Bupivacaine; Lidocaine

Bupivacaine; Lidocaine injection

What is bupivacaine; lidocaine injection?
BUPIVACAINE; LIDOCAINE (Duocaine™) is injected before and during eye surgery. Bupivacaine; lidocaine is an anesthetic that causes loss of feeling in the eye, skin and surrounding tissues. Generic bupivacaine; lidocaine is not available.

What should my health care professional know before I receive bupivacaine; lidocaine?
They need to know if you have any of these conditions:

  • blood clotting problems
  • heart or blood vessel disease
  • infection
  • liver disease
  • myasthenia gravis
  • an unusual reaction to bupivacaine; lidocaine, other local anesthetics, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should this medicine be used?
Bupivacaine; lidocaine is injected before eye surgery or other procedure. It will be given into the area around your eye so you will not feel pain during the procedure. Only a specially trained health-care professional will give bupivacaine; lidocaine to you.

What if I miss a dose?
This does not apply.

What drug(s) may interact with bupivacaine; lidocaine?

  • beta-blockers, often used for high blood pressure or heart problems
  • medicines for high blood pressure or heart rhythm disturbances
  • medicines that improve muscle strength or tone, for conditions like myasthenia gravis
  • some medicines for mental depression
  • some medicines for mental problems and psychotic disturbances

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from receiving bupivacaine; lidocaine?
Side effects that you should report to your prescriber or health care professional as soon as possible:

  • anxiety, restlessness
  • blurred vision
  • confusion
  • difficulty breathing
  • dizziness, drowsiness
  • irregular heartbeat (palpitations)
  • nausea, vomiting
  • seizures (convulsions)
  • skin rash, itching (hives)
  • swelling of the face or mouth
  • tremors

If they are going to occur, these side effects may become apparent before you leave the hospital, clinic or dental office. Call your health care provider as soon as you can if you get any of the above reactions later.

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

  • numbness or tingling of the face or mouth
  • pain at the injection site
  • temporary loss of sensation and movement of the eye(s)

What should I watch for while taking bupivacaine; lidocaine?
After an injection of bupivacaine; lidocaine the area will be numb for some time and you will not be aware of pain. Try to avoid injury to the area. Let your prescriber or health care professional know if the effects of bupivacaine; lidocaine do not wear off within a few hours.

Where can I keep my medicine?
You will only receive this drug in a hospital or clinic setting before eye surgery or other procedures. You will not need to take this medicine at home.

Johns Hopkins patient information

Copyright 1996-2014 Cerner Multum, Inc. Version: 16.02.
Revision date: July 5, 2011
Last revised: by Andrew G. Epstein, M.D.

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