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Vivacaine

Generic Name: Bupivacaine and Epinephrine (byoo PIV a kane & ep i NEF rin)
Brand Name: Marcaine with Epinephrine, Sensorcaine with Epinephrine, Sensorcaine-MPF with Epinephrine, Vivacaine

Medically reviewed on September 5, 2018

Warning

  • Do not use the 0.75% during labor. Unsafe side effects may happen. Talk with the doctor.

Uses of Vivacaine:

  • It is used to numb an area before care.
  • It may be given to you for other reasons. Talk with the doctor.

What do I need to tell my doctor BEFORE I take Vivacaine?

For all patients taking Vivacaine (bupivacaine and epinephrine):

  • If you have an allergy to bupivacaine, epinephrine, or any other part of Vivacaine (bupivacaine and epinephrine).
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you are taking any of these drugs: Dihydroergotamine, ergonovine, ergotamine, or methylergonovine.

Children:

  • If your child is younger than 12 years of age. Do not give Vivacaine (bupivacaine and epinephrine) to a child younger than 12 years of age.

This is not a list of all drugs or health problems that interact with Vivacaine (bupivacaine and epinephrine).

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Vivacaine (bupivacaine and epinephrine) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Vivacaine?

For all uses of Vivacaine (bupivacaine and epinephrine):

  • Tell all of your health care providers that you take Vivacaine (bupivacaine and epinephrine). This includes your doctors, nurses, pharmacists, and dentists.
  • Avoid driving and doing other tasks or actions that call for you to be alert until you see how Vivacaine (bupivacaine and epinephrine) affects you.
  • If you are allergic to sulfites, talk with your doctor. Some products have sulfites.
  • If you are 65 or older, use Vivacaine (bupivacaine and epinephrine) with care. You could have more side effects.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Vivacaine (bupivacaine and epinephrine) while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

Mouth:

  • Do not eat while your mouth feels numb. You may bite your tongue.

Spinal:

  • This medicine may cause short-term loss of feeling and motor activity in the lower half of your body. Do not try to get out of bed or do other tasks or actions until feeling and motor activity have returned to normal.

How is this medicine (Vivacaine) best taken?

Use Vivacaine (bupivacaine and epinephrine) as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • Your doctor will give Vivacaine (bupivacaine and epinephrine).
  • It is given as a shot into the skin or the spine.

What do I do if I miss a dose?

  • Call your doctor to find out what to do.

See also: Dosage Information (in more detail)

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

For all uses of Vivacaine (bupivacaine and epinephrine):

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of too much acid in the blood (acidosis) like confusion; fast breathing; fast heartbeat; a heartbeat that does not feel normal; very bad stomach pain, upset stomach, or throwing up; feeling very sleepy; shortness of breath; or feeling very tired or weak.
  • Feeling hot or cold.
  • Dizziness or passing out.
  • Restlessness.
  • Anxiety.
  • Change in speech.
  • Numbness or tingling in the mouth.
  • Metallic taste.
  • Blurred eyesight.
  • Ringing in ears.
  • Shakiness.
  • Twitching.
  • Low mood (depression).
  • Feeling sleepy.
  • Seizures.
  • Trouble breathing, slow breathing, or shallow breathing.
  • A burning, numbness, or tingling feeling that is not normal.
  • Very nervous and excitable.
  • Very bad headache.
  • Slow heartbeat.

Spinal:

  • Trouble passing urine.
  • Loss of bladder or bowel control.
  • Not able to get or keep an erection.
  • Long-lasting burning, numbness, tingling, or paralysis in the lower half of the body.
  • Headache.
  • Backache.
  • Fever or chills.
  • Very upset stomach or throwing up.
  • Stiff neck.
  • If bright lights bother your eyes.

What are some other side effects of Vivacaine?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if you have any side effects that bother you or do not go away.

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.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

See also: Side effects (in more detail)

If OVERDOSE is suspected:

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.

How do I store and/or throw out Vivacaine?

  • If you need to store Vivacaine (bupivacaine and epinephrine) at home, talk with your doctor, nurse, or pharmacist about how to store it.

Consumer information use

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
  • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Vivacaine (bupivacaine and epinephrine), please talk with your doctor, nurse, pharmacist, or other health care provider.
  • 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.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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