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

Marcaine 0,5% Adréenaline

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

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

Bupivacaine hydrochloride, the active ingredient in Marcaine 0,5% Adréenaline, is a long‑acting local anesthetic presented as a 0.5% (w/v) injectable solution combined with epinephrine for epidural and infiltration use. It provides profound, site‑specific anesthesia for surgical procedures and other invasive interventions.

GNH India supplies Marcaine 0,5% Adréenaline as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide. The product conforms to EU pharmacopeial specifications and is manufactured under GMP conditions. It is distributed through a validated cold‑chain logistics network to maintain stability.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Marcaine 0,5% Adréenaline, a local anesthetic used in regional anesthesia, is indicated for the following clinical situations:

  • Local anesthesia for surgical procedures: Provides site‑specific numbness to facilitate operative interventions.
  • Epidural anesthesia: Produces sensory and motor block for obstetric, orthopedic or abdominal surgeries.
  • Infiltration anesthesia: Delivers targeted analgesia for minor procedures and postoperative pain control.

How It Works

  • Bupivacaine hydrochloride blocks voltage‑gated sodium channels on neuronal membranes, preventing depolarisation and halting nerve impulse transmission. Epinephrine induces vasoconstriction at the injection site, reducing systemic absorption of bupivacaine and thereby extending its duration of local anaesthetic effect.

Side Effects

Marcaine 0,5% Adréenaline may cause a range of adverse reactions.

Common Side Effects

  • Injection site pain or burning sensation.
  • Transient hypotension or mild dizziness.
  • Nausea or vomiting.
  • Temporary metallic taste.
  • Mild tremor or shivering.

Serious or Rare Side Effects

  • Cardiovascular toxicity such as arrhythmias or severe hypertension.
  • Central nervous system toxicity including seizures or loss of consciousness.
  • Severe allergic reactions or anaphylaxis.
  • Prolonged motor block or neuropathy.
  • Methemoglobinemia (rare).

Precautions & Warnings

When using Marcaine 0,5% Adréenaline, consider the following precautions:

  • Pregnancy: Safety not established; use only if benefit outweighs risk.
  • Cardiovascular disease: Monitor for arrhythmias and blood pressure changes due to epinephrine.
  • Dosage adjustment: Administer only by qualified professionals; adjust for age, weight, and comorbidities.
  • Allergy: Avoid in patients with known hypersensitivity to bupivacaine or epinephrine.
  • Drug interactions: Review concomitant medications, especially MAO inhibitors and beta‑blockers.
  • Store at 2-8°C: Keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Marcaine 0,5% Adréenaline can interact with several drug classes.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors: May potentiate epinephrine‑induced hypertension.
  • Non‑selective alpha‑blockers: Can diminish vasoconstrictive effect, increasing systemic bupivacaine exposure.
  • Other local anesthetics: Concurrent use raises risk of systemic toxicity.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: May mask tachycardia caused by epinephrine.
  • Calcium channel blockers: Potential additive cardiovascular effects.
  • Diuretics: May alter plasma concentration of bupivacaine.

Frequently Asked Questions

Marcaine 0,5% Adréenaline is a combination of bupivacaine hydrochloride and epinephrine used to provide local anesthesia for surgical procedures, epidural blocks, and infiltration techniques. It creates a reversible loss of sensation in a targeted area, allowing clinicians to perform invasive interventions without pain.

Bupivacaine blocks voltage‑gated sodium channels on nerve membranes, preventing the initiation and propagation of action potentials. This inhibition stops nerve signal transmission, resulting in loss of sensation. The added epinephrine causes local vasoconstriction, slowing systemic absorption and extending the anesthetic duration.

The dose of Marcaine 0,5% Adréenaline is determined by the prescribing clinician based on the type of procedure, patient age, weight, and overall health. Only qualified healthcare professionals should calculate and administer the appropriate volume to ensure safety and efficacy.

Safety data for Marcaine 0,5% Adréenaline in pregnancy and lactation are limited. It should be used only when the potential benefit justifies any potential risk to the fetus or infant, and decisions should be made in consultation with a obstetric or pediatric specialist.

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 cold‑chain if needed), and required import documentation.

Marcaine (bupivacaine with epinephrine) offers a longer duration of action than shorter‑acting agents such as lidocaine. The epinephrine component reduces systemic uptake, prolonging effect and decreasing bleeding. However, its potency requires careful dosing and monitoring, especially in patients with cardiovascular concerns.

Marcaine 0,5% Adréenaline should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze or shake the vial. Before use, allow the solution to reach room temperature if required, and inspect for particulate matter or discoloration.

The product is supplied as an injectable solution for epidural or infiltration administration. A qualified clinician injects the appropriate volume directly into the target tissue or epidural space using aseptic technique, often under imaging guidance for precise placement.

Serious risks include cardiovascular toxicity such as severe hypertension, arrhythmias, or cardiac arrest, and central nervous system toxicity leading to seizures or loss of consciousness. Rarely, anaphylactic reactions or methemoglobinemia may occur, requiring immediate medical intervention.

Patients with known hypersensitivity to bupivacaine, epinephrine, or any component of the formulation should avoid this product. It is also contraindicated in individuals with certain cardiac conditions, uncontrolled hypertension, or those taking non‑selective alpha‑blockers without careful monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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