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Regivell

Regivell

bupivacaine

Manufacturer:

Novell Pharma

Distributor:

Averroes Pharma
Concise Prescribing Info
Contents
Bupivacaine HCl
Indications/Uses
Spinal anesth for urological & lower limb surgery lasting 2-3 hr, abdominal surgery lasting 45-60 min.
Dosage/Direction for Use
Adult Urological surgery 7.5-15 mg. Lower limbs (including hip) & abdominal (including caesarean section) surgery 10-20 mg.
Contraindications
Hypersensitivity to bupivacaine HCl or amide-type local anaesth. Active CNS disease eg, meningitis, poliomyelitis, intracranial hemorrhage, subacute combined cord degeneration due to pernicious anemia, cerebral & spinal tumours. Spinal stenosis & active disease eg, spondylitis, TB, tumour or recent trauma eg, vertebral column fracture; septicaemia; pyogenic skin infection at or adjacent to lumbar puncture site; cardiogenic or hypovolaemic shock; coagulation disorders or ongoing anticoagulant therapy.
Special Precautions
Not to be inj intravascularly. Discontinue use if signs of acute systemic toxicity or total spinal block appear. Patients w/ hypovolemia; in poor general condition due to ageing or other compromising factors eg, partial/complete heart conduction block; pleural effusions. Neurological injury. May cause hypotension & bradycardia; intercostal paralysis. Concomitant use w/ class III anti-arrhythmic drugs. May affect ability to drive & use machines. Advanced liver or renal dysfunction. Not to be given in early pregnancy & reduce dose in late stages of pregnancy. Elderly.
Adverse Reactions
Hypotension, bradycardia; nausea. Postdural puncture headache; vomiting; urinary retention & incontinence.
Drug Interactions
Additive systemic toxic effects w/ other local anaesth or structurally-related amide-type local anaesth eg, lidocaine, mexiletine. Caution w/ class III anti-arrhythmic drugs eg, amiodarone.
MIMS Class
Anaesthetics - Local & General
ATC Classification
N01BB01 - bupivacaine ; Belongs to the class of amides. Used as local anesthetics.
Presentation/Packing
Form
Regivell soln for inj 5 mg/mL
Packing/Price
4 mL x 5 × 1's
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