bupivacaine ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
local anaesthetics 432 38396-39-3

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • bupivacaine hydrochloride anhydrous
  • bupivacaine
  • (+/-)-Bupivacaine
  • bucain
  • bupivan
  • carbostesin
  • DL-Bupivacaine
  • bupivacaine hydrochloride
  • bupivacaine HCl
A widely used local anesthetic agent.
  • Molecular weight: 288.44
  • Formula: C18H28N2O
  • CLOGP: 3.69
  • LIPINSKI: 0
  • HAC: 3
  • HDO: 1
  • TPSA: 32.34
  • ALOGS: -3.47
  • ROTB: 5

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 0.18 mg/mL Bocci G, Oprea TI, Benet LZ
EoM (Fraction excreted unchanged in urine) 2 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 13.00 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 0 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 0.84 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 4.30 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.06 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 3.10 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
Oct. 3, 1972 FDA HOSPIRA

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Anaesthetic complication 1566.71 16.99 294 16872 1666 63470190
Maternal exposure during delivery 690.87 16.99 142 17024 1358 63470498
Exposure during pregnancy 602.09 16.99 424 16742 155123 63316733
Hypotension 404.05 16.99 429 16737 272175 63199681
Drug ineffective 398.00 16.99 867 16299 1043898 62427958
Maternal exposure during pregnancy 346.57 16.99 358 16808 219704 63252152
Chondrolysis 291.99 16.99 51 17115 176 63471680
Local anaesthetic systemic toxicity 281.93 16.99 62 17104 837 63471019
Cauda equina syndrome 216.47 16.99 51 17115 951 63470905
Bradycardia 205.27 16.99 165 17001 73062 63398794
Incorrect route of product administration 165.14 16.99 99 17067 27353 63444503
Normal newborn 159.22 16.99 66 17100 8275 63463581
Premature delivery 146.28 16.99 95 17071 30186 63441670
Drug withdrawal syndrome 140.48 16.99 89 17077 27105 63444751
Procedural hypotension 120.16 16.99 33 17133 1157 63470699
Paralysis 117.04 16.99 56 17110 9844 63462012
Wrong product administered 115.20 16.99 48 17118 6093 63465763
Unresponsive to stimuli 113.83 16.99 85 17081 33731 63438125
Respiratory depression 113.62 16.99 61 17105 13654 63458202
Implant site extravasation 110.95 16.99 26 17140 473 63471383
Anterior spinal artery syndrome 107.71 16.99 20 17146 105 63471751
Extradural haematoma 103.86 16.99 32 17134 1690 63470166
Diarrhoea 97.62 16.99 36 17130 715330 62756526
Cardiac arrest 93.41 16.99 120 17046 92425 63379431
Hypoaesthesia 93.40 16.99 165 17001 168228 63303628
Lagophthalmos 91.39 16.99 21 17145 349 63471507
Caesarean section 91.09 16.99 57 17109 16975 63454881
Ventilation perfusion mismatch 89.40 16.99 22 17144 496 63471360
Inadequate analgesia 87.04 16.99 32 17134 2911 63468945
Spinal cord injury 86.64 16.99 24 17142 869 63470987
Myoclonus 84.60 16.99 53 17113 15815 63456041
Fatigue 82.22 16.99 72 17094 887956 62583900
Rhythm idioventricular 81.49 16.99 18 17148 248 63471608
Live birth 80.88 16.99 62 17104 25568 63446288
Arachnoiditis 76.98 16.99 18 17148 324 63471532
Paraplegia 75.15 16.99 28 17138 2644 63469212
Hyperaesthesia 72.99 16.99 40 17126 9318 63462538
Generalised tonic-clonic seizure 72.04 16.99 61 17105 28955 63442901
Apnoea 70.16 16.99 37 17129 7985 63463871
Medical device site pain 70.13 16.99 15 17151 176 63471680
Purtscher retinopathy 67.58 16.99 13 17153 85 63471771
Anaphylactic shock 65.58 16.99 53 17113 23580 63448276
Sedation 62.30 16.99 64 17102 38745 63433111
Foetal exposure during delivery 60.90 16.99 13 17153 151 63471705
Hypoxia 59.46 16.99 77 17089 59715 63412141
Hypothermia 59.24 16.99 40 17126 13541 63458315
Sensory loss 59.15 16.99 36 17130 10202 63461654
Anaphylactic reaction 57.89 16.99 80 17086 66020 63405836
Rash 57.38 16.99 41 17125 560830 62911026
Parophthalmia 57.17 16.99 14 17152 309 63471547
Spinal anaesthesia 56.49 16.99 10 17156 38 63471818
Premature baby 56.47 16.99 46 17120 20689 63451167
Procedural complication 55.99 16.99 28 17138 5411 63466445
Post procedural complication 55.40 16.99 42 17124 17032 63454824
Meningitis chemical 55.26 16.99 12 17154 152 63471704
Conjunctival oedema 55.15 16.99 16 17150 686 63471170
Labelled drug-drug interaction medication error 54.97 16.99 38 17128 13361 63458495
Delayed recovery from anaesthesia 53.67 16.99 16 17150 755 63471101
Rheumatoid arthritis 53.38 16.99 4 17162 253815 63218041
Bradycardia foetal 53.00 16.99 14 17152 422 63471434
Blood pressure decreased 52.94 16.99 76 17090 64946 63406910
Seizure 52.73 16.99 113 17053 132521 63339335
Post lumbar puncture syndrome 52.68 16.99 15 17151 601 63471255
Hypertensive encephalopathy 52.16 16.99 15 17151 623 63471233
Platelet aggregation inhibition 51.28 16.99 11 17155 131 63471725
Therapeutic product effect prolonged 50.77 16.99 13 17153 346 63471510
Urinary retention 50.50 16.99 51 17115 30250 63441606
Spinal cord infarction 49.57 16.99 12 17154 252 63471604
Therapeutic product effect delayed 49.30 16.99 20 17146 2371 63469485
Vascular resistance systemic decreased 48.96 16.99 10 17156 92 63471764
Circulatory collapse 48.15 16.99 43 17123 21895 63449961
Overdose 48.00 16.99 100 17066 114978 63356878
Horner's syndrome 47.43 16.99 8 17158 21 63471835
Postpartum haemorrhage 45.81 16.99 18 17148 1963 63469893
Arachnoid web 45.66 16.99 7 17159 7 63471849
Neurotoxicity 44.82 16.99 37 17129 16953 63454903
Haemodynamic instability 44.76 16.99 29 17137 9161 63462695
Loss of consciousness 43.94 16.99 98 17068 118023 63353833
Diplegia 43.89 16.99 15 17151 1102 63470754
No adverse event 43.80 16.99 55 17111 41350 63430506
Nasopharyngitis 43.65 16.99 8 17158 254249 63217607
Neuromuscular blockade 43.17 16.99 11 17155 287 63471569
Intracranial hypotension 42.95 16.99 11 17155 293 63471563
Motor dysfunction 42.93 16.99 30 17136 10731 63461125
Mental status changes postoperative 42.26 16.99 10 17156 190 63471666
Pneumonia 42.12 16.99 37 17129 456730 63015126
Joint swelling 42.05 16.99 18 17148 327648 63144208
Pulseless electrical activity 39.78 16.99 25 17141 7496 63464360
Spinal cord oedema 39.49 16.99 9 17157 144 63471712
Exophthalmos 39.42 16.99 15 17151 1501 63470355
Procedural pain 39.08 16.99 38 17128 21531 63450325
Pyrexia 38.88 16.99 42 17124 470436 63001420
Peripheral swelling 38.52 16.99 12 17154 265930 63205926
Prescribed overdose 37.14 16.99 46 17120 34107 63437749
Harlequin syndrome 37.05 16.99 7 17159 41 63471815
Uterine atony 36.91 16.99 9 17157 195 63471661
Therapy non-responder 36.48 16.99 70 17096 75831 63396025
Depressed level of consciousness 35.86 16.99 62 17104 62016 63409840
Ventricular tachycardia 35.83 16.99 35 17131 19944 63451912
Product quality issue 35.35 16.99 46 17120 35819 63436037
Necrotising fasciitis 35.32 16.99 17 17149 3024 63468832
Product dose omission issue 34.98 16.99 10 17156 234303 63237553
Peripartum cardiomyopathy 34.06 16.99 8 17158 147 63471709
Spinal cord compression 33.09 16.99 18 17148 4130 63467726
Acute kidney injury 32.95 16.99 15 17151 263400 63208456
Systemic lupus erythematosus 32.92 16.99 8 17158 208910 63262946
Respiratory rate decreased 32.90 16.99 17 17149 3518 63468338
Complication associated with device 32.82 16.99 31 17135 16947 63454909
Ophthalmoplegia 32.79 16.99 13 17153 1451 63470405
Neuromuscular block prolonged 32.38 16.99 10 17156 532 63471324
Tachycardia 32.20 16.99 87 17079 118069 63353787
Strabismus 32.01 16.99 14 17152 2000 63469856
Cerebrospinal fluid leakage 31.75 16.99 12 17154 1178 63470678
Neuralgia 31.59 16.99 37 17129 25889 63445967
Neutropenia 31.13 16.99 5 17161 175000 63296856
Weight increased 30.87 16.99 16 17150 260776 63211080
Kounis syndrome 30.69 16.99 13 17153 1717 63470139
Confusion postoperative 30.39 16.99 8 17158 238 63471618
Cough 30.39 16.99 21 17145 292722 63179134
Death 30.26 16.99 34 17132 374347 63097509
Arthropathy 29.94 16.99 13 17153 234779 63237077
Muscular weakness 29.33 16.99 86 17080 122267 63349589
Respiratory arrest 29.30 16.99 40 17126 32605 63439251
Sensorimotor disorder 29.17 16.99 9 17157 477 63471379
Uterine hypertonus 28.81 16.99 8 17158 292 63471564
Anaesthetic complication cardiac 28.68 16.99 5 17161 17 63471839
Monoplegia 28.66 16.99 15 17151 3186 63468670
Device infusion issue 28.65 16.99 13 17153 2025 63469831
Arteriospasm coronary 28.32 16.99 16 17150 3952 63467904
Product formulation issue 27.64 16.99 9 17157 569 63471287
Myelitis transverse 27.57 16.99 11 17155 1249 63470607
Medical device site erythema 27.47 16.99 5 17161 23 63471833
Urinary tract infection 27.45 16.99 19 17147 264665 63207191
Weight decreased 27.24 16.99 21 17145 276777 63195079
Fall 27.19 16.99 40 17126 392294 63079562
Pemphigus 27.12 16.99 8 17158 183718 63288138
Bundle branch block left 26.58 16.99 19 17147 7040 63464816
Low birth weight baby 26.41 16.99 19 17147 7110 63464746
Implant site infection 26.24 16.99 10 17156 1004 63470852
Product measured potency issue 25.61 16.99 6 17160 109 63471747
Device alarm issue 25.50 16.99 11 17155 1519 63470337
Lower respiratory tract infection 25.37 16.99 3 17163 132304 63339552
Sinusitis 25.23 16.99 15 17151 226638 63245218
Product closure issue 25.20 16.99 4 17162 6 63471850
White blood cell count decreased 24.68 16.99 4 17162 139100 63332756
Sensory disturbance 24.60 16.99 24 17142 13648 63458208
Allodynia 24.57 16.99 9 17157 810 63471046
Device failure 24.54 16.99 17 17149 5994 63465862
Obstetric procedure complication 24.47 16.99 4 17162 8 63471848
Myopathy toxic 24.32 16.99 8 17158 522 63471334
Glossodynia 24.28 16.99 9 17157 178867 63292989
Chondromalacia 24.24 16.99 7 17159 295 63471561
Maternal drugs affecting foetus 24.21 16.99 16 17150 5226 63466630
Mental status changes 23.45 16.99 40 17126 39559 63432297
Contraindicated product administered 23.40 16.99 15 17151 217633 63254223
Mean arterial pressure decreased 23.35 16.99 6 17160 162 63471694
Arthralgia 23.13 16.99 78 17088 569632 62902224
Accidental overdose 23.13 16.99 30 17136 23279 63448577
Cancer pain 23.08 16.99 13 17153 3192 63468664
Alopecia 22.81 16.99 35 17131 337501 63134355
Anaemia 22.25 16.99 28 17138 293402 63178454
Completed suicide 22.13 16.99 6 17160 145667 63326189
Stridor 21.98 16.99 13 17153 3497 63468359
Drug intolerance 21.84 16.99 31 17135 308630 63163226
Trigeminal palsy 21.70 16.99 4 17162 20 63471836
Nervous system disorder 21.57 16.99 26 17140 18740 63453116
Incision site pain 21.54 16.99 9 17157 1149 63470707
Cardiac output increased 21.48 16.99 6 17160 224 63471632
Blood pressure systolic decreased 21.39 16.99 17 17149 7380 63464476
Arthrofibrosis 21.23 16.99 4 17162 23 63471833
Adverse drug reaction 21.01 16.99 58 17108 79656 63392200
Blood pressure immeasurable 21.00 16.99 9 17157 1223 63470633
Anaesthetic complication neurological 20.66 16.99 6 17160 258 63471598
Hypercholesterolaemia 20.46 16.99 27 17139 21307 63450549
Hand deformity 20.05 16.99 9 17157 159448 63312408
Hypoaesthesia oral 20.02 16.99 21 17145 13012 63458844
Ventricular fibrillation 19.82 16.99 20 17146 11847 63460009
Atrioventricular block complete 19.76 16.99 17 17149 8234 63463622
Influenza 19.57 16.99 3 17163 108719 63363137
Product administration error 19.43 16.99 27 17139 22370 63449486
Infusion site mass 19.40 16.99 10 17156 2058 63469798
Infection 19.40 16.99 20 17146 229153 63242703
Brachial plexopathy 19.39 16.99 5 17161 137 63471719
Agitation 19.37 16.99 47 17119 59710 63412146
Device malfunction 19.33 16.99 24 17142 17833 63454023
Neurogenic shock 19.27 16.99 6 17160 328 63471528
Abdominal discomfort 19.17 16.99 36 17130 320849 63151007
Radiculopathy 19.13 16.99 17 17149 8594 63463262
Seroma 19.12 16.99 10 17156 2121 63469735
Status epilepticus 18.99 16.99 22 17144 15211 63456645
Myalgia 18.85 16.99 8 17158 146521 63325335
Vocal cord paralysis 18.81 16.99 10 17156 2191 63469665
Ventricular hypokinesia 18.65 16.99 13 17153 4631 63467225
Intraocular pressure fluctuation 18.62 16.99 4 17162 48 63471808
Synovitis 18.61 16.99 14 17152 186904 63284952
Sphincter of Oddi dysfunction 18.18 16.99 6 17160 396 63471460
Peroneal nerve palsy 18.17 16.99 13 17153 4822 63467034
Spinal cord haematoma 18.08 16.99 5 17161 180 63471676
Contusion 18.05 16.99 9 17157 150035 63321821
Maternal use of illicit drugs 18.04 16.99 3 17163 7 63471849
Manipulation 17.92 16.99 4 17162 58 63471798
Implant site pain 17.85 16.99 10 17156 2430 63469426
Hypovolaemia 17.84 16.99 18 17148 10655 63461201
Therapeutic product effect variable 17.82 16.99 8 17158 1215 63470641
Febrile neutropenia 17.76 16.99 5 17161 118444 63353412
Rotator cuff syndrome 17.68 16.99 20 17146 13482 63458374
Stroke volume increased 17.49 16.99 3 17163 9 63471847
Pericarditis 17.22 16.99 7 17159 131572 63340284
Respiratory distress 17.16 16.99 32 17134 33919 63437937

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Anaesthetic complication 714.35 22.24 136 8121 984 34947690
Chondrolysis 258.17 22.24 41 8216 77 34948597
Local anaesthetic systemic toxicity 224.96 22.24 42 8215 268 34948406
Drug withdrawal syndrome 129.69 22.24 72 8185 19762 34928912
Pain 128.03 22.24 196 8061 204479 34744195
Drug ineffective 116.98 22.24 300 7957 456451 34492223
Cauda equina syndrome 99.91 22.24 24 8233 562 34948112
Hypoaesthesia 81.84 22.24 86 8171 61358 34887316
Paralysis 81.47 22.24 36 8221 6046 34942628
Respiratory depression 77.23 22.24 48 8209 16197 34932477
Hyperaesthesia 73.83 22.24 31 8226 4599 34944075
Lagophthalmos 68.82 22.24 13 8244 89 34948585
Bradycardia 65.92 22.24 85 8172 75333 34873341
Incorrect route of product administration 65.89 22.24 42 8215 14803 34933871
Spinal cord infarction 65.26 22.24 15 8242 288 34948386
Sinus arrest 62.04 22.24 21 8236 1719 34946955
Cardiotoxicity 58.61 22.24 28 8229 5620 34943054
Medical device site pain 52.74 22.24 10 8247 70 34948604
Myoclonus 51.68 22.24 36 8221 14689 34933985
Paraplegia 51.51 22.24 21 8236 2890 34945784
Hypotension 50.53 22.24 140 8117 221509 34727165
Cardiac arrest 50.12 22.24 85 8172 96074 34852600
Retinal artery occlusion 49.06 22.24 18 8239 1867 34946807
Post procedural hypotension 47.10 22.24 9 8248 66 34948608
Generalised tonic-clonic seizure 46.17 22.24 39 8218 21135 34927539
Apnoea 45.74 22.24 25 8232 6639 34942035
Corneal reflex decreased 45.05 22.24 10 8247 163 34948511
Device malfunction 45.03 22.24 29 8228 10392 34938282
Sensory loss 45.02 22.24 22 8235 4637 34944037
Device failure 45.00 22.24 18 8239 2358 34946316
Autonomic nervous system imbalance 43.77 22.24 18 8239 2533 34946141
Arachnoiditis 42.17 22.24 11 8246 363 34948311
Loss of consciousness 41.65 22.24 72 8185 82595 34866079
Oculocardiac reflex 41.36 22.24 8 8249 63 34948611
Implant site extravasation 41.24 22.24 11 8246 396 34948278
Device infusion issue 40.91 22.24 13 8244 872 34947802
Areflexia 40.78 22.24 18 8239 3013 34945661
Sodium retention 40.02 22.24 8 8249 76 34948598
Therapeutic product effect delayed 39.82 22.24 14 8243 1284 34947390
Anal incontinence 39.34 22.24 24 8233 7825 34940849
Anal sphincter atony 38.87 22.24 8 8249 89 34948585
Premature baby 38.43 22.24 34 8223 19599 34929075
Sedation 38.39 22.24 35 8222 20971 34927703
Renin increased 38.24 22.24 8 8249 97 34948577
Spinal shock 37.71 22.24 7 8250 43 34948631
Procedural pain 35.69 22.24 19 8238 4787 34943887
Amaurosis 35.47 22.24 11 8246 681 34947993
Arthrofibrosis 34.88 22.24 7 8250 68 34948606
Neurotoxicity 34.87 22.24 31 8226 17979 34930695
Pneumonia 34.00 22.24 22 8235 362605 34586069
Therapy non-responder 33.96 22.24 44 8213 39102 34909572
Delayed recovery from anaesthesia 33.89 22.24 11 8246 790 34947884
Anaesthetic complication neurological 33.58 22.24 9 8248 330 34948344
Symmetrical drug-related intertriginous and flexural exanthema 33.12 22.24 9 8248 348 34948326
Myopathy toxic 32.95 22.24 10 8247 576 34948098
Device power source issue 32.61 22.24 9 8248 369 34948305
Acute kidney injury 32.16 22.24 16 8241 304972 34643702
Procedural complication 32.00 22.24 17 8240 4266 34944408
Paroxysmal sympathetic hyperactivity 31.90 22.24 6 8251 40 34948634
Paraparesis 31.29 22.24 13 8244 1876 34946798
Electrocardiogram T wave amplitude increased 31.05 22.24 6 8251 47 34948627
Unresponsive to stimuli 30.42 22.24 35 8222 27534 34921140
Coma 30.13 22.24 45 8212 45633 34903041
Urinary incontinence 29.80 22.24 29 8228 18845 34929829
Low birth weight baby 29.31 22.24 20 8237 7885 34940789
Post procedural complication 29.07 22.24 23 8234 11365 34937309
Infusion site mass 28.76 22.24 8 8249 338 34948336
Muscular weakness 28.55 22.24 57 8200 72840 34875834
Muscle rigidity 28.49 22.24 22 8235 10496 34938178
Axillary pain 27.95 22.24 8 8249 375 34948299
Jaundice cholestatic 27.52 22.24 16 8241 4778 34943896
Brief psychotic disorder with marked stressors 27.04 22.24 7 8250 224 34948450
Foetal exposure during delivery 26.57 22.24 6 8251 106 34948568
Overdose 26.32 22.24 63 8194 90996 34857678
Diaphragmatic paralysis 26.06 22.24 8 8249 479 34948195
Anaphylactic reaction 25.99 22.24 35 8222 32266 34916408
Tachycardia 25.97 22.24 60 8197 84712 34863962
No adverse event 25.11 22.24 29 8228 22898 34925776
Brown-Sequard syndrome 25.06 22.24 5 8252 47 34948627
Apgar score low 24.98 22.24 9 8248 886 34947788
Implant site erythema 24.96 22.24 5 8252 48 34948626
Mental status changes 24.37 22.24 37 8220 38046 34910628
Sinus tachycardia 24.32 22.24 25 8232 17335 34931339
Complication associated with device 24.20 22.24 16 8241 5990 34942684
Thrombocytopenia 24.08 22.24 4 8253 156243 34792431
Hypercapnia 23.89 22.24 14 8243 4241 34944433
Anaemia 23.45 22.24 13 8244 233322 34715352
Diarrhoea 23.44 22.24 35 8222 389877 34558797
Chondromalacia 23.39 22.24 4 8253 14 34948660
Device issue 23.37 22.24 19 8238 9758 34938916
Inadequate analgesia 22.76 22.24 12 8245 2963 34945711
Meningitis chemical 22.61 22.24 5 8252 80 34948594
Strabismus 22.38 22.24 10 8247 1721 34946953

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Anaesthetic complication 1911.15 15.05 368 20829 2491 79720700
Maternal exposure during delivery 561.11 15.05 117 21080 1229 79721962
Chondrolysis 526.22 15.05 90 21107 271 79722920
Maternal exposure during pregnancy 441.25 15.05 332 20865 136206 79586985
Exposure during pregnancy 342.30 15.05 253 20944 100879 79622312
Drug ineffective 304.52 15.05 792 20405 1080121 78643070
Cauda equina syndrome 296.93 15.05 70 21127 1333 79721858
Local anaesthetic systemic toxicity 283.98 15.05 64 21133 990 79722201
Drug withdrawal syndrome 247.62 15.05 139 21058 34579 79688612
Hypotension 242.37 15.05 425 20772 439892 79283299
Bradycardia 225.85 15.05 226 20971 135331 79587860
Incorrect route of product administration 199.24 15.05 121 21076 34808 79688383
Paralysis 189.74 15.05 85 21112 13092 79710099
Normal newborn 167.28 15.05 65 21132 7007 79716184
Respiratory depression 163.46 15.05 98 21099 27532 79695659
Lagophthalmos 158.77 15.05 34 21163 409 79722782
Premature delivery 153.96 15.05 89 21108 23378 79699813
Hyperaesthesia 145.20 15.05 69 21128 12153 79711038
Myoclonus 133.00 15.05 86 21111 27574 79695617
Implant site extravasation 132.94 15.05 33 21164 786 79722405
Hypoaesthesia 129.29 15.05 196 21001 179156 79544035
Cardiac arrest 126.79 15.05 190 21007 171906 79551285
Anterior spinal artery syndrome 124.54 15.05 23 21174 119 79723072
Apnoea 120.75 15.05 60 21137 11644 79711547
Unresponsive to stimuli 119.49 15.05 107 21090 55681 79667510
Extradural haematoma 115.15 15.05 39 21158 2837 79720354
Paraplegia 110.91 15.05 44 21153 5009 79718182
Arachnoiditis 109.48 15.05 28 21169 755 79722436
Spinal cord injury 108.88 15.05 31 21166 1264 79721927
Medical device site pain 105.68 15.05 23 21174 300 79722891
Spinal cord infarction 105.64 15.05 26 21171 597 79722594
Diarrhoea 101.62 15.05 54 21143 880435 78842756
Sensory loss 98.00 15.05 54 21143 12937 79710254
Inadequate analgesia 97.06 15.05 39 21158 4590 79718601
Sedation 96.51 15.05 92 21105 51803 79671388
Generalised tonic-clonic seizure 95.56 15.05 85 21112 43825 79679366
Wrong product administered 89.43 15.05 45 21152 8967 79714224
Anaphylactic reaction 88.19 15.05 110 21087 83633 79639558
Ventilation perfusion mismatch 85.15 15.05 22 21175 618 79722573
Fatigue 83.41 15.05 75 21122 929652 78793539
Loss of consciousness 82.87 15.05 155 21042 167788 79555403
Delayed recovery from anaesthesia 80.24 15.05 26 21171 1647 79721544
Pneumonia 75.31 15.05 41 21156 660205 79062986
Meningitis chemical 73.28 15.05 16 21181 212 79722979
Live birth 72.65 15.05 51 21146 18693 79704498
Acute kidney injury 72.38 15.05 24 21173 519380 79203811
Post procedural complication 70.27 15.05 55 21142 23774 79699417
Procedural complication 68.07 15.05 36 21161 7947 79715244
Device failure 67.26 15.05 33 21164 6228 79716963
Rhythm idioventricular 66.54 15.05 18 21179 606 79722585
No adverse event 65.49 15.05 64 21133 37128 79686063
Anaphylactic shock 65.37 15.05 63 21134 35933 79687258
Caesarean section 65.28 15.05 41 21156 12494 79710697
Purtscher retinopathy 64.54 15.05 13 21184 113 79723078
Device infusion issue 60.81 15.05 23 21174 2303 79720888
Retinal artery occlusion 59.68 15.05 25 21172 3269 79719922
Horner's syndrome 58.99 15.05 10 21187 28 79723163
Diplegia 58.87 15.05 21 21176 1782 79721409
Spinal anaesthesia 58.76 15.05 11 21186 62 79723129
Bradycardia foetal 57.88 15.05 12 21185 122 79723069
Procedural pain 56.92 15.05 48 21149 23036 79700155
Post procedural hypotension 56.59 15.05 11 21186 78 79723113
Myopathy toxic 56.49 15.05 18 21179 1080 79722111
Blood pressure decreased 55.64 15.05 97 21100 99369 79623822
Neurotoxicity 55.47 15.05 55 21142 32463 79690728
Spinal cord oedema 54.61 15.05 14 21183 381 79722810
Sinus arrest 54.16 15.05 24 21173 3598 79719593
Post lumbar puncture syndrome 54.06 15.05 16 21181 749 79722442
Therapeutic product effect prolonged 53.85 15.05 15 21182 564 79722627
Neuromuscular blockade 53.83 15.05 15 21182 565 79722626
Arthrofibrosis 53.49 15.05 11 21186 107 79723084
Seizure 52.96 15.05 139 21058 188695 79534496
Complication associated with device 52.92 15.05 41 21156 17455 79705736
Neutropenia 52.85 15.05 7 21190 287703 79435488
Anaesthetic complication neurological 52.27 15.05 15 21182 629 79722562
Therapeutic product effect delayed 51.47 15.05 22 21175 3024 79720167
Hypothermia 51.41 15.05 45 21152 22701 79700490
Rash 51.31 15.05 47 21150 578311 79144880
Overdose 51.06 15.05 135 21062 184071 79539120
Muscular weakness 51.01 15.05 124 21073 160605 79562586
Haemodynamic instability 50.99 15.05 40 21157 17342 79705849
Ventricular tachycardia 50.52 15.05 59 21138 41876 79681315
Platelet aggregation inhibition 50.16 15.05 11 21186 149 79723042
Parophthalmia 49.69 15.05 13 21184 384 79722807
Hypoxia 49.28 15.05 94 21103 103149 79620042
Depressed level of consciousness 48.62 15.05 90 21107 96562 79626629
Strabismus 48.60 15.05 20 21177 2501 79720690
Areflexia 47.31 15.05 25 21172 5509 79717682
Kounis syndrome 47.29 15.05 23 21174 4259 79718932
Pain 46.60 15.05 333 20864 703469 79019722
Vascular resistance systemic decreased 46.42 15.05 11 21186 214 79722977
Hypertensive encephalopathy 46.03 15.05 15 21182 967 79722224
Monoplegia 45.88 15.05 22 21175 3949 79719242
Arachnoid web 45.78 15.05 7 21190 7 79723184
Spinal shock 44.80 15.05 8 21189 33 79723158
Pyrexia 44.43 15.05 70 21127 678639 79044552
Spinal cord compression 43.99 15.05 25 21172 6352 79716839
Febrile neutropenia 43.94 15.05 5 21192 230994 79492197
Rheumatoid arthritis 43.73 15.05 3 21194 208467 79514724
Mental status changes 43.72 15.05 70 21127 66889 79656302
Conjunctival oedema 43.61 15.05 15 21182 1143 79722048
Anal incontinence 43.19 15.05 37 21160 18131 79705060
Chondromalacia 43.09 15.05 10 21187 177 79723014
Cancer pain 42.88 15.05 23 21174 5222 79717969
Completed suicide 42.77 15.05 7 21190 245760 79477431
Autonomic nervous system imbalance 42.68 15.05 22 21175 4608 79718583
Postpartum haemorrhage 42.52 15.05 16 21181 1579 79721612
Nasopharyngitis 42.51 15.05 8 21189 253873 79469318
Tachycardia 42.06 15.05 123 21074 177645 79545546
Allodynia 42.01 15.05 16 21181 1632 79721559
Cough 41.41 15.05 23 21174 366766 79356425
Neuromuscular block prolonged 41.36 15.05 14 21183 1016 79722175
Anaemia 40.83 15.05 35 21162 444980 79278211
Oculocardiac reflex 40.42 15.05 8 21189 63 79723128
Labelled drug-drug interaction medication error 40.34 15.05 43 21154 27607 79695584
Ophthalmoplegia 39.42 15.05 18 21179 2894 79720297
Death 38.42 15.05 57 21140 566457 79156734
Uterine atony 37.99 15.05 9 21188 175 79723016
Mental status changes postoperative 37.94 15.05 9 21188 176 79723015
Device malfunction 37.92 15.05 37 21160 21411 79701780
Exophthalmos 37.74 15.05 15 21182 1715 79721476
Infusion related reaction 36.99 15.05 8 21189 230229 79492962
Sensory disturbance 36.44 15.05 31 21166 15046 79708145
Corneal reflex decreased 36.35 15.05 10 21187 359 79722832
Hypercapnia 36.23 15.05 25 21172 8910 79714281
Pulseless electrical activity 36.05 15.05 30 21167 14130 79709061
Cardiotoxicity 35.54 15.05 28 21169 12211 79710980
Product administration error 35.38 15.05 43 21154 31803 79691388
Sensorimotor disorder 35.30 15.05 12 21185 882 79722309
Intracranial hypotension 35.16 15.05 10 21187 406 79722785
Decreased appetite 35.13 15.05 24 21173 342394 79380797
Motor dysfunction 35.01 15.05 30 21167 14703 79708488
Sinus tachycardia 34.92 15.05 46 21151 36862 79686329
Paraparesis 34.85 15.05 18 21179 3785 79719406
Harlequin syndrome 34.63 15.05 7 21190 62 79723129
Peripartum cardiomyopathy 34.51 15.05 8 21189 141 79723050
Urinary incontinence 34.18 15.05 48 21149 40861 79682330
Neuralgia 33.76 15.05 43 21154 33341 79689850
White blood cell count decreased 33.58 15.05 5 21192 188283 79534908
General physical health deterioration 32.92 15.05 16 21181 275222 79447969
Myelitis transverse 32.69 15.05 14 21183 1933 79721258
Circulatory collapse 32.67 15.05 45 21152 37623 79685568
Arteriospasm coronary 32.56 15.05 21 21176 6695 79716496
Therapy non-responder 32.29 15.05 74 21123 92231 79630960
Drug intolerance 32.13 15.05 15 21182 264104 79459087
Necrotising fasciitis 32.03 15.05 20 21177 6030 79717161
Weight increased 31.87 15.05 17 21180 277369 79445822
Radiculopathy 31.86 15.05 23 21174 8801 79714390
Product dose omission issue 31.78 15.05 13 21184 247524 79475667
Blood pressure immeasurable 31.65 15.05 14 21183 2090 79721101
Product quality issue 31.65 15.05 42 21155 33898 79689293
Confusion postoperative 31.34 15.05 8 21189 214 79722977
Peripheral swelling 30.28 15.05 17 21180 269600 79453591
Alopecia 29.95 15.05 12 21185 231343 79491848
Conus medullaris syndrome 29.80 15.05 6 21191 52 79723139
Uterine hypertonus 29.75 15.05 8 21189 263 79722928
Respiratory rate decreased 29.45 15.05 18 21179 5225 79717966
Respiratory arrest 29.44 15.05 54 21143 57496 79665695
Thrombocytopenia 29.39 15.05 17 21180 265242 79457949
Systemic toxicity 29.13 15.05 7 21190 145 79723046
Pulse absent 29.09 15.05 23 21174 10080 79713111
Diaphragmatic paralysis 29.08 15.05 11 21186 1101 79722090
Diplopia 29.05 15.05 40 21157 33426 79689765
Arthritis bacterial 28.86 15.05 22 21175 9144 79714047
Urinary retention 28.80 15.05 53 21144 56577 79666614
Infusion site mass 28.56 15.05 12 21185 1581 79721610
Brown-Sequard syndrome 28.51 15.05 6 21191 66 79723125
Disease progression 28.43 15.05 7 21190 184355 79538836
Amaurosis 28.35 15.05 11 21186 1180 79722011
Anal sphincter atony 28.00 15.05 8 21189 330 79722861
Phrenic nerve paralysis 27.93 15.05 8 21189 333 79722858
Weight decreased 27.89 15.05 32 21165 355166 79368025
Medical device site erythema 27.59 15.05 6 21191 78 79723113
Manipulation 27.59 15.05 6 21191 78 79723113
Bezold-Jarisch reflex 27.56 15.05 5 21192 23 79723168
Paresis 27.51 15.05 16 21181 4245 79718946
Arthralgia 27.11 15.05 71 21126 571732 79151459
Device power source issue 26.91 15.05 10 21187 953 79722238
Abdominal discomfort 26.48 15.05 17 21180 250710 79472481
Adverse drug reaction 26.35 15.05 56 21141 66336 79656855
Gastrointestinal haemorrhage 26.16 15.05 4 21193 147715 79575476
Unmasking of previously unidentified disease 25.61 15.05 12 21185 2045 79721146
Peroneal nerve palsy 24.72 15.05 17 21180 6025 79717166
Cerebrospinal fluid leakage 24.58 15.05 11 21186 1688 79721503
Brugada syndrome 24.47 15.05 10 21187 1228 79721963
Seroma 24.34 15.05 12 21185 2288 79720903
Rotator cuff syndrome 24.33 15.05 24 21173 14071 79709120
Brief psychotic disorder with marked stressors 24.20 15.05 7 21190 302 79722889
Symmetrical drug-related intertriginous and flexural exanthema 24.03 15.05 9 21188 877 79722314
Spinal cord haematoma 23.85 15.05 7 21190 318 79722873
Product closure issue 23.65 15.05 4 21193 11 79723180
Dehydration 23.37 15.05 19 21178 248168 79475023
Arthropathy 23.22 15.05 9 21188 177102 79546089
Toxicity to various agents 23.06 15.05 191 21006 421349 79301842
Extradural abscess 22.55 15.05 10 21187 1502 79721689
Renal impairment 22.44 15.05 7 21190 157776 79565415
Device alarm issue 22.41 15.05 11 21186 2078 79721113
Product measured potency issue 22.21 15.05 6 21191 201 79722990
Incision site pain 21.99 15.05 12 21185 2818 79720373
Sciatic nerve palsy 21.96 15.05 5 21192 81 79723110
Medical device site swelling 21.96 15.05 5 21192 81 79723110
Somnolence 21.88 15.05 123 21074 238858 79484333
Influenza 21.86 15.05 4 21193 129602 79593589
Blood creatinine increased 21.83 15.05 7 21190 155050 79568141
Hyponatraemia 21.77 15.05 10 21187 177838 79545353
Trigeminal palsy 21.77 15.05 4 21193 20 79723171
Platelet dysfunction 21.73 15.05 7 21190 435 79722756
Hypoglossal nerve disorder 21.70 15.05 3 21194 0 79723191
Joint swelling 21.59 15.05 27 21170 288619 79434572
Mydriasis 21.54 15.05 25 21172 17618 79705573
Accidental overdose 21.34 15.05 38 21159 39543 79683648
Urinary tract infection 21.24 15.05 25 21172 274487 79448704
Abdominal pain upper 21.24 15.05 17 21180 223802 79499389
Muscle rigidity 20.72 15.05 26 21171 19856 79703335
Implant site infection 20.54 15.05 10 21187 1855 79721336
Cardiac output increased 20.50 15.05 6 21191 270 79722921
Ventricular fibrillation 20.32 15.05 33 21164 31893 79691298
Nervous system disorder 20.22 15.05 30 21167 26826 79696365
Vocal cord paralysis 20.19 15.05 11 21186 2576 79720615
Corneal oedema 20.06 15.05 11 21186 2609 79720582
Injection site joint infection 20.04 15.05 4 21193 33 79723158
Lower respiratory tract infection 19.73 15.05 5 21192 129215 79593976
Toxic anterior segment syndrome 19.51 15.05 11 21186 2753 79720438
Implant site pain 19.43 15.05 10 21187 2087 79721104
Femoral nerve injury 19.35 15.05 4 21193 40 79723151
Ventricular extrasystoles 19.32 15.05 25 21172 19679 79703512
Spherocytic anaemia 19.16 15.05 3 21194 4 79723187
Device connection issue 19.14 15.05 8 21189 1040 79722151
Cardiac failure congestive 19.06 15.05 7 21190 142395 79580796
Hiccups 19.05 15.05 18 21179 10013 79713178
Ventricular arrhythmia 19.00 15.05 17 21180 8823 79714368
Hypoaesthesia oral 18.92 15.05 21 21176 14103 79709088
Myelopathy 18.87 15.05 13 21184 4620 79718571
Brachial plexopathy 18.55 15.05 5 21192 166 79723025
Maternal drugs affecting foetus 18.46 15.05 9 21188 1674 79721517
Nerve block 18.46 15.05 7 21190 706 79722485
Spinal cord ischaemia 18.38 15.05 5 21192 172 79723019
Meningitis aseptic 18.31 15.05 15 21182 6913 79716278
Electrocardiogram ST segment depression 18.27 15.05 13 21184 4865 79718326
Maternal use of illicit drugs 18.09 15.05 3 21194 7 79723184
Gastrooesophageal reflux disease 18.06 15.05 3 21194 104243 79618948
Medical device site discharge 17.92 15.05 4 21193 59 79723132
Interstitial lung disease 17.90 15.05 4 21193 112596 79610595
Device leakage 17.84 15.05 18 21179 10838 79712353
Fall 17.84 15.05 68 21129 487561 79235630
Sphincter of Oddi dysfunction 17.84 15.05 6 21191 427 79722764
Urinary retention postoperative 17.80 15.05 5 21192 194 79722997
Spinal cord disorder 17.73 15.05 9 21188 1826 79721365
Catheter site mass 17.68 15.05 4 21193 63 79723128
COVID-19 17.61 15.05 10 21187 157664 79565527
Heart rate increased 17.51 15.05 71 21126 120653 79602538
Device kink 17.45 15.05 9 21188 1886 79721305
Intraocular pressure fluctuation 17.45 15.05 4 21193 67 79723124
Implant site swelling 17.42 15.05 6 21191 459 79722732
Respiratory distress 17.41 15.05 44 21153 58295 79664896
Device issue 17.22 15.05 28 21169 27080 79696111
Drug abuse 17.21 15.05 11 21186 162680 79560511
Hepatic enzyme increased 17.16 15.05 14 21183 182596 79540595
Hypotonia 17.00 15.05 19 21178 12851 79710340
Stridor 16.97 15.05 13 21184 5440 79717751
Procedural hypotension 16.90 15.05 9 21188 2014 79721177
Implant site scar 16.89 15.05 5 21192 234 79722957
Stroke volume increased 16.87 15.05 3 21194 12 79723179
Medical device site cellulitis 16.87 15.05 3 21194 12 79723179
Leukopenia 16.87 15.05 5 21192 116508 79606683
Femoral nerve palsy 16.64 15.05 4 21193 83 79723108
Implant site erythema 16.52 15.05 6 21191 536 79722655
Staphylococcal infection 16.40 15.05 43 21154 58252 79664939
Premature baby 16.33 15.05 11 21186 3769 79719422
Medical device site infection 16.22 15.05 6 21191 565 79722626
Iatrogenic injury 16.18 15.05 8 21189 1535 79721656
Atrioventricular block complete 16.17 15.05 21 21176 16589 79706602
Systemic lupus erythematosus 16.14 15.05 6 21191 121143 79602048
Tethered cord syndrome 16.01 15.05 3 21194 17 79723174
Sinusitis 16 15.05 17 21180 195484 79527707
Meningitis 15.95 15.05 16 21181 9566 79713625
Anorectal disorder 15.84 15.05 9 21188 2284 79720907
Device computer issue 15.63 15.05 4 21193 108 79723083
Underdose 15.58 15.05 30 21167 33121 79690070
Incision site rash 15.47 15.05 3 21194 21 79723170
Neurogenic shock 15.46 15.05 6 21191 644 79722547
Myalgia 15.35 15.05 16 21181 185625 79537566
Forceps delivery 15.26 15.05 4 21193 119 79723072
Hyponatraemic encephalopathy 15.16 15.05 5 21192 335 79722856
Foetal heart rate decreased 15.11 15.05 3 21194 24 79723167
Meningeal neoplasm 15.11 15.05 3 21194 24 79723167
Quadriplegia 15.05 15.05 10 21187 3350 79719841

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC N01BB01 NERVOUS SYSTEM
ANESTHETICS
ANESTHETICS, LOCAL
Amides
ATC N01BB51 NERVOUS SYSTEM
ANESTHETICS
ANESTHETICS, LOCAL
Amides
ATC N01BB59 NERVOUS SYSTEM
ANESTHETICS
ANESTHETICS, LOCAL
Amides
FDA CS M0000897 Amides
CHEBI has role CHEBI:36333 local anesthetics
CHEBI has role CHEBI:37733 EC 3.1.1.8 inhibitor
CHEBI has role CHEBI:37887 adrenergic blockers
CHEBI has role CHEBI:59941 amphiphiles
CHEBI has role CHEBI:60186 SERCA inhibitor
CHEBI has role CHEBI:88188 allergenic drug
MeSH PA D000777 Anesthetics
MeSH PA D000779 Anesthetics, Local
MeSH PA D002491 Central Nervous System Agents
MeSH PA D002492 Central Nervous System Depressants
MeSH PA D018373 Peripheral Nervous System Agents
MeSH PA D018689 Sensory System Agents
FDA EPC N0000175682 Amide Local Anesthetic
FDA PE N0000175976 Local Anesthesia

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Anesthesia for cesarean section indication 4847005
Local anesthetic intrathecal block indication 231249005
Skin irritation indication 367466007
Local anesthesia indication 386761002
Itching of skin indication 418363000
Minor Skin Wound Pain indication
Major Nerve Block for Surgery indication
Regional Anesthesia for Surgery indication
Regional Anesthesia for Labor Pain indication
Regional Anesthesia for Ophthalmologic Surgery indication
Regional Anesthesia for Postoperative Pain indication
Local Anesthesia for Ophthalmologic Procedure indication
Suicidal thoughts contraindication 6471006
Dependent drug abuse contraindication 6525002
Alcoholism contraindication 7200002
Alcohol withdrawal delirium contraindication 8635005
Sinus tachycardia contraindication 11092001
Chronic obstructive lung disease contraindication 13645005 DOID:3083
Asthenia contraindication 13791008
Constipation contraindication 14760008 DOID:2089
Chronic disease of respiratory system contraindication 17097001
Mood swings contraindication 18963009
Myocardial infarction contraindication 22298006 DOID:5844
Inflammatory bowel disease contraindication 24526004 DOID:0050589
Alcohol intoxication contraindication 25702006
Complete atrioventricular block contraindication 27885002
Shock contraindication 27942005
Hypovolemia contraindication 28560003
Hypercapnia contraindication 29596007
Parkinsonism contraindication 32798002
Dehydration contraindication 34095006
Hyperthyroidism contraindication 34486009 DOID:7998
Hypertensive disorder contraindication 38341003 DOID:10763
Disorder of gallbladder contraindication 39621005 DOID:0060262
Hypothyroidism contraindication 40930008 DOID:1459
Hypokalemia contraindication 43339004
Decreased cardiac function contraindication 43650005
Conduction disorder of the heart contraindication 44808001
Low blood pressure contraindication 45007003
Stokes-Adams syndrome contraindication 46935006
Chronic heart failure contraindication 48447003
Bradycardia contraindication 48867003
Atrial fibrillation contraindication 49436004 DOID:0060224
Disorder of cardiovascular system contraindication 49601007 DOID:1287
Sinus bradycardia contraindication 49710005
Bleeding hemorrhoids contraindication 51551000
Paralytic ileus contraindication 55525008 DOID:8442
Acute nephropathy contraindication 58574008
Hepatic failure contraindication 59927004
Ulcerative colitis contraindication 64766004 DOID:8577
Cerebral arteriosclerosis contraindication 65312002
Drug AND/OR toxin-induced diarrhea contraindication 65979008
Substance abuse contraindication 66214007
Benign intracranial hypertension contraindication 68267002 DOID:11459
Diabetes mellitus contraindication 73211009 DOID:9351
Wolff-Parkinson-White pattern contraindication 74390002 DOID:384
Urethral stricture contraindication 76618002
Decreased respiratory function contraindication 80954004
Injury of head contraindication 82271004
Cor pulmonale contraindication 83291003 DOID:8515
Pulmonary emphysema contraindication 87433001
Cardiogenic shock contraindication 89138009
Kidney disease contraindication 90708001 DOID:557
Myasthenia gravis contraindication 91637004 DOID:437
Disorder of mucous membrane contraindication 95351003
Disorder of biliary tract contraindication 105997008 DOID:9741
Acute abdominal pain contraindication 116290004
Procedure on urinary system contraindication 118677009
Open wound contraindication 125643001
Neoplasm of brain contraindication 126952004 DOID:1319
Seizure disorder contraindication 128613002
Bleeding contraindication 131148009
Drug-induced psychosis contraindication 191483003 DOID:1742
Angina pectoris contraindication 194828000
Primary dilated cardiomyopathy contraindication 195021004
Partial atrioventricular block contraindication 195039008
Disease of liver contraindication 235856003 DOID:409
Morbid obesity contraindication 238136002 DOID:11981
Sepsis syndrome contraindication 238150007
Benign prostatic hyperplasia contraindication 266569009
Retention of urine contraindication 267064002
Exacerbation of asthma contraindication 281239006
Lesion of brain contraindication 301766008
Deficiency of cholinesterase contraindication 360607009
Coma contraindication 371632003
Primary adrenocortical insufficiency contraindication 373662000
Operation on gastrointestinal tract contraindication 386621005
Hypoxia contraindication 389086002
Angle-closure glaucoma contraindication 392291006 DOID:13550
Disorder of coronary artery contraindication 414024009
Central nervous system depression contraindication 418072004
Denuded skin contraindication 418242004
Dysfunction of sphincter of Oddi contraindication 430887001
Acute exacerbation of asthma contraindication 708038006
Reduced Hepatic Blood Flow contraindication
Lidocaine Toxicity contraindication




๐Ÿถ Veterinary Drug Use

SpeciesUseRelation
Cats Regional postoperative analgesia after onychocomy Indication
Dogs Local postoperative analgesia for cranial cruciate ligament surgery Indication

๐Ÿถ Veterinary products

ProductApplicantIngredients
Nocita Elanco US Inc. 1

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 13.24 acidic
pKa2 7.92 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
660MG/5ML (132MG/ML) POSIMIR INNOCOLL N204803 Feb. 1, 2021 RX SOLUTION, EXTENDED RELEASE INFILTRATION 8153661 Sept. 15, 2025 METHOD FOR PROVIDING SUSTAINED LOCAL ANESTHESIA FOR AT LEAST 24 HOURS
660MG/5ML (132MG/ML) POSIMIR INNOCOLL N204803 Feb. 1, 2021 RX SOLUTION, EXTENDED RELEASE INFILTRATION 8753665 Sept. 15, 2025 METHOD FOR PROVIDING SUSTAINED LOCAL ANESTHESIA FOR AT LEAST 24 HOURS
660MG/5ML (132MG/ML) POSIMIR INNOCOLL N204803 Feb. 1, 2021 RX SOLUTION, EXTENDED RELEASE INFILTRATION 8846072 Sept. 15, 2025 METHOD FOR PROVIDING SUSTAINED LOCAL ANESTHESIA FOR AT LEAST 24 HOURS
100MG XARACOLL INNOCOLL PHARMS N209511 Aug. 28, 2020 RX IMPLANT IMPLANTATION RE47826 May 20, 2029 A METHOD FOR INDUCING A POST-SURGICAL ANALGESIA SPARING EFFECT BY IMPLANTING AT THE SURGICAL SITE A COLLAGEN SPONGE CONTAINING BUPIVACAINE HCL WHICH PROVIDES LOCAL ANESTHESIA FOR UP TO 24 HOURS FOLLOWING IMPLANTATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 11253504 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 9592227 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 9913909 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 11253504 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 9592227 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 9913909 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 11253504 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 9592227 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 9913909 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 11253504 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 9592227 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 9913909 March 13, 2034 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 10098957 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 10213510 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 10632199 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 10898575 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 11083730 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 11083797 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 11413350 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER FOOT AND ANKLE, SMALL-TO-MEDIUM OPEN ABDOMINAL, AND LOWER EXTREMITY TOTAL JOINT ARTHROPLASTY SURGICAL PROCEDURES VIA INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 9694079 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 9801945 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 10098957 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 10213510 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 10632199 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 10898575 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 11083730 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 11083797 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 11413350 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER FOOT AND ANKLE, SMALL-TO-MEDIUM OPEN ABDOMINAL, AND LOWER EXTREMITY TOTAL JOINT ARTHROPLASTY SURGICAL PROCEDURES VIA INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 9694079 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 9801945 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 10098957 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 10213510 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 10632199 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 10898575 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 11083730 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 11083797 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 11413350 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER FOOT AND ANKLE, SMALL-TO-MEDIUM OPEN ABDOMINAL, AND LOWER EXTREMITY TOTAL JOINT ARTHROPLASTY SURGICAL PROCEDURES VIA INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 9694079 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR 9801945 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 10098957 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 10213510 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 10632199 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 10898575 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 11083730 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 11083797 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 11413350 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER FOOT AND ANKLE, SMALL-TO-MEDIUM OPEN ABDOMINAL, AND LOWER EXTREMITY TOTAL JOINT ARTHROPLASTY SURGICAL PROCEDURES VIA INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 9694079 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR 9801945 April 20, 2035 TREATMENT OF POSTSURGICAL PAIN PROVIDING ANALGESIA TO A PATIENT FOR UP TO 72 HOURS, FOR EXAMPLE, AFTER BUNIONECTOMY, OPEN INGUINAL HERNIORRHAPHY, OR TOTAL KNEE ARTHROPLASTY VIA SOFT TISSUE OR PERIARTICULAR INSTILLATION
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11033495 Jan. 22, 2041 METHOD OF PROVIDING POSTSURGICAL PAIN MANAGEMENT, FOR EXAMPLE, VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11179336 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, TREATING POSTSURGICAL PAIN VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11278494 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, TREATING POSTSURGICAL PAIN VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11304904 Jan. 22, 2041 METHOD OF PROVIDING LOCAL OR REGIONAL ANALGESIA VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK OR FEMORAL NERVE BLOCK FOR REGIONAL ANALGESIA
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11311486 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, TREATING POSTSURGICAL PAIN VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11357727 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11426348 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11452691 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA NERVE BLOCK, FOR EXAMPLE, NTERSCALENE BRACHIAL PLEXUS FOR REGIONAL ANALGESIA
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11033495 Jan. 22, 2041 METHOD OF PROVIDING POSTSURGICAL PAIN MANAGEMENT, FOR EXAMPLE, VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11179336 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, TREATING POSTSURGICAL PAIN VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11278494 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, TREATING POSTSURGICAL PAIN VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11304904 Jan. 22, 2041 METHOD OF PROVIDING LOCAL OR REGIONAL ANALGESIA VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK OR FEMORAL NERVE BLOCK FOR REGIONAL ANALGESIA
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11311486 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, TREATING POSTSURGICAL PAIN VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11357727 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11426348 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA INTERSCALENE BRACHIAL PLEXUS NERVE BLOCK FOR REGIONAL ANALGESIA
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION 11452691 Jan. 22, 2041 METHOD OF TREATING PAIN, FOR EXAMPLE, VIA INFILTRATION FOR LOCAL ANALGESIA OR VIA NERVE BLOCK, FOR EXAMPLE, NTERSCALENE BRACHIAL PLEXUS FOR REGIONAL ANALGESIA

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
100MG XARACOLL INNOCOLL PHARMS N209511 Aug. 28, 2020 RX IMPLANT IMPLANTATION Aug. 28, 2023 NEW PRODUCT
660MG/5ML (132MG/ML) POSIMIR INNOCOLL N204803 Feb. 1, 2021 RX SOLUTION, EXTENDED RELEASE INFILTRATION Feb. 1, 2024 NEW PRODUCT
133MG/10ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION March 22, 2024 NEW PATIENT POPULATION
266MG/20ML (13.3MG/ML) EXPAREL PACIRA PHARMS INC N022496 Oct. 28, 2011 RX INJECTABLE, LIPOSOMAL INJECTION March 22, 2024 NEW PATIENT POPULATION
200MG/7ML (29.25MG/ML);6MG/7ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR May 12, 2024 NEW PRODUCT
300MG/10.5ML (29.25MG/ML);9MG/10.5ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR May 12, 2024 NEW PRODUCT
400MG/14ML (29.25MG/ML);12MG/14ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 RX SOLUTION, EXTENDED RELEASE PERIARTICULAR May 12, 2024 NEW PRODUCT
60MG/2.3ML (29.25MG/ML);1.8MG/2.3ML (0.88MG/ML) ZYNRELEF KIT HERON THERAPS INC N211988 May 12, 2021 DISCN SOLUTION, EXTENDED RELEASE PERIARTICULAR May 12, 2024 NEW PRODUCT

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Sodium channel protein type 4 subunit alpha Ion channel BLOCKER IC50 6 WOMBAT-PK CHEMBL
Potassium voltage-gated channel subfamily H member 2 Ion channel IC50 4.66 CHEMBL
Sodium channel protein type 1 subunit alpha Ion channel IC50 5.29 WOMBAT-PK
Prostaglandin E2 receptor EP1 subtype GPCR IC50 5.51 WOMBAT-PK
Cytochrome P450 2D6 Enzyme IC50 6.40 DRUG MATRIX
5-hydroxytryptamine receptor 3A Ion channel IC50 4.23 WOMBAT-PK
Potassium voltage-gated channel subfamily D member 3 Ion channel IC50 4.50 WOMBAT-PK
Potassium voltage-gated channel subfamily A member 5 Ion channel BLOCKER Kd 5.40 IUPHAR
Potassium channel subfamily K member 3 Ion channel IC50 4.39 CHEMBL
Sodium channel protein type 5 subunit alpha Ion channel BLOCKER IC50 5.66 IUPHAR
Potassium voltage-gated channel subfamily D member 3 Ion channel BLOCKER IC50 4.50 IUPHAR
Potassium channel subfamily K member 3 Ion channel IC50 4.39 CHEMBL
Potassium channel subfamily K member 9 Ion channel IC50 4 CHEMBL

External reference:

IDSource
4019643 VUID
N0000147736 NUI
D07552 KEGG_DRUG
18010-40-7 SECONDARY_CAS_RN
73360-54-0 SECONDARY_CAS_RN
1375412 RXNORM
C0006400 UMLSCUI
CHEBI:3215 CHEBI
CHEMBL1098 ChEMBL_ID
DB00297 DRUGBANK_ID
CHEMBL1200396 ChEMBL_ID
D002045 MESH_DESCRIPTOR_UI
C472824 MESH_SUPPLEMENTAL_RECORD_UI
2474 PUBCHEM_CID
2397 IUPHAR_LIGAND_ID
2279 INN_ID
Y8335394RO UNII
3621 MMSL
39700 MMSL
4305 MMSL
d00180 MMSL
1268954003 SNOMEDCT_US
24022008 SNOMEDCT_US
27196008 SNOMEDCT_US
387150008 SNOMEDCT_US
4018244 VANDF
4019643 VANDF
001341 NDDF
005054 NDDF

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0143-9328 INJECTION, SOLUTION 2.50 mg INFILTRATION ANDA 25 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0143-9329 INJECTION, SOLUTION 5 mg PERINEURAL ANDA 25 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0143-9330 INJECTION, SOLUTION 2.50 mg EPIDURAL ANDA 24 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0143-9331 INJECTION, SOLUTION 5 mg EPIDURAL ANDA 24 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0143-9332 INJECTION, SOLUTION 7.50 mg EPIDURAL ANDA 24 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0143-9333 INJECTION, SOLUTION 2.50 mg EPIDURAL ANDA 24 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0143-9334 INJECTION, SOLUTION 5 mg EPIDURAL ANDA 24 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0143-9335 INJECTION, SOLUTION 7.50 mg EPIDURAL ANDA 24 sections
Bupivacaine Hydrochloride with Dextrose HUMAN PRESCRIPTION DRUG LABEL 1 0264-9379 INJECTION 7.50 mg SUBARACHNOID ANDA 22 sections
Marcaine HUMAN PRESCRIPTION DRUG LABEL 2 0362-0557 INJECTION, SOLUTION 5 mg SUBCUTANEOUS ANDA 19 sections
Vivacaine HUMAN PRESCRIPTION DRUG LABEL 2 0362-9011 INJECTION, SOLUTION 5 mg SUBCUTANEOUS ANDA 19 sections
Vivacaine HUMAN PRESCRIPTION DRUG LABEL 2 0362-9011 INJECTION, SOLUTION 5 mg SUBCUTANEOUS ANDA 19 sections
Vivacaine HUMAN PRESCRIPTION DRUG LABEL 2 0362-9011 INJECTION, SOLUTION 5 mg SUBCUTANEOUS ANDA 19 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0404-9826 INJECTION, SOLUTION 2.50 mg INFILTRATION ANDA 17 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0404-9826 INJECTION, SOLUTION 2.50 mg INFILTRATION ANDA 17 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0404-9827 INJECTION, SOLUTION 5 mg PERINEURAL ANDA 19 sections
Bupivacaine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0404-9827 INJECTION, SOLUTION 5 mg PERINEURAL ANDA 19 sections
Bupivacaine Hydrochloride and Epinephrine HUMAN PRESCRIPTION DRUG LABEL 2 0404-9828 INJECTION, SOLUTION 2.50 mg INFILTRATION ANDA 12 sections
Bupivacaine Hydrochloride and Epinephrine HUMAN PRESCRIPTION DRUG LABEL 2 0404-9828 INJECTION, SOLUTION 2.50 mg INFILTRATION ANDA 12 sections
Marcaine HUMAN PRESCRIPTION DRUG LABEL 1 0404-9906 INJECTION, SOLUTION 2.50 mg EPIDURAL NDA 16 sections
Marcaine HUMAN PRESCRIPTION DRUG LABEL 1 0404-9906 INJECTION, SOLUTION 2.50 mg EPIDURAL NDA 16 sections
Marcaine HUMAN PRESCRIPTION DRUG LABEL 1 0404-9906 INJECTION, SOLUTION 2.50 mg EPIDURAL NDA 16 sections
Marcaine HUMAN PRESCRIPTION DRUG LABEL 1 0404-9907 INJECTION, SOLUTION 5 mg EPIDURAL NDA 17 sections
Marcaine HUMAN PRESCRIPTION DRUG LABEL 1 0404-9907 INJECTION, SOLUTION 5 mg EPIDURAL NDA 17 sections
Marcaine HUMAN PRESCRIPTION DRUG LABEL 1 0404-9907 INJECTION, SOLUTION 5 mg EPIDURAL NDA 17 sections
MARCAINE WITH EPINEPHRINE HUMAN PRESCRIPTION DRUG LABEL 2 0404-9908 INJECTION, SOLUTION 2.50 mg INFILTRATION NDA 19 sections
MARCAINE WITH EPINEPHRINE HUMAN PRESCRIPTION DRUG LABEL 2 0404-9908 INJECTION, SOLUTION 2.50 mg INFILTRATION NDA 19 sections
Sensorcaine HUMAN PRESCRIPTION DRUG LABEL 1 0404-9945 INJECTION, SOLUTION 2.50 mg INFILTRATION NDA 10 sections
Sensorcaine HUMAN PRESCRIPTION DRUG LABEL 1 0404-9945 INJECTION, SOLUTION 2.50 mg INFILTRATION NDA 10 sections
Sensorcaine MPF HUMAN PRESCRIPTION DRUG LABEL 1 0404-9946 INJECTION, SOLUTION 5 mg PERINEURAL ANDA 11 sections