Sensorcaine-MPF Side Effects
Generic name: bupivacaine
Medically reviewed by Drugs.com. Last updated on Dec 14, 2023.
Note: This document contains side effect information about bupivacaine. Some dosage forms listed on this page may not apply to the brand name Sensorcaine-MPF.
Applies to bupivacaine: injection solution. Other dosage forms:
Warning
Injection route (Solution)
There have been reports of cardiac arrest with difficult resuscitation or death during use of bupivacaine for epidural anesthesia in obstetrical patients. In most cases, this has followed use of the 0.75% (7.5 mg/mL) concentration. Resuscitation has been difficult or impossible despite apparently adequate preparation and appropriate management. Cardiac arrest has occurred after convulsions resulting from systemic toxicity, presumably following unintentional intravascular injection. The 0.75% (7.5 mg/mL) concentration of bupivacaine hydrochloride injection is not recommended for obstetrical anesthesia and should be reserved for surgical procedures where a high degree of muscle relaxation and prolonged effect are necessary.
Serious side effects of Sensorcaine-MPF
Along with its needed effects, bupivacaine (the active ingredient contained in Sensorcaine-MPF) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur while taking bupivacaine:
More common
- Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
- change or loss of taste
- chest pain or discomfort
- continuing ringing or buzzing or other unexplained noise in the ears
- decrease in the frequency and amount of urine
- diarrhea
- difficult or painful urination
- dizziness
- dry mouth
- fever
- headache
- hearing loss
- increased thirst
- loss of appetite
- mood changes
- muscle pain or cramps
- nausea or vomiting
- seizures
- sleepiness or unusual drowsiness
- slow or irregular heartbeat
- trouble breathing
- unusual bleeding or bruising
- unusual tiredness or weakness
Less common
- Arm, leg, back, or jaw pain
- bloating or swelling of the face, arms, hands, lower legs, or feet
- blurred vision
- body aches or pain
- chills
- cough or hoarseness
- cramps
- difficulty in moving
- dry throat
- ear congestion
- fast or pounding heartbeat or pulse
- increased blinking
- loss of voice
- muscle stiffness or twitching
- nervousness
- pain, cramps, or heavy menstrual bleeding
- pain, swelling, or redness in the joints
- pounding in the ears
- runny or stuffy nose
- sneezing
- sore throat
- swelling of the testes
- tightness in the chest
- twitching of the eyelids
- unusual weight gain or loss
Incidence not known
- Anxiety
- cold, clammy, pale skin
- confusion
- difficulty swallowing
- discouragement
- dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
- excitement
- false or unusual sense of well-being
- feeling sad or empty
- general feeling of illness
- hives, itching, skin rash
- irritability
- loss of interest or pleasure
- puffiness or swelling of the eyelids or around the eyes, lips, or tongue
- restlessness
- shivering
- slowing of labor
- stiff neck or back
- sweating
- trouble concentrating
- trouble sleeping
- weakness of the muscles in your face
Other side effects of Sensorcaine-MPF
Some side effects of bupivacaine may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
- Acid or sour stomach
- belching
- bleeding, blistering, burning, coldness, discoloration of skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site
- constipation
- excess air or gas in the stomach or intestines
- full feeling
- heartburn
- indigestion
- passing gas
- stomach discomfort, upset, or pain
Incidence not known
- Abnormal ejaculation
- decreased sexual performance or desire
- loss of bladder and bowel control
- loss of genital sensation and sexual function
- no sensation in the legs
- numbness
- unable to move the legs
For Healthcare Professionals
Applies to bupivacaine: compounding powder, injectable kit, injectable solution, intrathecal solution, intravenous solution, parenteral implant.
General
The most frequently reported side effects are acute adverse experiences which demand immediate countermeasures are related to the central nervous system and the cardiovascular system. A major cause of adverse reactions is excessive plasma levels, which may be due to overdose, unintentional intravascular injection, or slow metabolic degradation. It is also difficult to distinguish adverse reactions caused by the drug per se from the physiological effects of the nerve block (e.g. decrease in blood pressure, bradycardia, temporary urinary retention), events caused directly (e.g. spinal hematoma) or indirectly (e.g. meningitis, epidural abscess) by needle puncture or events associated to cerebrospinal leakage (e.g. postdural puncture headache).[Ref]
Cardiovascular
Very common (10% or more): Hypotension, bradycardia
Common (1% to 10%): Hypertension
Rare (less than 0.1%): Cardiac arrest, cardiac arrhythmia
Frequency not reported: Cardiac output decreased, heart block, ventricular tachycardia, ventricular fibrillation, myocardium depression, cardiovascular collapse, maternal hypotension[Ref]
Nervous system
Common (1% to 10%): Paresthesia, postdural puncture headache, dizziness
Uncommon (0.1% to 1%): Paresis, dysesthesia, convulsion, circumoral paresthesia, unconsciousness, tremor, lightheadedness, dysarthria
Rare (less than 0.1%): Paraplegia, paralysis, neuropathy, arachnoiditis, total unintentional spinal block, peripheral nerve injury
Frequency not reported: Loss of sphincter control, meningismus, cranial nerve palsies, syncope, high/total spinal block, slurred speech, drowsiness, spinal hematoma[Ref]
Gastrointestinal
Very common (10% or more): Nausea
Common (1% to 10%): Vomiting
Frequency not reported: Fecal incontinence, swallowing difficult, numbness of tongue[Ref]
Local
Frequency not reported: Persistent anesthesia[Ref]
Genitourinary
Common (1% to 10%): Urinary retention, urinary incontinence
Frequency not reported: Loss of perineal sensation, loss of sexual function[Ref]
Respiratory
Rare (less than 0.1%): Respiratory depression
Frequency not reported: Respiratory arrest, laryngeal edema, sneezing, respiratory paralysis, hypoxia, hypercarbia[Ref]
Other
Uncommon (0.1% to 1%): Hyperacusis, tinnitus
Frequency not reported: Alkaline phosphatase increased, bilirubin increased, chills, weakness, septic meningitis, labor delayed, temperature elevated, forceps delivery increased, sensation of heat, cold/numbness[Ref]
Immunologic
Rare (less than 0.1%): Allergic reaction, anaphylactic shock
Frequency not reported: Anaphylaxis[Ref]
Ocular
Uncommon (0.1% to 1%): Vision disturbed
Rare (less than 0.1%): Diplopia
Frequency not reported: Blurred vision, pupils constricted[Ref]
Psychiatric
Frequency not reported: Restlessness, anxiety, depression, agitation, nervousness, apprehension, euphoria, confusion[Ref]
Hepatic
Frequency not reported: Hepatic dysfunction, ALT increased, AST increased[Ref]
Dermatologic
Frequency not reported: Urticaria, pruritus, erythema, angioedema, excessive sweating, cutaneous lesion[Ref]
Musculoskeletal
Uncommon (0.1% to 1%): Muscle weakness, back pain, muscle twitching
Frequency not reported: Joint pain, stiffness, loss of motion
Postmarketing reports: Chondrolysis[Ref]
More about Sensorcaine-MPF (bupivacaine)
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- Drug class: local injectable anesthetics
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Patient resources
Other brands
Marcaine, Marcaine Spinal, Marcaine HCl, Xaracoll
Professional resources
Other brands
Marcaine, Posimir, Marcaine Spinal, Xaracoll
Other formulations
Related treatment guides
References
1. Cerner Multum, Inc. UK Summary of Product Characteristics.
2. Cerner Multum, Inc. Australian Product Information.
3. Product Information. Marcaine HCl (bupivacaine). Hospira Inc. 2008.
4. Product Information. Bupivacaine Hydrochloride, Spinal (bupivacaine). Claris Lifesciences Inc. 2017.
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Some side effects may not be reported. You may report them to the FDA.