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Marcaine

Introduction to pain management

Pain management can be simple or complex, depending on the cause of the pain. An example of pain that is typically less complex would be nerve root irritation from a herniated disc with pain radiating down the leg. This condition can often be alleviated with an epidural steroid injection and physical therapy. Sometimes, however, the pain does not go away. This can require a wide variety of skills and techniques to treat the pain. These skills and techniques include:

  • Interventional procedures
  • Medication management
  • Physical therapy or chiropractic therapy
  • Psychological counseling and support
  • Acupuncture and other alternative therapies; and
  • Referral to other medical specialists

All of these skills and services are necessary because pain can involve many aspects of a person's daily life.

How is pain tre...

Marcaine

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Marcaine Drug Center

Medical Editor: John P. Cunha, DO, FACOEP

Marcaine (Bupivacaine Hydrochloride Injection) is used as a local (in one area) anesthetic for a spinal block. It is an anesthetic (numbing medicine). This medication is available in generic form. Common side effects include nausea, vomiting, headache, back pain, dizziness, or problems with sexual function.

The dose of Marcaine varies with the anesthetic procedure, the area to be anesthetized, the vascularity of the tissues, the number of segments to be blocked, the depth of anesthesia and degree of muscle relaxation required, the duration of anesthesia desired, individual tolerance, and the physical condition of the patient. The smallest dose and concentration required to produce the desired result should be administered. Marcaine may interact with blood thinners, ergot medicines, MAO inhibitors, or antidepressants. Tell your doctor all medications you use. During pregnancy, Marcaine should be used only if prescribed. This medication may be harmful to a fetus. This medication can pass into breast milk and may harm a nursing baby. Consult your doctor before breast-feeding.

Our Marcaine (Bupivacaine Hydrochloride Injection) Drug Center provides a comprehensive view of available drug information as well as related drugs, user reviews, supplements, and diseases and conditions articles.

What is Prescribing information?

The FDA package insert formatted in easy-to-find categories for health professionals and clinicians.

Marcaine Prescribing Information: Indications & Dosage

Bupivacaine hydrochloride Structural Formula Illustration

MARCAINE is indicated for the production of local or regional anesthesia or analgesia for surgery, dental and oral surgery procedures, diagnostic and therapeutic procedures, and for obstetrical procedures. Only the 0.25% and 0.5% concentrations are indicated for obstetrical anesthesia. (See WARNINGS.)

Experience with nonobstetrical surgical procedures in pregnant patients is not sufficient to recommend use of 0.75% concentration of MARCAINE in these patients.

MARCAINE is not recommended for intravenous regional anesthesia (Bier Block). See WARNINGS.

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Read the complete drug monograph for Marcaine »

What is Patient information?

Easy-to-read and understand detailed drug information and pill images for the patient or caregiver from Cerner Multum.

Marcaine Patient Information: Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Tell your caregivers at once if you have any of these serious side effects:

  • weak or shallow breathing;
  • fast heart rate, gasping, feeling unusually hot;
  • slow heart rate, weak pulse;
  • feeling restless or anxious, ringing in the ears, metallic taste, speech problems, numbness or tingling around your mouth, tremors, feeling light-headed, or fainting; or
  • problems wit...

Read the complete patient information for Marcaine »

Report Problems to the Food and Drug Administration

 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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