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ANAWIN INJ  BUPIVACAINE  BUPIVAN  MARCAIN  SENSORCAINE  SENSORCAINE HEAVY  SENSORCAINE SPINAL 
 



Indication & Dosage
 
 
Injection
PERIPHERAL NERVE BLOCK
Adult: 12.5 mg (5 ml) of a 0.25% solution or 25 mg (5 ml) of a 0.5% solution. Max single dose: 150 mg with or without adrenaline, followed by 50 mg every 2 hr if needed.
 
Injection
PERCUTANEOUS INFILTRATION ANAESTHESIA
Adult: 0.25% solution is typically used. For prolonged action: 9 mg (1.8 ml) of a 0.5% solution with adrenaline (1:200,000) can be admin, repeated once after 2-10 min if necessary. Max total: 90 mg/dental sitting.
Max Dosage:  150 mg with or without adrenaline, followed by 50 m
 
Injection
SYMPATHETIC NERVE BLOCK
Adult: 0.25% solution is typically used. For prolonged action: 9 mg (1.8 ml) of a 0.5% solution with adrenaline (1:200,000) can be admin, repeated once after 2-10 min if necessary. Max total: 90 mg/dental sitting.
 
Injection
RETROBULBAR BLOCK
Adult: 0.25% solution is typically used. For prolonged action: 9 mg (1.8 ml) of a 0.5% solution with adrenaline (1:200,000) can be admin, repeated once after 2-10 min if necessary. Max total: 90 mg/dental sitting.
 
Injection
CAUDAL BLOCK
Adult: 0.25% solution is typically used. For prolonged action: 9 mg (1.8 ml) of a 0.5% solution with adrenaline (1:200,000) can be admin, repeated once after 2-10 min if necessary. Max total: 90 mg/dental sitting.
 
Injection
LUMBAR EPIDURAL BLOCK
Adult: 0.25% solution is typically used. For prolonged action: 9 mg (1.8 ml) of a 0.5% solution with adrenaline (1:200,000) can be admin, repeated once after 2-10 min if necessary. Max total: 90 mg/dental sitting.
Max Dosage:  150 mg with or without adrenaline, followed by 50 m
   
Precautions Hepatic disease; CV disease; children <12 yr; pregnancy. Elderly and debilitated patients.
   
Potentially Life-threatening 
Adverse Drug Reactions
CNS excitation may be followed by depression. Hypotension, bradycardia, arrhythmias and cardiac arrest; methemoglobinaemia; seizures, restlessness, dizziness. Hypersensitivity. Prolonged block.
   
Adverse Drug Reactions Cardiac and sudden respiratory arrest.
   
Interactions Decreased duration with hyaluronidase. Decreased clearance with cimetidine and ranitidine. Potentiates lidocaine and mepivacaine. Allergic-type reactions with formulations containing sodium metabisulfite
   
   
 

 

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