Bupivacaine/Epinephrine Injection

For local anesthesia before a procedure.

Brand Name(s): Marcaine with Epinephrine, Sensorcaine with Epinephrine

Generic Name: Bupivacaine/Epinephrine

Instructions

This medicine is given as an injection into the spine.

This medicine should be given by a trained health care provider.

Tell your doctor and pharmacist about all your medicines. Include prescription and over-the-counter medicines, vitamins, and herbal medicines.

Cautions

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

This medicine may cause dizziness or fainting, especially after exercising or in hot weather. Be very careful when standing or sitting up quickly.

Your ability to stay alert or to react quickly may be impaired by this medicine. Do not drive or operate machinery until you know how this medicine will affect you.

If possible, avoid using with marijuana or other medicines that can cause dizziness or drowsiness. These include allergy/cold products, muscle relaxers, sleep aids, and pain relievers.

Tell the doctor or pharmacist if you are pregnant, planning to be pregnant, or breastfeeding.

Do not start or stop any other medicines without first speaking to your doctor or pharmacist.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

  • high or low blood pressure
  • dizziness
  • numbness or tingling in hands and feet
  • headaches
  • nausea and vomiting
  • difficulty or discomfort urinating

Call your doctor or get medical help right away if you notice any of these more serious side effects:

  • shallow, irregular breathing
  • chest pain
  • severe or persistent headache
  • fast, irregular, or slow heartbeat
  • lightheadedness
  • muscle trembling
  • feeling of numbness or tingling, especially around the lips and mouth
  • pain near injection site
  • seizures
  • shakiness
  • shortness of breath
  • blurring or changes of vision

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.

Please speak with your doctor, nurse, or pharmacist if you have any questions about this medicine.

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