What is Bupivacaine Hcl (Pf) ?

Bupivacaine HCl (Pf) is a long-acting local anesthetic commonly used for regional anesthesia, including epidural, spinal, and peripheral nerve block procedures. It functions by inhibiting sodium ion influx in nerve fibers, thereby blocking nerve impulse transmission and providing prolonged pain relief. Due to its potent effects, it is often used in surgical settings and requires careful monitoring to avoid potential central nervous system and cardiovascular side effects.

• Dry mouth, increased thirst, muscle cramps
• Bone or joint pain or stiffness, inability to move
• Change in how much or how often you urinate, difficult or painful urination
• Lightheadedness, dizziness, or fainting
• Chest pain, fast, pounding, slow, or uneven heartbeat, trouble breathing
• Numbness, tingling, or burning pain in your hands, arms, legs, or feet
• Unusual bleeding, bruising, or weakness
• Pale, gray, or blue lips, nails, or skin, dark urine, headache, tiredness
• Nausea, vomiting, metallic taste in your mouth or other changes in taste
• Seizures, shivering, shaking, or tremors
• Fever, chills, cough, sore throat, body aches
• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Anxiety, depression, restlessness, drowsiness, ringing in your ears, blurred vision

• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart disease, blood or blood clotting problems (including methemoglobinemia), asthma, diabetes, seizures, myasthenia gravis, thyroid problems, high blood pressure, low blood pressure, lasting back pain, arthritis, spinal problems, lung or breathing problems, G6PD, or mental illness.
• This medicine may cause the following problems:Methemoglobinemia (blood disorder)Chondrolysis (a bone or joint problem)Low blood pressureHyperthermia (a dangerous increase in body temperature)
• This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
• This medicine should cause numbness only to the area where it is injected. It is not meant to cause you to fall asleep or become unconscious.
• You may experience temporary loss of sensation and movement, usually in the lower half of your body, if you receive this medicine into your lower back (epidural).
• If you are receiving this medicine as an epidural to ease labor pains, it may take longer than normal for you to push your baby out. It is also possible that the baby may have unwanted effects after birth (including sleepiness, slow responses). Talk to your doctor if you have questions about how this medicine might affect your baby.