Correlation Engine 2.0
Clear Search sequence regions
Bookmark Forward

QuickView for Bupivacaine (compound)


PubChem
Name: Bupivacaine
PubChem Compound ID: 2474
Description: A widely used local anesthetic agent.
Molecular formula: C18H28N2O
Molecular weight: 288.428 g/mol
Synonyms:
15233-43-9; 2-Piperidinecarboxamide, 1-butyl-N-(2,6-dimethylphenyl)-; KBioGR_001516; KBio3_001827; 2180-92-9; EINECS 218-553-3; 2-Piperidinecarboxamide, 1-butyl-N-(2,6-dimethylphenyl)-, (+-)-; Spectrum4_001098; Spectrum3_000974; Spectrum2_001589.
show more »
DrugBank
Identification
Name: Bupivacaine
Name (isomeric): DB00297
Drug Type: small molecule
Description: A widely used local anesthetic agent.
Synonyms:
Bupivacaina [INN-Spanish]; cBupivacaine; DL-Bupivacaine; Bupivacainum [INN-Latin]; DUR-843; Bupivacaine HCL KIT; Bupivacaine HCL; Bloqueina; (+-)-Bupivacaine; LAC-43
Brand: Carbostesin, DepoBupivacaine, Sensorcaine-MPF, Anekain, Sensorcaine, Sensorcaine-MPF Spinal, Marcaina, Marcaine Spinal, Bupivan, Marcaine, Transdur-Bupivacaine, Chirocaine, Marcaine HCL
Brand name mixture: Marcaine E(Bupivacaine Hydrochloride + Epinephrine Bitartrate), Sensorcaine Forte(Bupivacaine Hydrochloride + Epinephrine Bitartrate)
Category: Anesthetics, Local
CAS number: 2180-92-9
Pharmacology
Indication: For the production of local or regional anesthesia or analgesia for surgery, for oral surgery procedures, for diagnostic and therapeutic procedures, and for obstetrical procedures.
Pharmacology:
Bupivacaine is a widely used local anesthetic agent. Bupivacaine is often administered by spinal injection prior to total hip arthroplasty. It is also commonly injected into surgical wound sites to reduce pain for up to 20 hours after surgery. In comparison to other local anesthetics it has a long duration of action. It is also the most toxic to th...
show more »
Mechanism of Action:
Local anesthetics such as bupivacaine block the generation and the conduction of nerve impulses, presumably by increasing the threshold for electrical excitation in the nerve, by slowing the propagation of the nerve impulse, and by reducing the rate of rise of the action potential. Bupivacaine binds to the intracellular portion of sodium channels a...
show more »
Absorption: The rate of systemic absorption of local anesthetics is dependent upon the total dose and concentration of drug administered, the route of administration, the vascularity of the administration site, and the presence or absence of epinephrine in the anesthetic solution.
Protein binding: 95%
Biotransformation: Amide-type local anesthetics such as bupivacaine are metabolized primarily in the liver via conjugation with glucuronic acid. The major metabolite of bupivacaine is 2,6-pipecoloxylidine, which is mainly catalyzed via cytochrome P450 3A4.
Route of elimination: Only 6% of bupivacaine is excreted unchanged in the urine.
Half Life: 2.7 hours in adults and 8.1 hours in neonates
Toxicity: The mean seizure dosage of bupivacaine in rhesus monkeys was found to be 4.4 mg/kg with mean arterial plasma concentration of 4.5 mcg/mL. The intravenous and subcutaneous LD 50 in mice is 6 to 8 mg/kg and 38 to 54 mg/kg respectively. Recent clinical data from patients experiencing local anesthetic induced convulsions demonstrated rapid development of hypoxia, hypercarbia, and acidosis with bupivacaine within a minute of the onset of convulsions. These observations suggest that oxygen consumption and carbon dioxide production are greatly increased during local anesthetic convulsions and emphasize the importance of immediate and effective ventilation with oxygen which may avoid cardiac arrest.
Affected organisms: Humans and other mammals
Interactions
Drug interaction:
ConivaptanConivaptan may increase the serum concentration of CYP3A4 Substrates such as bupivacaine. Upon completion/discontinuation of conivaptan, allow at least 7 days before initiating therapy with drugs that are CYP3A4 substrates.

Targets


Enzymes