Product image of Marcain-Adrenalin (Bupivacaine Hydrochloride, Epinephrine) supplied by GNH India

Marcain-Adrenalin

Active Ingredient:
Bupivacaine Hydrochloride, Epinephrine
Origin:
EU

Marcain-Adrenalin (Bupivacaine Hydrochloride, Epinephrine)

Bupivacaine hydrochloride, the active ingredient in Marcain-Adrenalin, is a local anesthetic presented as a sterile injectable solution for epidural and infiltration use. It provides surgical anesthesia and analgesia for adult patients undergoing minor to major procedures.
GNH India supplies Marcain-Adrenalin 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

Marcain-Adrenalin is a local anesthetic used in surgical and procedural settings to achieve nerve block and analgesia.

  • Surgical anesthesia: provides dense sensory block for operative procedures.
  • Epidural analgesia: prolongs pain relief during labor or postoperative period.
  • Infiltration anesthesia: enables local numbing for minor skin or soft‑tissue procedures.

How It Works

  • Bupivacaine hydrochloride blocks voltage‑gated sodium channels on neuronal membranes, preventing the initiation and propagation of nerve impulses. Epinephrine activates alpha‑adrenergic receptors causing vasoconstriction, which reduces systemic absorption of bupivacaine and prolongs its anesthetic effect at the site of injection.

Side Effects

Common Side Effects

  • Transient numbness at the injection site
  • Mild hypotension
  • Bradycardia
  • Headache
  • Nausea
  • Dizziness

Serious or Rare Side Effects

  • Cardiac arrhythmia
  • Seizure
  • Severe allergic reaction (anaphylaxis)
  • Methemoglobinemia
  • Persistent motor block
  • Local anesthetic systemic toxicity (LAST)

Precautions & Warnings

Before administration, consider the following precautions:

  • Allergy assessment: verify no known hypersensitivity to bupivacaine, epinephrine or amide anesthetics.
  • Cardiovascular status: avoid in patients with severe conduction disorders or uncontrolled hypertension.
  • Dosage limits: adhere to maximum recommended dose to prevent systemic toxicity.
  • Concurrent CNS depressants: monitor for additive central nervous system effects.
  • Pregnancy and lactation: use only if benefit outweighs risk; consult obstetric specialist.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Major Interactions (Avoid)

  • Class I antiarrhythmic agents (e.g., quinidine, procainamide): increased risk of cardiotoxicity.
  • Beta‑blockers: may potentiate bradycardia and hypotension.
  • General anesthetics (e.g., halothane): additive CNS depression.
  • Monoamine oxidase inhibitors: may enhance epinephrine effects.
  • Concurrent use of other local anesthetics: cumulative toxicity risk.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs: monitor for increased bleeding risk due to vasoconstriction.
  • Diuretics: may alter plasma concentration, monitor blood pressure.

Frequently Asked Questions

Marcain-Adrenalin is used to provide surgical anesthesia, epidural analgesia, and infiltration anesthesia. It helps achieve a dense nerve block for operative procedures, prolongs pain relief during labor or postoperative periods, and numbs tissue for minor skin or soft‑tissue interventions.

Bupivacaine hydrochloride blocks voltage‑gated sodium channels on nerve membranes, stopping the initiation and conduction of nerve impulses. This results in loss of sensation in the targeted area, allowing procedures to be performed without pain.

The dose of Marcain-Adrenalin is determined by the prescribing clinician based on the type of procedure, patient weight, and clinical context. Healthcare professionals calculate the appropriate volume and concentration to achieve effective anesthesia while staying within safety limits.

Safety data in pregnancy and lactation are limited. Use is only recommended when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and it should be administered under specialist guidance.

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 import documentation.

Marcain-Adrenalin combines bupivacaine with epinephrine, which causes local vasoconstriction. This prolongs the anesthetic effect and reduces systemic absorption compared with plain bupivacaine, allowing longer duration of action and potentially lower total dose.

Store the product at room temperature, preferably below 25 °C, in its original packaging. Protect it from light and moisture, and avoid freezing. Inspect the container for any particulate matter before use.

Marcain-Adrenalin is administered by a qualified healthcare professional via epidural or infiltration injection. The solution is injected directly into the target tissue or epidural space using aseptic technique.

Serious risks include cardiac arrhythmia, seizures, severe allergic reactions (anaphylaxis), methemoglobinemia, and local anesthetic systemic toxicity (LAST). Immediate medical attention is required if any of these occur.

Patients with known hypersensitivity to bupivacaine, epinephrine, or other amide‑type local anesthetics should avoid it. It is also contraindicated in individuals with severe conduction disorders, uncontrolled hypertension, or certain cardiac conditions without careful risk assessment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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