. 2015 Jan 14;35(2):831-42.

[2]. A Comparative Analysis of Bupivacaine and Ropivacaine Effects on Human Cardiac SCN5A Channels. Anesth Analg. 2015 Jun;120(6):1226-34.

[3]. Inhibition of Voltage-Gated Na+ Channels by Bupivacaine Is Enhanced by the Adjuvants Buprenorphine, Ketamine, and Clonidine. Reg Anesth Pain Med.Jul/Aug 2017;42(4):462-468.

Additional Infomation
1-Butyl-N-(2,6-dimethylphenyl)piperidin-2-carboxamide is a piperidine carboxamide formed by the condensation of the carboxyl group of N-butylpiperidinic acid with the amino group of 2,6-dimethylaniline. It is a piperidine carboxamide, aromatic amide, and tertiary amine compound. It is the conjugate base of 1-butyl-2-[(2,6-dimethylphenyl)carbamoyl]piperidinium. Bupivacaine is a widely used local anesthetic. Bupivacaine is an amide-based local anesthetic. The physiological effects of bupivacaine are achieved through local anesthesia. Bupivacaine is a long-acting amide-based local anesthetic. Bupivacaine reversibly binds to specific sodium ion channels on neuronal membranes, leading to a voltage-dependent decrease in membrane permeability to sodium ions, thereby stabilizing membrane structure; inhibiting depolarization and nerve impulse conduction; and causing reversible sensory loss. Liposomed bupivacaine is a liposomally encapsulated bupivacaine formulation. Bupivacaine is a long-acting local anesthetic of the amide class. Upon administration, bupivacaine reversibly binds to specific sodium ion channels on the neuronal membrane, leading to a voltage-dependent decrease in membrane permeability to sodium ions and stabilizing membrane structure. This results in inhibition of depolarization and nerve impulse conduction, leading to reversible sensory loss. Compared to bupivacaine alone, liposomal delivery prolongs the duration of local anesthesia and delays peak plasma concentration due to the slow release of bupivacaine from the liposomes. Bupivacaine is only present in individuals who have used or taken the drug. It is a widely used local anesthetic. Bupivacaine blocks the generation and conduction of nerve impulses by increasing the nerve electrical excitation threshold, slowing nerve impulse propagation, and reducing the rate of action potential rise. Bupivacaine binds to the intracellular portion of sodium channels, blocking sodium ion inflow into nerve cells, thereby preventing depolarization. Typically, the progression of anesthesia is related to the diameter of the affected nerve fiber, the degree of myelination, and the conduction velocity. Clinically, the order of loss of neurological function is as follows: (1) pain sensation, (2) temperature sensation, (3) touch sensation, (4) proprioception, (5) skeletal muscle tone. The analgesic effect of bupivacaine is thought to be related to its binding to the prostaglandin E2 receptor EP1 subtype (PGE2EP1), thereby inhibiting prostaglandin production and thus reducing fever, inflammation, and hyperalgesia.
A widely used local anesthetic.
See also: bupivacaine; meloxicam (ingredients).
Drug Indications
As an implant, bupivacaine is indicated for adults after open inguinal hernia repair surgery, by placing the drug at the surgical site to produce postoperative analgesia for up to 24 hours. Bupivacaine liposome suspension is indicated for patients aged 6 years and older for single infiltration to produce postoperative local analgesia. In adults, it can also be used for brachial plexus interstitial block to produce postoperative regional analgesia. Bupivacaine, when used in combination with meloxicam, is indicated for postoperative analgesia within 72 hours after foot and ankle surgery, minor to medium-sized open abdominal surgery, and total lower extremity joint replacement surgery in adult patients. Bupivacaine, alone or in combination with epinephrine, is indicated for local or regional anesthesia or analgesia in adult patients for surgical, dental and oral surgery, diagnostic and therapeutic procedures, and obstetric procedures. Specific concentrations and formulations are recommended for each type of nerve block used to produce local or regional anesthesia or analgesia. Finally, due to the significant clinical risks associated with its use, bupivacaine is not recommended for all nerve blocks.
FDA Label
Exparel® Liposomes are indicated for: adult patients for brachial plexus or femoral nerve blocks to treat postoperative pain. Also indicated for adults 6 years and older and children as a local anesthetic for postoperative somatic pain from minor to medium-sized surgical wounds.
Postoperative Analgesia
Mechanism of Action
Similar to lidocaine, bupivacaine is an amide-type local anesthetic that exerts its local anesthetic effect by blocking the generation and conduction of nerve impulses. These impulses, also known as action potentials, are primarily dependent on membrane depolarization caused by the influx of sodium ions into neurons through voltage-gated sodium channels. Bupivacaine crosses the neuronal membrane and exerts its anesthetic effect by blocking the intracellular portion of the transmembrane pores of these channels. This blocking effect is use-dependent; repeated or prolonged depolarization enhances the blocking effect of sodium channels. Because sodium ions cannot pass through the channel pores, bupivacaine stabilizes the cell membrane at rest, thereby preventing the transmission of neurotransmitters. Generally, the progression of anesthesia is related to the diameter of the affected nerve fiber, the degree of myelination, and the conduction velocity. Clinically, the order of loss of neurological function is as follows: (1) pain, (2) temperature, (3) touch, (4) proprioception, (5) skeletal muscle tone. Although the primary mechanism of action of bupivacaine, which is the blocking of sodium channels, is well established, its other analgesic effects may be related to its binding to the prostaglandin E2 receptor EP1 subtype (PGE2EP1), which inhibits prostaglandin production, thereby reducing fever, inflammation, and hyperalgesia. Local anesthetics work by blocking the generation and conduction of nerve impulses. The mechanism may be to increase the electrical excitation threshold of the nerve, slow down the propagation speed of nerve impulses, and reduce the rate of rise of action potentials. Generally, the progression of anesthesia is related to the diameter of the affected nerve fibers, the degree of myelination, and the conduction velocity. Clinically, the order of loss of nerve function is as follows: (1) pain sensation, (2) temperature sensation, (3) touch sensation, (4) proprioception, and (5) skeletal muscle tone.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C18H31CLN2O2
Molecular Weight
342.9039
Exact Mass
342.207
CAS #
73360-54-0
Related CAS #
Bupivacaine;38396-39-3;Bupivacaine hydrochloride;18010-40-7;Bupivacaine-d9;474668-57-0
PubChem CID
2474
Appearance
Typically exists as solid at room temperature
Melting Point
255-259℃
LogP
5.221
Hydrogen Bond Donor Count
1
Hydrogen Bond Acceptor Count
2
Rotatable Bond Count
5
Heavy Atom Count
21
Complexity
321
Defined Atom Stereocenter Count
0
SMILES
Cl[H].O=C(C1([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])N1C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H])N([H])C1C(C([H])([H])[H])=C([H])C([H])=C([H])C=1C([H])([H])[H].O([H])[H]
InChi Key
LEBVLXFERQHONN-UHFFFAOYSA-N
InChi Code
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)
Chemical Name
1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
May dissolve in DMSO (in most cases), if not, try other solvents such as H2O, Ethanol, or DMF with a minute amount of products to avoid loss of samples
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
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Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
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Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.9163 mL 14.5815 mL 29.1630 mL
5 mM 0.5833 mL 2.9163 mL 5.8326 mL
10 mM 0.2916 mL 1.4582 mL 2.9163 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Postoperative Analgesia Between Paravertebral Block and Epidural Block in Esophageal Surgery
CTID: NCT06704698
Phase: N/A    Status: Recruiting
Date: 2024-11-26
Phase 3 Adductor Canal Block With EXPAREL in Subjects Undergoing Primary Unilateral Total Knee Arthroplasty
CTID: NCT05139030
Phase: Phase 3    Status: Completed
Date: 2024-10-24
Rectus Sheath Block for Analgesia After Gynecological Laparotomy
CTID: NCT06575699
Phase: Phase 4    Status: Recruiting
Date: 2024-10-17
Intra-Articular Dexmedetomidine: A Treatment for Chronic Knee Pain
CTID: NCT06641206
Phase: N/A    Status: Recruiting
Date: 2024-10-15
Pain Palliation in Forearm Fractures in the Emergency Department
CTID: NCT06588907
Phase: N/A    Status: Not yet recruiting
Date: 2024-10-01
View More

Efficacy and Safety of Liposomal Bupivacaine Injection for Paravertebral Nerve Block in the Treatment of Acute and Chronic Pain After Thoracoscopic Pneumonectomy: a Multicenter, Randomized, Double-blind, Controlled Clinical Trial
CTID: NCT06569953
Phase: Phase 4    Status: Recruiting
Date: 2024-09-26


Superior Hypogastric Nerve Plexus Block With Bupivacaine After Robotic Resection of Endometriosis
CTID: NCT06577233
Phase: Phase 4    Status: Recruiting
Date: 2024-08-29
Dexmedetomidine in Obturator Nerve Block as an Analgesic in Transurethral Surgeries
CTID: NCT06229054
PhaseEarly Phase 1    Status: Completed
Date: 2024-08-12
Nebulized Bupivacaine Analgesia for Cleft Palate Repair
CTID: NCT04928352
Phase: Phase 3    Status: Recruiting
Date: 2024-07-31
A Study of Bupivacaine Liposome Injection in the Treatment of Pain After Thoracoscopic Surgery
CTID: NCT06529432
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-07-31
Intrathecal Pethidine Plus Dexamethasone for Distal Lower Orthopedic Surgeries
CTID: NCT05303311
Phase: Phase 4    Status: Completed
Date: 2024-07-30
Impact of Opioid Avoidance Protocol for ACL Reconstruction
CTID: NCT06340932
Phase:    Status: Recruiting
Date: 2024-07-24
A Comparative Study of Intrathecal Dexmedetomidine and Fentanyl as Additives to Bupivacaine in Pott's Fracture
CTID: NCT06502262
Phase: N/A    Status: Not yet recruiting
Date: 2024-07-16
The Hemodynamic Effects of Different Volumes of Bupivacaine 0.25% Caudal Blocks in Pediatrics Undergoing Lower Abdominal Surgeries as Measured by Electrical Cardiometry
CTID: NCT05133687
Phase: Phase 3    Status: Completed
Date: 2024-07-09
Comparison of Clorotekal and Bupivacaine for Short Obstetric Surgery
CTID: NCT03967288
Phase: Phase 4    Status: Suspended
Date: 2024-06-21
Supraclavicular Bupivacaine Vs. Supraclavicular Liposomal Bupivacaine for Distal Radius Fracture Repair
CTID: NCT06179004
Phase: Phase 3    Status: Recruiting
Date: 2024-06-17
Comparison Between Genicular Nerve Block Combined With (IPACK) Block Versus Adductor Canal Block
CTID: NCT06423339
Phase: N/A    Status: Recruiting
Date: 2024-05-21
Liposomal Bupivacaine Single-Injection Interscalene Block vs. Continuous Interscalene Block for Primary Total Shoulder Arthroplasty
CTID: NCT05005260
Phase: Phase 4    Status: Completed
Date: 2024-05-07
Systemic Versus Local Dexmedetomidine as An Adjuvant to Bupivacaine in Ultrasound Guided Erector Spinae Block
CTID: NCT06386770
Phase: Phase 3    Status: Recruiting
Date: 2024-05-03
Liposomal Bupivacaine Versus Lidocaine for Skin Graft Donor Site Pain
CTID: NCT03854344
Phase: Phase 4    Status: Recruiting
Date: 2024-05-01
A Study of Liposomal Bupivacaine Versus 0.25% Bupivacaine Hydrochloride Post Breast Reduction
CTID: NCT05891613
Phase: Phase 4    Status: Recruiting
Date: 2024-04-17
Interscalene Single Shot With Plain Bupivacaine Versus Liposomal Bupivacaine for Arthroscopic Shoulder Surgery
CTID: NCT03638960
Phase: Phase 4    Status: Completed
Date: 2024-04-15
Liposomal Bupivacaine + Bupivacaine vs. Bupivacaine Alone on Opioid Use After Elective c/Section
CTID: NCT04232306
Phase: Phase 4    Status: Withdrawn
Date: 2024-04-10
Study in Subjects Undergoing Complete Abdominoplasty
CTID: NCT03789318
Phase: Phase 2    Status: Completed
Date: 2024-03-19
Bupivacaine Hydrochloride for Pain Control in Cutaneous Surgery
CTID: NCT04260854
Phase: Phase 1    Status: Enrolling by invitation
Date: 2024-03-18
Investigation of Corticosteroid Versus Placebo Injection in Patients With Syndesmotic Ligament Injury or High Ankle Sprain
CTID: NCT02892500
Phase: Phase 2    Status: Terminated
Date: 2024-02-13
Stellate Ganglion Block for Major Depressive Disorder.
CTID: NCT04727229
Phase: Phase 4    Status: Completed
Date: 2024-02-09
Dose and Concentration Relationship for PENG Block in Hip Surgery
CTID: NCT05400148
Phase:    Status: Completed
Date: 2024-02-07
A Phase 3 Study of F14 for Management of Pain Following Total Knee Replacement
CTID: NCT05603832
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-01-31
Study to Evaluate the Pharmacokinetics and Safety of EXPAREL Administered as a Pectoral Plane Block in Women Undergoing Breast Augmentation
CTID: NCT04293809
Phase: Phase 1    Status: Completed
Date: 2024-01-29
Exparel vs. Marcaine ESP Block for Post-cardiac Surgical Pain
CTID: NCT06077422
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-01-26
Opioid Reduction Initiative During Outpatient Pediatric Urologic Procedures Using Exparel
CTID: NCT04826484
Phase: Phase 3    Status: Terminated
Date: 2023-12-26
ED90 of Bupivacaine After Lidocaine Test Dose With DPE and EPL
CTID: NCT06146842
Phase: N/A    Status: Not yet recruiting
Date: 2023-11-27
Femoral Triangle Block With Popliteal Plexus Block Versus Femoral Triangle Block Versus Adductor Canal Block for TKA
CTID: NCT04854395
Phase: Phase 4    Status: Completed
Date: 2023-11-18
A Multi-surgery Assessment of ZYNRELEF (HTX-011), AMAZE.
CTID: NCT06109415
Phase: Phase 4    Status: Completed
Date: 2023-10-31
A Multi-surgery Assessment of ZYNRELEF (HTX-011), AMAZE
CTID: NCT06109428
Phase: Phase 4    Status: Completed
Date: 2023-10-31
Obstetric Liposomal Bupivacaine Via Surgical Transversus Abdominis Plane Block for Post Cesarean Pain Control
CTID: NCT04897841
Phase: Phase 4    Status: Completed
Date: 2023-10-30
A Multi-surgery Assessment of ZYNRELEF (HTX-011), AMAZE. Master Protocol HTX-011-401.
CTID: NCT05109312
Phase: Phase 4    Status: Active, not recruiting
Date: 2023-10-26
'Analgesic Efficacy of Combined Transversus Abdominis Plane Block and Posterior Rectus Sheath Block in Patients Undergoing Laparoscopic Appendectomy'
CTID: NCT06088082
Phase: Phase 3    Status: Active, not recruiting
Date: 2023-10-18
Pharmacokinetic Analysis of Bupivacaine in the Presence and Absence of Perineural Dexamethasone in Axillary Blockade
CTID: NCT05359731
Phase: Phase 4    Status: Completed
Date: 2023-10-17
Topical Bupivacaine Effect On The Response To Awake Extubation During Emergence From General Anesthesia
CTID: NCT04471597
Phase: N/A    Status: Completed
Date: 2023-10-10
Evaluation of the Efficacy and Safety of Locally Administered HTX-011 for Postoperative Analgesia Following Bunionectomy
CTID: NCT02762929
Phase: Phase 2    Status: Completed
Date: 2023-10-04
Erector Spinae Plane Block and Ankle and Foot Surgery
CTID: NCT05708742
Phase: N/A    Status: Completed
Date: 2023-10-04
Inter-semispinal Plane Block and Cervical Spine Surgery
CTID: NCT06003933
Phase: N/A    Status: Completed
Date: 2023-09-13
Bilateral TAP and RS Blocks Using Liposomal Bupivacaine/Bupivacaine vs. Regular Bupivacaine in Laparoscopic Colectomy
CTID: NCT05224089
Phase: Phase 4    Status: Recruiting
Date: 2023-07-18
Comparison Between Bupivacaine and Bupivacaine With Dexmedetomidine in Caudal Block for Post Operative Pain Control
CTID: NCT05919173
Phase: Phase 4    Status: Completed
Date: 2023-07-11
PROUD Study - Preventing Opioid Use Disorders
CTID: NCT04766996
Phase: Phase 4    Status: Terminated
Date: 2023-06-22
Dexmedetomedine and Ketamine in Erector Spinae Block for Postoperative Analgesia Following Mastectomy.
CTID: NCT05727098
Phase: Phase 2/Phase 3    Status: Completed
Date: 2023-06-08
Pediatric Postoperative Analgesia Herniorrhaphy Study
CTID: NCT03922048
Phase: Phase 2    Status: Withdrawn
Date: 2023-06-05
Comparing Liposomal Bupivacaine Versus Standard Bupivacaine in Colorectal Surgery
CTID: NCT03702621
Phase: Phase 3    Status: Completed
Date: 2023-05-17
Effectiveness of Combined Erector Spinae and Pecto-intercostal Fascial Plane Blocks Versus Thoracic Paravertebral Block in Perioperative Pain in Modified Radical Mastectomy
CTID: NCT04778267
Phase: Phase 4    Status: Completed
Date: 2023-03-13
Comparative Study to Evaluate the Efficacy of Ultrasound-Guided Pericapsular Nerve Group (PENG) Block Versus Fascia Iliaca Compartment (FIC) Block on the Postoperative Analgesic Effect in Patients Undergoing Hip Surgeries Under Spinal Anesthesia.
CTID: NCT05751291
Phase: N/A    Status: Not yet recruiting
Date: 2023-03-02
ED90 of Epidural Bupivacaine With Lidocaine for the Initiation of Labor Analgesia
CTID: NCT05543694
Phase: Phase 4    Status: Recruiting
Date: 2023-02-08
Transcutaneous Pulsed Radiofrequency in Migraine
CTID: NCT05499689
Phase: N/A    Status: Active, not recruiting
Date: 2023-02-03
Continuous Erector Spinae Block for Post Analgesia in Pediatric Patients
CTID: NCT04613830
Phase: Phase 3    Status: Completed
Date: 2023-02-03
Comparison of Two Different Norepinephrine Bolus Doses for Management of Spinal Anesthesia-Induced Maternal Hypotension
CTID: NCT05502146
Phase: Phase 4    Status: Completed
Date: 2023-01-18
The Effect of Caudal Block on Optic Nerve Sheath Diameter in Pediatric Patients
CTID: NCT05216211
Phase: N/A    Status: Completed
Date: 2022-12-23
Efficacy and Safety Study of Postsurgical Analgesia With INL-001 in Abdominoplasty
CTID: NCT04785625
Phase: Phase 3    Status: Completed
Date: 2022-11-21
The Efficacy of Transversalis Fascia Plane Block in Pediatric Inguinal Hernia Repair
CTID: NCT04272320
Phase: N/A    Status: Completed
Date: 2022-11-16
Study of Peri-Articular Anaesthetic for Replacement of the Knee
CTID: NCT03326180
Phase: Phase 3    Status: Completed
Date: 2022-11-04
Comparison Between the Quadratus Lumborum Block ,Erector Spinae Plane Block in Lower Abdominal Surgery
CTID: NCT05524038
Phase: N/A    Status: Unknown status
Date: 2022-10-13
Effect of Intrathecal Dexamethasone on Intra-operative Hemodynamic in Elderly Patients Undergoing Urologic Endoscopic Surgery
CTID: NCT05549895
Phase: Phase 4    Status: Unknown status
Date: 2022-09-30
Phase 3, Sciatic Nerve Block With EXPAREL for Subjects Undergoing Bunionectomy
CTID: NCT05157841
Phase: Phase 3    Status: Completed
Date: 2022-09-08
Optimal Bupivacaine Dose for Initiation of Labor Epidural Techniques
CTID: NCT04814537
Phase: Phase 4    Status: Completed
Date: 2022-08-04
Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of EXPAREL, EXPAREL Admixed With Bupivacaine HCl vs. Bupivacaine HCl Administered as Combined Sciatic and Saphenous Nerve Blocks for Postsurgical Analgesia in Subjects Undergoing Lower Extremity Surgeries
CTID: NCT04518462
Phase: Phase 3    Status: Completed
Date: 2022-07-18
Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) in Major Abdominal Surgeries
CTID: NCT04920994
Phase: N/A    Status: Completed
Date: 2022-07-11
Ultrasound Guided Sacral Erector Spinae Plane Block in Pediatric Anorectal Surgery
CTID: NCT04921007
Phase: N/A    Status: Completed
Date: 2022-07-07
Efficacy of Liposomal Bupivacaine for Prolonged Postoperative Analgesia in Patient Undergoing Breast Reconstruction With Tissue Expander
CTID: NCT04278846
Phase: Phase 4    Status: Completed
Date: 2022-07-01
Dose-Ranging Study for Prolonged Postoperative Analgesia in Subject Undergoing Total Knee Arthroplasty
CTID: NCT00485693
Phase: Phase 2    Status: Completed
Date: 2022-06-28
A Randomized Control Trial Comparing Analgesic Benefits of Ultrasound-guided Single vs Continuous Quadratus Lumborum Blocks (QLB)vs Intrathecal Morphine(ITM) for Post Cesarean Section Pain
CTID: NCT04368364
Phase: Phase 4    Status: Terminated
Date: 2022-05-16
Glossopharyngeal Nerve Block on Post Tonsillectomy Pain Among Egyptian Children
CTID: NCT05109416
Phase: Phase 1/Phase 2    Status: Completed
Date: 2022-04-22
PEMF and PEC Blocks in Mastectomy Reconstruction Patients
CTID: NCT03360214
Phase: Phase 4    Status: Completed
Date: 2022-03-09
Transmuscular Quadratus Lumborum Block Plus Pericapsular Injection vs Pericapsular Injection
CTID: NCT04353414
Phase: Phase 4    Status: Completed
Date: 2022-03-02
Four Quadrants Transverse Abdominus Plane (4Q-TAP) Block With Plain and Liposomal Bupivacaine vs. Thoracic Epidermal Analgesia (TEA) in Patients Undergoing Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy (CRS-HIPEC) on an Enhanced Recovery Pathway
CTID: NCT03359811
Phase
Does subarachnoid administration of hyperbaric prilocaine produce an improved recovery from anaesthesia when compared with hyperbaric bupivacaine when used to facilitate cervical cerclage in pregnant women at risk of pre-term loss?
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA
Date: 2020-04-02
Randomized, open and controlled clinical trial to evaluate pain after elective open surgery of the liver and pancreas in patients treated with spinal anesthesia with morphine chloride. On-Q incisional catheters.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2019-08-26
Hemodynamic safety of isobaric levobupivacaine versus isobaric bupivacaine for spinal anesthesia in patients over 65 years, underwent hip surgery.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2018-05-09
Hyperbaric Bupivacaine Versus Hyperbaric Prilocaine 2% for Cesarean Section Under Spinal Anesthesia: a Randomised and Controlled Clinical Trial
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2018-01-11
Comparison of motor blockade duration in the context of scheduled caesarean section with spinal anaesthesia : hyperbaric Prilocaïne versus hyperbaric Bupivacaïne.
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2017-12-11
SPAARK: Study of Peri-Articular Anaesthetic for Replacement of the Knee.
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA
Date: 2017-09-18
A Phase 3, Randomized, Double-Blind, Saline Placebo- and Active-Controlled, Multicenter Study of HTX-011 via Local Administration for Postoperative Analgesia and Decreased Opioid Use Following Unilateral Open Inguinal Herniorrhaphy
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-09-15
The effect of the popliteal plexus block on postoperative pain after reconstruction of the anterior cruciate ligament
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-06-20
Regional anaesthesia of the cutaneus nerves of the hip -
CTID: null
Phase: Phase 4    Status: Completed
Date: 2016-12-19
The lateral femoral cutaneous nerve – description of the sensory territory and a novel ultrasound guided nerve block technique
CTID: null
Phase: Phase 4    Status: Completed
Date: 2016-10-14
Outcome after total knee arthroplasty under general or spinal anesthesia, a randomized study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2016-05-20
The effect of subsartorial saphenous block on postoperative pain following major ankle and hind foot surgery
CTID: null
Phase: Phase 4    Status: Completed
Date: 2016-04-05
Gluteus medius fascia plane block - Validating a new nerve block technique
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2015-10-12
Preoperative analgesic affect of combined obturator and femoral nerve block compared to femoral nerve block alone, in patients with hip fracture.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2015-07-30
Tendinopathy treatment effects and mechanisms 1 (TEAM 1): A randomised clinical trial of eccentric loading, high volume injection and shock wave therapy for Achilles tendinopathy.
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA
Date: 2015-07-28
'AnAnkle Trial': Peripheral nerve block vs. spinal anaesthesia for ankle fracture surgery – implications on pain profile and quality of recovery
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-04-30
Analgetisk effekt af proksimal supplerende nervus obturatorius blokade efter insufficient analgetisk effekt af nervus femoralis blokade hos patienter med hoftenær femurfraktur
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2015-03-17
Comparison of the effect of saphenous block with plain bupivacaine vs. protracted bupivacaine mixture as a supplement to continuos sciatic catheter after major ankle and foot surgery: a randomized study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-01-07
Multi-centre randomised control trial comparing the clinical and cost effectiveness of trans-foraminal epidural steroid injection to surgical microdiscectomy for the treatment of chronic radicular pain secondary to prolapsed intervertebral disc herniation: NErve Root Block VErsus Surgery (NERVES)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2014-10-08
Clinical trial with lozenges as local anesthesia for allogeneic bone marrow transplant patients with oral mucositis
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2013-05-10
Hemodynamic consequences of isobaric levobupivacaine versus hyperbaric bupivacaine for spinal anesthesia in patients over 65 years, underwent hip surgery
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-04-22
Effect of local anesthesia in patients with marginal periodontitis undergoing subgingival scaling
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2012-11-15
The Efficacy of Continuous Intra-articular Infusion of Local Anaesthetic Agent following Elective Primary Hip Arthroplasty
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2012-08-02
Evaluation of the analgesic efficacy of morphine chloride added to a solution of spinal low dose of local anesthetic as compared to standard doses of spinal local anesthetic alone in patients undergoing haemorrhoidectomy: single blind controlled clinical trial with masked evaluation by third parties.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2012-05-07
Spinal vs intercostal block for analgesia after open cholecystectomy - differences in postoperative pain?
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-03-23
Analgésie post-césarienne : intérêt de l'injection sous-aponévrotique d'anesthésique local par cathéter multiperforé, par rapport à la morphine intrathécale.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-03-23
Study of the effects of pregabalin in postoperative pain control in general total intravenous anesthesia, general inhalation anesthesia and combined anesthesia
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2012-03-02
Clinical Trials with bupivacain lozenge as local anaesthesia under upper gastrointestinal endoscopy
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-02-28
Clinical Trials with lozenge as local anaesthesia as treatment of oral pain in burning mouth syndrome and Sjögrens syndrome
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2012-02-28
Comparison of periosteal and subcutaneous infusions of articaine and bupivacaine in treatment of acute pain after sternotomy
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2012-02-09
Posttonsillectomy peritonsillar bupivacaine infiltration for pain relief in children.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-01-04
Comparison of 2-chloroprocaïne, bupivacaïne and lidocaïne for spinal anesthesia in knee artroscopy in an outpatient setting: a double blind randomised trial
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-09-21
Randomized study comparing spinal anealgesia compared with epidural analgesia durinmg and postoperative nephrectomy dua to renal cell carcinoma
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-05-16
Ensayo clínico aleatorizado, doble ciego, de grupos paralelos, de la inyección intra-articular de plasma rico en plaquetas frente a la inyección intra-articular de betametasona y bupivacaína en la artrosis degenerativa de rodilla
CTID: null
Phase: Phase 3    Status: Completed
Date: 2011-03-31
Paracervical block (PCB) during II-trimester abortion – a randomized controlled trial
CTID: null
Phase: Phase 1, Phase 4    Status: Completed
Date: 2011-03-28
Laskimonsisäisesti annetun rasvaemulsion kyky sitoa bupivakaiinia verenkierrossa
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-12-28
Comparación analgésica de bupivacaína, a diferentes dosis por catéter paravertebral torácico, y su implicación en la función pulmonar en pacientes intervenidos de toracotomía para cirugía de resección pulmonar
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2010-12-16
Comparison of the Effects of Intermittent Boluses to Simple Continuous Infusion on Patient Global Perceived Effect in Intrathecal Therapy for Pain.
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA
Date: 2010-11-25
Postoperative analgesia with wound catheter och Baxter Infusor after inguinalhernia operation ad modum Lichtenstein with net.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2009-11-11
What is the ED95 dose for bupivacaine for supraclavicular brachial plexus block using ultrasound?
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-11-02
An international, randomised, double blinded, multi-centre, active- and placebo-controlled dose response trial to evaluate the efficacy and safety of SABER-Bupivacaine for postoperative pain control in patients following arthroscopic shoulder surgery
CTID: null
Phase: Phase 2    Status: Completed
Date: 2008-12-17
Does concentration affect the ED50 of bupivacaine for supraclavicular brachial plxus block?
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-11-28
Transversus Abdominis Plane Block for Analgesia in Renal Transplantation: A Randomised Controlled Trial
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2008-11-18
A Phase II, Single Dose, Blinded, Prospective Study to Investigate the Efficacy and
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2008-07-23
A Multicenter, Randomized, Double-Blind, Parallel-Group, Active-Control, Dose-Ranging Study to Evaluate the Safety, Efficacy, and Comparative Systemic Bioavailability of a Single Administration of SKY0402 via Local Infiltration for Prolonged Postoperative Analgesia in Subjects Undergoing Total Knee Arthroplasty
CTID: null
Phase: Phase 2    Status: Prematurely Ended, Completed
Date: 2008-01-21
Comparison of intrathecal low-dose ropivacaine, bupivacaine and lidocaine for knee arthroscopy in ambulatory setting. a randomised, double-blind trial;
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-12-17
Post-operative analgesia for day-case ankle arthroscopy: Comparison of intra-articular racemic (RS)-bupivicaine with S(-)-bupivicaine.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-09-12
Postoperative epidural analgesia with Breivik's mixture (bupivacain, fentanyl, epinephrine) compared to Narop (rupivacain) combined with oral oxycodon after posterior lumbar fusion.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-08-10
A randomised, controlled trial to determine the median effective concentration of bupivacaine, levobupivacaine and ropivacaine after intrathecal and extradural injection for pain relief in the first stage of labour
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2007-05-29
Treatment of postoperative pain after arthroscopic shoulder surgery, a comparison between a fentanyl patch and local anaesthetic
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-05-16
A Randomised Controlled Trial of Fascia Iliaca Compartment Block vs. Morphine For Pain in Fractured Neck of Femur in the Emergency Department: A Pilot Study
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-02-23
Effects of the Modification of the Daily Flow Rate with a Constant Daily Dose on Patient's Reported Analgesia in Intathecal Therapy
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-11-27
Investigation into the effects of steroid and local anaesthetic infiltration into soft tissues in total hip replacement wounds on post-operative pain relief.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-10-13
Intrathecal bupivacaine and clonidine for ambulatory knee arthroscopy
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-08-21
SPINAL ANESTHESIA IN THE CAESAREAN CUT LEVOBUPIVACAINE VERSUS ROPIVACAINE VERSUS HYPERBARIC BUPIVACAINE
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-05-03
Wirksamkeit periduraler Steroidinjektionen im Rahmen eines multimodelen Behandlungskonzeptes in der Therapie von nicht radikulären chronischen Rückenschmerzen
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2005-09-27
Effects of Lidocaine patch application of pain s subjective and objective components in patients with Myofascial Pain Syndrome MPS .
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-07-12
Protocol CLIN004−0009 (February 02, 2005): A Pharmacodynamic/Pharmacokinetic Study of SABER−Bupivacaine and/or Bupivacaine HCl Administered Intra−operatively During Open Inguinal Hernia Repair under Local Anaesthesia
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-04-21
Efficacy of intrarticular steroid injection in osteoarthritis of the first carpometacarpal joint (CMCJ).
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-01-31
An international, randomised, double blinded, multi-centre, active- and placebo-controlled dose response trial to evaluate the efficacy and safety of SABER-Bupivacaine for postoperative pain control in patients undergoing primary, elective, open, abdominal hysterectomy.
CTID: null
Phase: Phase 2    Status: Prematurely Ended, Completed
Date:

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