Product image of Marcaine Glucose (Bupivacaine Hydrochloride, Anhydrous) supplied by GNH India

Marcaine Glucose

Active Ingredient:
Bupivacaine Hydrochloride, Anhydrous
Origin:
EU

Marcaine Glucose (Bupivacaine Hydrochloride, Anhydrous)

Bupivacaine hydrochloride, the active ingredient in Marcaine Glucose, is a local anesthetic (amide) presented as a sterile solution for infiltration and intrathecal use. It provides regional loss of sensation for minor surgical procedures, spinal anesthesia, and peripheral nerve blocks in adult patients.

GNH India supplies Marcaine Glucose as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide, ensuring quality and regulatory compliance across global markets.

Manufacturer / TM Owner

Aspen Pharma Trading Limited

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Indications & Clinical Uses

Bupivacaine hydrochloride is a local anesthetic used to achieve regional nerve blockade.

  • Local infiltration anesthesia: provides loss of sensation for minor surgical procedures.
  • Spinal (intrathecal) anesthesia: produces profound sensory block for surgeries requiring spinal anesthesia.
  • Regional nerve block: enables targeted anesthesia of specific peripheral nerves during operative or diagnostic procedures.

How It Works

  • Bupivacaine hydrochloride reversibly binds to voltage‑gated sodium channels on neuronal membranes, stabilizing the inactive state of the channel. This inhibition prevents the initiation and propagation of action potentials, thereby blocking nerve impulse transmission and producing a reversible, regional loss of sensation in the targeted area.

Side Effects

Bupivacaine may cause a range of adverse reactions, from mild to severe, depending on dose and administration technique.

Common Side Effects

  • Transient pain or burning at the injection site.
  • Hypotension due to sympathetic blockade.
  • Bradycardia, especially with high spinal levels.
  • Nausea or vomiting.
  • Dizziness or light‑headedness.
  • Metallic taste.

Serious or Rare Side Effects

  • Cardiac arrhythmias, including ventricular tachycardia.
  • Seizures from central nervous system toxicity.
  • Methemoglobinemia.
  • Allergic reactions, including anaphylaxis.
  • Persistent neurologic deficits.
  • Respiratory depression.

Precautions & Warnings

When using Marcaine Glucose, clinicians should observe several safety measures.

  • Patient assessment: evaluate cardiovascular and hepatic status before administration.
  • Dose limitation: avoid exceeding the recommended maximum dose for the specific route.
  • Caution in hepatic impairment: adjust use as metabolism may be reduced.
  • Avoid intravascular injection: aspirate before injecting to prevent systemic toxicity.
  • Monitoring: observe patients for signs of systemic toxicity during and after the procedure.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Bupivacaine can interact with other medications, altering its safety profile.

Major Interactions (Avoid)

  • Class I antiarrhythmics (e.g., quinidine, procainamide): may increase cardiotoxicity.
  • Beta‑blockers: can exacerbate bradycardia.
  • General anesthetics such as halothane: may potentiate central nervous system depression.

Moderate Interactions (Monitor Closely)

  • Opioids: additive central nervous system depression.
  • Sedatives (benzodiazepines): may increase sedation and respiratory depression.

Frequently Asked Questions

Marcaine Glucose contains bupivacaine hydrochloride and is used to provide local infiltration anesthesia for minor surgical procedures, spinal (intrathecal) anesthesia, and regional nerve blocks. It produces a reversible loss of sensation in the targeted area, facilitating pain‑free surgery or diagnostic interventions.

Bupivacaine hydrochloride blocks voltage‑gated sodium channels on nerve membranes, stabilizing them in an inactive state. This prevents the generation and propagation of action potentials, thereby interrupting nerve signal transmission and producing a regional loss of sensation.

The specific dose of Marcaine Glucose is determined by the prescribing clinician based on the procedure, route of administration, patient weight, and clinical judgment. Dosage recommendations are provided in the product’s prescribing information and must be individualized for each patient.

Safety data for bupivacaine hydrochloride in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision should be made by the treating physician in consultation with the patient.

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.

Bupivacaine provides a longer duration of action compared with agents such as lidocaine or mepivacaine, making it suitable for procedures requiring extended anesthesia. However, its higher potency also carries a greater risk of cardiotoxicity, so careful dosing and monitoring are essential.

Marcaine Glucose should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from direct light, moisture, and extreme temperature fluctuations to maintain stability and sterility.

The product is administered by a qualified healthcare professional via infiltration, intrathecal injection, or peripheral nerve block. Proper aseptic technique, correct needle placement, and aspiration before injection are essential to avoid intravascular administration and systemic toxicity.

Serious risks include cardiac arrhythmias, seizures, severe hypotension, and allergic reactions such as anaphylaxis. Early recognition of systemic toxicity signs and immediate supportive measures are critical to prevent life‑threatening complications.

Patients with known hypersensitivity to bupivacaine or other amide‑type local anesthetics, those with significant cardiac conduction abnormalities, uncontrolled severe hypotension, or who are receiving contraindicated interacting medications should not receive Marcaine Glucose.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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