Vaspine 0.5%+8% (Intraspinal Injection)

4 ml ampoule: ৳ 32.00 (2 x 5: ৳ 320.00)

Medicine Details

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 3-5 hours
  • Muscular relaxation
  • Profound lower limb relaxation
  • Circulatory effects

Dosage & Administration

  • Spinal anesthesia dosage 2-4 ml
  • Pediatric dosage recommendations
  • Dose reduction for the elderly
  • Dose reduction for late-stage pregnancy

Interaction

  • Careful use with antiarrhythmic drugs
  • Additive toxic effects
  • Phenothiazines and Butyrophenones interaction

Contraindications

  • Allergy or hypersensitivity to amide type local anesthetics
  • Acute active diseases of the cerebrospinal system
  • Spinal stenosis
  • Active disease or recent trauma in the vertebral column
  • Arthritis and other diseases of the vertebral column

Side Effects

  • Adverse reaction profile
  • Physiological effects of nerve block
  • Decrease in blood pressure
  • Bradycardia
  • Temporary urinary retention
  • Nerve trauma
  • Epidural abscess
  • Cerebrospinal leakage

Pregnancy & Lactation

  • No specific disturbances to the reproductive process
  • No increased incidence of malformations
  • Dose reduction in late stages of pregnancy
  • Entry into breast milk
  • No risk of affecting the breast-fed child

Precautions & Warnings

  • Reactivity with certain metals
  • Severe local irritation
  • Single-use ampoules
  • Immediate use of solution after opening
  • Discarded discolored solutions

Overdose Effects

  • Acute emergencies associated with high plasma levels
  • Unlikely acute systemic toxicity
  • Peak plasma concentrations delay
  • Toxic reactions in central nervous and cardiovascular systems

Therapeutic Class

  • Regional anesthesia

Storage Conditions

  • Temperature not exceeding 30°C
  • Dry place
  • Protection from light

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