Bupivacaine Hydrochloride (bue-PIV-a-kane hye-droe-KLOR-ide)

Prevents pain for up to 24 hours after surgery in the groin area. This medicine is a local anesthetic.

Brand Name(s):

Xaracoll 300MG

When This Medicine Should Not Be Used:

How to Use This Medicine:

Implant

• Your doctor will place this medicine in your groin area after a surgical procedure (open inguinal hernia repair).

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some medicines can affect how bupivacaine works. Tell your doctor if you are using any of the following:
  • Acetaminophen, metoclopramide, quinine, sulfasalazine
  • Cancer medicine (including cyclophosphamide, flutamide, hydroxyurea, ifosfamide, rasburicase)
  • Medicine to treat an infection (including dapsone, nitrofurantoin, para-aminosalicylic acid, sulfonamides)
  • Medicine to treat malaria (including chloroquine, primaquine)
  • Medicine to treat seizures (including phenobarbital, phenytoin, sodium valproate)
  • Nitrate or nitrite medicine (including nitric oxide, nitroglycerin, nitroprusside, nitrous oxide)

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart disease, lung or breathing problems, a blood disorder, G6PD deficiency, or low blood pressure. Tell your doctor if you are having other surgery or medical procedure.
• This medicine may cause methemoglobinemia (blood disorder).
• This medicine should cause numbness only to the area where it is placed. It is not meant to cause you to fall asleep or become unconscious.
• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Fever, headache, seizures
• Pale, gray, or blue lips, nails, or skin, dark urine, unusual tiredness or weakness
• Swelling or discharge where the implant is placed

If you notice these less serious side effects, talk with your doctor:

• Blurred vision
• Change or loss of taste, numbness in the mouth

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088