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

Pankaine Glucose

Active Ingredient:
Bupivacaine Hydrochloride, Anhydrous
Origin:
EU

Pankaine Glucose (Bupivacaine Hydrochloride, Anhydrous)

Bupivacaine Hydrochloride, the active ingredient in Pankaine Glucose, is a local anesthetic presented as a sterile solution for intrathecal use. It provides profound sensory and motor block for surgical anesthesia and pain management in adult patients undergoing operative procedures.

GNH India supplies Pankaine Glucose as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide. The company ensures quality compliance with EU standards and offers reliable global distribution to healthcare institutions, including academic medical centers and surgical clinics, and adheres to stringent pharmacovigilance protocols.

Manufacturer / TM Owner

Panpharma

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Indications & Clinical Uses

Bupivacaine Hydrochloride is employed as a local anesthetic for procedures requiring spinal or regional nerve block.

  • Surgical anesthesia: provides dense sensory and motor block for operative procedures.
  • Pain management: enables regional analgesia for postoperative or chronic pain control.
  • Intrathecal anesthesia: facilitates spinal anesthesia for lower‑body surgeries and obstetric procedures.

How It Works

  • Bupivacaine Hydrochloride exerts its effect by reversibly binding to the intracellular portion of voltage‑gated sodium channels on neuronal membranes. This blockade prevents the influx of sodium ions during depolarization, thereby inhibiting the generation and propagation of nerve impulses. The resulting interruption of signal transmission produces a rapid and prolonged loss of sensation and motor function in the targeted area.

Side Effects

Bupivacaine Hydrochloride may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Hypotension: transient drop in blood pressure following spinal block.
  • Bradycardia: slowed heart rate due to autonomic blockade.
  • Nausea: mild gastrointestinal upset after administration.
  • Pruritus: localized itching, often at the injection site.

Serious or Rare Side Effects

  • Cardiac arrest: severe conduction disturbances leading to loss of cardiac output.
  • Seizures: central nervous system toxicity presenting as convulsions.
  • Respiratory depression: inadequate ventilation requiring support.
  • Allergic reactions: anaphylaxis or severe hypersensitivity.

Precautions & Warnings

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

  • Patient assessment: evaluate cardiac, respiratory and CNS status before intrathecal administration.
  • Dose selection: use the lowest effective dose and adjust for patient weight and comorbidities.
  • Monitoring: maintain continuous cardiovascular and respiratory monitoring during and after injection.
  • Contraindications: avoid use in patients with known hypersensitivity to amide local anesthetics or severe spinal canal pathology.
  • Drug interactions: exercise caution when co‑administered with other CNS depressants or vasodilators.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Bupivacaine Hydrochloride can interact with several drug classes.

Major Interactions (Avoid)

  • Other local anesthetics: additive toxicity risk.
  • Potent CYP3A4 inhibitors (e.g., ketoconazole): increased plasma concentrations.
  • Systemic vasodilators (e.g., nitroglycerin): heightened hypotensive effect.

Moderate Interactions (Monitor Closely)

  • Sedatives or opioids: enhanced central nervous system depression.
  • Beta‑blockers: potential for profound bradycardia.
  • Diuretics: may alter plasma volume affecting drug distribution.

Frequently Asked Questions

Pankaine Glucose contains Bupivacaine Hydrochloride, a long‑acting amide local anesthetic. It is used to produce spinal (intrathecal) anesthesia for surgical procedures, to provide regional analgesia for postoperative pain, and to manage acute pain in adult patients where a profound, reversible nerve block is required. The drug is administered by qualified healthcare professionals in a controlled clinical setting.

Bupivacaine Hydrochloride blocks voltage‑gated sodium channels on neuronal membranes. By preventing sodium influx during depolarization, it stops the initiation and propagation of nerve impulses. This interruption of electrical signaling results in loss of sensation and motor function in the area supplied by the blocked nerves, producing a reliable and extended anesthetic effect.

The specific intrathecal dose of Pankaine Glucose is determined by the prescribing clinician based on the type of procedure, patient weight, age, and overall health status. Dosing guidelines are provided in the product’s prescribing information, and the prescriber tailors the amount to achieve the desired anesthetic depth while minimizing risk.

Safety data for Bupivacaine Hydrochloride during pregnancy and lactation are limited. The drug should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. Clinicians must evaluate each case individually, and it is generally avoided in the first trimester and during breastfeeding unless absolutely necessary.

To request Pankaine Glucose, visit the product page on gnhindia.com and submit an enquiry with the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides a quotation, confirms availability, arranges shipping (including cold‑chain if needed), and handles all import documentation.

Compared with shorter‑acting agents such as lidocaine, Bupivacaine Hydrochloride offers a longer duration of sensory and motor block, making it suitable for prolonged surgeries and postoperative analgesia. However, its higher potency also carries a greater risk of cardiotoxicity, so careful dosing and monitoring are essential. Choice of agent depends on the required block length, patient risk profile, and procedural considerations.

Pankaine Glucose should be stored at ambient temperature, below 25 °C, in its original sealed container. Protect the product from direct sunlight, moisture and extreme temperature fluctuations. Before use, inspect the solution for particulate matter or discoloration, and handle it with aseptic technique to maintain sterility. Follow local regulations for disposal of any unused material.

Pankaine Glucose is administered by a qualified clinician via a sterile intrathecal injection into the subarachnoid space, typically at the lumbar level. The procedure is performed under aseptic conditions using a spinal needle. Dosage is calculated by the prescriber, and the patient is monitored continuously for cardiovascular and respiratory stability throughout the anesthetic period.

The most serious adverse events include cardiac toxicity such as arrhythmias or cardiac arrest, central nervous system toxicity manifesting as seizures, severe respiratory depression requiring ventilatory support, and anaphylactic reactions. These risks are heightened by accidental intravascular injection or excessive dosing. Immediate recognition and supportive measures are critical to mitigate potential harm.

Pankaine Glucose is contraindicated in patients with known hypersensitivity to amide‑type local anesthetics, those with severe spinal canal pathology, or individuals with significant cardiac conduction disorders. Caution is also advised for patients with uncontrolled epilepsy, severe hepatic impairment, or those receiving other agents that may potentiate its cardiotoxic or neurotoxic effects. The decision to use the drug must be made by a qualified healthcare professional after thorough assessment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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