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 epidural and infiltration use. It provides regional anesthesia for surgical procedures and pain management.

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

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Marcaine 0,5 % Adrénaline, a combination local anesthetic, is employed in clinical situations that require regional nerve block or analgesia.

  • Surgical procedures: provides local anesthesia for incision and operative sites.
  • Epidural analgesia: delivers pain relief during labor or postoperative periods.
  • Infiltration anesthesia: numbs tissue for minor surgeries or dental procedures.

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 activates alpha‑adrenergic receptors on vascular smooth muscle, causing vasoconstriction that reduces systemic absorption of bupivacaine and prolongs its anesthetic effect.

Side Effects

Common side effects are generally mild and transient.

Common Side Effects

  • Transient pain at injection site
  • Tachycardia
  • Hypertension
  • Nausea
  • Dizziness

Serious or Rare Side Effects

  • Cardiac arrhythmias
  • Seizures
  • Severe hypotension
  • Allergic reactions (anaphylaxis)

Precautions & Warnings

When using Marcaine 0,5 % Adrénaline, clinicians should observe several safety measures.

  • Allergy assessment: verify no known hypersensitivity to bupivacaine, epinephrine or amide‑type anesthetics.
  • Cardiovascular status: avoid in patients with uncontrolled hypertension or arrhythmias.
  • Dosage limits: adhere to recommended maximum dose to prevent toxicity.
  • Concurrent MAO inhibitors: use with caution as epinephrine effects may be enhanced.
  • Pregnancy and lactation: assess risk–benefit; limited data are available.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Marcaine 0,5 % Adrénaline may interact with several drug classes; awareness of interaction severity guides clinical decisions.

Major Interactions (Avoid)

  • Beta‑blockers: may potentiate epinephrine‑induced hypertension and tachycardia.
  • Class I antiarrhythmics (e.g., quinidine): increase risk of cardiac toxicity with bupivacaine.
  • Monoamine oxidase inhibitors (MAOIs): can amplify epinephrine effects.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers: may affect cardiac conduction when combined with bupivacaine.
  • Other local anesthetics: additive toxicity risk.
  • Sympathomimetic drugs (e.g., phenylephrine): monitor blood pressure.

Frequently Asked Questions

Marcaine 0,5 % Adrénaline is used to provide local or regional anesthesia for surgical procedures, epidural analgesia during labor or postoperative care, and infiltration anesthesia for minor surgeries or dental work. The combination of bupivacaine and epinephrine offers prolonged pain control and reduced systemic absorption.

Bupivacaine blocks voltage‑gated sodium channels on nerve membranes, stabilising them in an inactive state and preventing the initiation and propagation of nerve impulses. This interruption of signal transmission results in loss of sensation in the targeted area, producing the anesthetic effect.

The specific dose of Marcaine 0,5 % Adrénaline is determined by the prescribing clinician based on the type of procedure, patient weight, age, and overall health. Healthcare professionals calculate the appropriate volume to stay within safe maximum limits for bupivacaine.

Safety data for Marcaine 0,5 % Adrénaline in pregnancy and lactation are limited. Clinicians should weigh potential benefits against possible risks and consider alternative anesthetic options when treating pregnant or nursing patients.

To order, 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 any cold‑chain needs) and required import documentation.

Marcaine (bupivacaine with epinephrine) provides a longer duration of anesthesia than lidocaine, which is shorter‑acting. The added epinephrine in Marcaine reduces systemic absorption, further extending the block, whereas lidocaine typically lacks this vasoconstrictive component.

Store the solution at ambient temperature, preferably below 25 °C, in its original packaging. Protect it from direct light and moisture. Do not freeze the product, and ensure the container is tightly sealed to maintain sterility.

The medication is administered by a qualified healthcare professional via injection. It can be delivered epidurally for spinal analgesia, infiltrated directly into tissue for localized numbness, or used for peripheral nerve blocks, depending on the clinical indication.

Serious risks include cardiac arrhythmias, seizures, severe hypotension, and anaphylactic reactions. These events are rare but require immediate medical attention. Monitoring of cardiovascular status and adherence to maximum dosage limits are essential to minimize these risks.

Patients with known hypersensitivity to bupivacaine, epinephrine, or other amide‑type local anesthetics should avoid this product. It is also contraindicated in individuals with uncontrolled hypertension, certain cardiac conduction disorders, or those taking MAO inhibitors without careful supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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