Ultracaine Heavy 0.5%+8% (Intraspinal Injection)
4 ml ampoule: ৳ 32.00 (2 x 5: ৳ 320.00)
Medicine Details
| Category | Details |
|---|---|
| Generic | Bupivacaine hydrochloride dextrose |
| Company | Jayson pharmaceuticals ltd |
Indications
- Lower abdominal surgery
- Caesarean section
- Urological surgery
- Lower limb surgery
- Hip surgery
- Intrathecal anesthesia
- Surgical procedures
- Obstetrical procedures
- Motor blockade
- Analgesia
Composition
- Bupivacaine Hydrochloride USP 20 mg
- Dextrose Anhydrous USP 320 mg
Pharmacology
- Long acting local anesthetic
- Amide type
- Rapid onset of action
- Duration of analgesia
- Muscular relaxation
- Profound effect on lower limbs
- Circulatory effects
- Tissue tolerance
Dosage & Administration
- Spinal anesthesia dosage for surgery
- Adult dosage recommendations
- Pediatric dosage recommendations
- Dose adjustment for elderly patients
- Dose/kg in children
- Average adult dose
- Physical status considerations
- Segmental spread
Interaction
- Use with antiarrhythmic drugs
- Toxic effects additive
- Effect on pressor effect of epinephrine
- Phenothiazines interaction
- Butyrophenones interaction
Contraindications
- Allergy or hypersensitivity to local anesthetics
- Active diseases of the cerebrospinal system
- Spinal stenosis
- Diseases of the vertebral column
Side Effects
- Adverse reaction profile
- Decrease in blood pressure
- Bradycardia
- Temporary urinary retention
- Nerve trauma
- Epidural abscess
- Cerebrospinal leakage
Pregnancy & Lactation
- Safe assumption for pregnant women
- No reported disturbances to reproductive process
- No increased incidence of malformations
- Dose reduction in late stages of pregnancy
- Entry into breast milk
- Maternal serum levels
- Breast milk detection
Precautions & Warnings
- Reaction with certain metals
- Severe local irritation
- Single use ampoules
- Discarded unused solution
- Immediate use after opening
- Discolored solution warning
Overdose Effects
- Acute emergencies
- High plasma levels
- Toxicity
- Delayed toxic signs
- Intravascular injections
- Central nervous system effects
- Cardiovascular system effects
Therapeutic Class
- Regional anesthesia
Storage Conditions
- Temperature limit
- Dry place storage
- Protection from light