Product image of Marcaine 0,5 % Adrénaline (Epinephrine, Bupivacaine Hydrochloride, Anhydrous) supplied by GNH India

Marcaine 0,5 % Adrénaline

Active Ingredient:
Epinephrine, Bupivacaine Hydrochloride, Anhydrous
Origin:
EU

Marcaine 0,5 % Adrénaline (Epinephrine, Bupivacaine Hydrochloride, Anhydrous)

Bupivacaine hydrochloride, the active ingredient in Marcaine 0,5 % Adrénaline, is a local anesthetic presented as a 0.5% solution for injection for epidural and infiltration use. It provides regional anesthesia for surgical procedures and pain management in adult patients.

GNH India supplies Marcaine 0,5 % Adrénaline as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and procurement teams worldwide.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Marcaine 0,5 % Adrénaline, a combination local anesthetic, is used in procedures requiring regional nerve block or infiltration anesthesia.

  • Surgical anesthesia: provides local or regional anesthesia for a variety of surgical procedures.
  • Epidural anesthesia: produces a prolonged epidural block for obstetric or postoperative pain control.
  • Infiltration anesthesia: delivers targeted anesthesia for minor surgeries or wound repair.

How It Works

  • Bupivacaine binds to voltage‑gated sodium channels on neuronal membranes, stabilising the inactive state and preventing depolarisation, which blocks nerve impulse transmission. Epinephrine induces vasoconstriction at the injection site, reducing local blood flow, which limits systemic absorption of bupivacaine and prolongs its anesthetic duration.

Side Effects

Adverse reactions may occur following administration of Marcaine 0,5 % Adrénaline.

Common Side Effects

  • Transient pain at the injection site
  • Tingling or numbness in the treated area
  • Mild hypotension due to epinephrine
  • Bradycardia

Serious or Rare Side Effects

  • Cardiac arrhythmias
  • Seizures
  • Methemoglobinemia
  • Allergic reactions, including anaphylaxis

Precautions & Warnings

Proper assessment and handling are essential when using this injectable anesthetic.

  • Patient assessment: evaluate cardiovascular status before administration.
  • Dose limitation: avoid exceeding the recommended maximum dose.
  • Hepatic impairment: use with caution in patients with liver dysfunction.
  • Intravascular injection: aspirate before injection to prevent systemic exposure.
  • Monitor for toxicity: observe for signs of central nervous system or cardiac toxicity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Marcaine 0,5 % Adrénaline may interact with several drug classes.

Major Interactions (Avoid)

  • Beta‑adrenergic blockers: may potentiate epinephrine‑induced hypertension.
  • Class I antiarrhythmics (e.g., quinidine): increase risk of cardiac toxicity.
  • MAO inhibitors: may enhance epinephrine effects.

Moderate Interactions (Monitor Closely)

  • Other local anesthetics: additive neuro‑ and cardiotoxicity.
  • Calcium channel blockers: may affect cardiac conduction when combined.
  • General anesthetics: may potentiate central nervous system depression.

Frequently Asked Questions

Marcaine 0,5 % Adrénaline is a combination of bupivacaine hydrochloride and epinephrine used to provide local or regional anesthesia for surgical procedures, epidural blocks, and infiltration anesthesia in adult patients.

Bupivacaine blocks voltage‑gated sodium channels on nerve membranes, preventing depolarisation and halting nerve impulse transmission. Epinephrine causes local vasoconstriction, which slows systemic absorption of bupivacaine and extends its anesthetic effect.

The dose is determined by the prescribing clinician based on the type of procedure, patient weight, and clinical guidelines. Only a qualified healthcare professional should calculate and administer the appropriate amount.

Safety in pregnancy and lactation has not been definitively established. The product should be used only if the potential benefit justifies any potential risk to the fetus or infant, and the decision should be made by the treating physician.

Submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and import documentation.

Marcaine combines bupivacaine, which has a longer duration of action than lidocaine, with epinephrine to further prolong effect and reduce systemic absorption. This makes it suitable for procedures requiring extended anesthesia, whereas shorter‑acting agents may be preferred for brief interventions.

Marcaine 0,5 % Adrénaline should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Keep the vial in its original packaging until use to maintain stability.

The solution is administered by a qualified healthcare professional via injection, either epidurally or by infiltration into the target tissue. Proper aseptic technique and aspiration before injection are essential to avoid intravascular administration.

Serious risks include cardiac arrhythmias, seizures, methemoglobinemia, and severe allergic reactions such as anaphylaxis. Immediate medical attention is required if any of these events occur.

Patients with known hypersensitivity to bupivacaine, epinephrine, or any component of the formulation should avoid this product. Caution is also advised in individuals with severe cardiac disease, uncontrolled hypertension, or significant hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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