It is used as a local anesthetic (numbing medicine). Bupivacaine blocks the nerve impulses that send pain signals to your brain.

Abnormal heart rhythms, anxiety, blurred vision, cardiac arrest, cardiovascular collapse, chest pain, chills or shivering, confusion/disorientation, dizziness, drowsiness, constricted pupils.

Contraindicated in hypersensitivity, sensitivity to parabens, Obstetrical paracervical block anesthesia, Intravenous regional anesthesia use.

Caution should be taken in patients with history of malignant hyperthermia.

Preservative-containing solutions should not be used for caudal or epidural block.

Avoid intravascular administration.

Use caution in the elderly, the acutely ill or debilitated patient (may require dose reduction).

Please consult your doctor when taking this medicine if you are pregnant.

Moderate interactions of bupivacaine include: benazepril, captopril, dofetilide, bupivacaine liposome, pindolol, proprandolol.