Bupivacaine and Epinephrine

(byoo PIV a kane & ep i NEF rin)

Brand Names: U.S.

  • Marcaine® with Epinephrine
  • Sensorcaine® with Epinephrine
  • Sensorcaine®-MPF with Epinephrine
  • Vivacaine™

Brand Names: Canada

  • Sensorcaine® with Epinephrine

What key warnings do I need to know about before giving this drug to my child?

  • Sometimes drugs are not safe when your child takes them with other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your child’s doctor about all the drugs your child takes.

Is it safe for my child to take this drug?

  • Not if your child has an allergy to bupivacaine, epinephrine, or any other part of this drug.
  • Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

Why does my child need this drug?

  • It is used before dental care to numb the area.

How is this drug given?

  • Your child's doctor will give this drug.
  • It is given as a shot into the skin.

How long does this drug take to work?

  • Your child may start feeling better soon after starting this drug.

What do I do if my child misses a dose?

  • Many times this drug is given on an as needed basis.

What safety measures do I need to take when my child is using this drug?

  • Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
  • If your child has thyroid disease, talk with the doctor.
  • If your child has a weak heart, talk with the doctor.
  • Do not let your child eat while his/her mouth feels numb. Biting of the tongue could happen.
  • If your child has a sulfite allergy, talk with the doctor.
  • Check all drugs your child is taking with your child's doctor. This drug may not mix well with some other drugs.

What are some side effects of this drug?

  • Irritation where the shot is given.

When do I need to call my child's doctor?

  • If any of this news causes you to be worried, any of the unwanted side effects happen, or if your child is not better after taking this drug.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
  • If your child shows signs of a very bad reaction, call your child's doctor or the ER right away. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; swelling of face, lips, tongue, or throat; or if your child is not acting normal.
  • If your child has a change in balance.
  • If your child has a sudden change in eyesight, eye pain, or irritation.
  • If your child has weakness, numbness, or tingling.
  • If your child has very bad skin irritation.
  • If your child has a change in thinking clearly and with logic.
  • If your child gets a rash.
  • If your child’s health problem does not get better or if you believe your child’s health problem is worse.

How do I store and/or throw out this drug?

  • This drug will be given to your child in a hospital or doctor's office. You will not store it at home.

General drug facts

  • If your child has a very bad allergy, he/she needs to wear an allergy ID at all times.
  • You may get this drug by drug order only.
  • Get rid of this drug when your child no longer needs it or if the drug is outdated.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
  • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
  • Do not share your child's drug with others and do not give anyone else's drug to your child.
  • Keep all drugs out of the reach of children and pets.
  • Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
  • These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
  • Talk with the doctor before giving your child any new drug, including OTC, natural products, or vitamins.
  • If you do not use a drug the right way, it may not be safe. Follow what your child’s doctor tells you.