{"id":13760,"date":"2021-09-20T08:29:52","date_gmt":"2021-09-20T08:29:52","guid":{"rendered":"https:\/\/zeepedia.com\/?p=13760"},"modified":"2021-11-02T10:10:10","modified_gmt":"2021-11-02T10:10:10","slug":"hevicain-spinal-tung","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/hevicain-spinal-tung\/","title":{"rendered":"Hevicain Spinal Tung &#8211; Bupivacaine hydrochloride uses, dose and side effects"},"content":{"rendered":"\n<p>&nbsp;5mg \/ ml&nbsp;injection&nbsp;solution<br>bupivacaine hydrochloride<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Hevicain Spinal Tung is and what it is used for<\/h2>\n\n\n\n<p>Hevicain&nbsp;Spinal&nbsp;Tung is a local anesthetic used to numb (remove the sensation) parts of the body.&nbsp;The anesthetic is used to block or relieve pain.<\/p>\n\n\n\n<p>Hevicain&nbsp;Spinal&nbsp;Tung is used in surgeries for adults and children of all ages.<\/p>\n\n\n\n<p>Hevicain&nbsp;Spinal&nbsp;Tongue is&nbsp;injected into the lower&nbsp;back&nbsp;of the spine when the lower abdomen, legs, or lower part of the body need to be anesthetized before the operation (eg hip surgery) or in connection with childbirth (cesarean section) or urinary tract surgery.<\/p>\n\n\n\n<p>Hevicain&nbsp;Spinal&nbsp;Tongue&nbsp;blocks the nerve signals in the area where it is injected, which means that you cannot feel pain, cold, or heat.&nbsp;However, you can still feel pressure and touch.<\/p>\n\n\n\n<p>Bupivacaine hydrochloride contained in Hevicain&nbsp;Spinal&nbsp;Tung may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Hevicain Spinal Tung<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Hevicain Spinal Tongue<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to bupivacaine hydrochloride, other amide-type local anesthetics or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are to be sedated (by&nbsp;injection&nbsp;into a vein)<\/li><li>if you have&nbsp;acute&nbsp;active disease of the&nbsp;central nervous system&nbsp;, such as&nbsp;meningitis&nbsp;,&nbsp;tumors&nbsp;, polio, increased pressure or suspicion of increased pressure or bleeding in the head<\/li><li>if you have active disease and narrowing of the spinal canal or a nerve root (eg vertebral inflammation,&nbsp;tuberculosis&nbsp;,&nbsp;tumor&nbsp;) or recent injury<br>(eg&nbsp;fracture&nbsp;) of a vertebra<\/li><li>if you have sepsis (&nbsp;septicemia&nbsp;)<\/li><li>if you have&nbsp;acute&nbsp;anemia&nbsp;(&nbsp;anemia&nbsp;) in combination with degeneration (breakdown) of the spinal cord<\/li><li>if you have cardiovascular disease or&nbsp;heart failure<\/li><li>if you have an&nbsp;infection&nbsp;at or near the injection site<\/li><li>if your blood does not clot (coagulate) normally or if you are taking medicines that prevent the blood from clotting (exception: low dose&nbsp;heparin&nbsp;)<\/li><li>if you have cardiovascular disease in the heart muscle and the operation requires spreading the anesthesia all the way to vertebra T6.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or nurse before giving Hevicain&nbsp;Spinal&nbsp;Tung.<\/p>\n\n\n\n<p>Your doctor and healthcare professional will be extra careful when you are being treated for Hevicain&nbsp;Spinal&nbsp;Tung:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have a heart rhythm disorder (&nbsp;AV block&nbsp;) or other heart disease<\/li><li>if you have advanced liver disease<\/li><li>if you have impaired kidney function<\/li><li>if the blood&#8217;s ability to coagulate is impaired or if you are taking blood-thinning medicines<\/li><li>if you have&nbsp;anemia&nbsp;(&nbsp;anemia&nbsp;)<\/li><li>if you have a nerve disease, e.g.&nbsp;multiple sclerosis&nbsp;(tissue changes in the brain and spinal cord), hemiplegia (unilateral paralysis), paraplegia (bilateral paralysis) or other muscle nerve disease<\/li><li>if you are older and your general condition is impaired<\/li><li>if you are in a late stage of pregnancy.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Hevicain Spinal Tung<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Tell your doctor<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are taking other topical painkillers<\/li><li>if you are taking propofol (short-term anesthetic)<\/li><li>if you are taking medicines for heart rhythm disorders, such as&nbsp;lidocaine&nbsp;or&nbsp;amiodarone<\/li><li>if you are taking verapamil (medicines for arrhythmias and heart attacks)<\/li><li>if you are taking&nbsp;ACE inhibitors&nbsp;(medicines for high&nbsp;blood pressure&nbsp;)<\/li><li>if you are taking blood-thinning medicines<\/li><li>if you are taking cimetidine (medicine for stomach acid).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>You can be treated with Hevicain&nbsp;Spinal&nbsp;Tongue&nbsp;during pregnancy.<\/p>\n\n\n\n<p>Dose&nbsp;one should be reduced during later stages of pregnancy.&nbsp;Talk to your doctor.<\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>You can be treated with Hevicain&nbsp;Spinal&nbsp;Tongue&nbsp;during breastfeeding.&nbsp;Breastfed babies are unlikely to be affected.&nbsp;Talk to your doctor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>You should not drive or use machines on the day of surgery as Hevicain&nbsp;Spinal&nbsp;Tung may affect your&nbsp;ability to react&nbsp;and muscle coordination.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Hevicain Spinal Tung contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol&nbsp;sodium&nbsp;(23 mg) per ml, ie essentially &#8216;sodium-free.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Hevicain Spinal Tongue<\/h2>\n\n\n\n<p>Hevicain&nbsp;Spinal&nbsp;Tongue&nbsp;will be given to you as a slow&nbsp;injection&nbsp;into the spinal cord by healthcare professionals trained in anesthesiology (anesthesia), who will also be available throughout the procedure.&nbsp;There will also be resuscitation equipment available.<\/p>\n\n\n\n<p>Your dose&nbsp;will be determined by your doctor and it will be based on your illness, your general condition, and if you are pregnant.&nbsp;Only the doctor can change the&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use for children and adolescents<\/h2>\n\n\n\n<p>Hevicain&nbsp;Spinal&nbsp;Tung is given as a slow&nbsp;injection&nbsp;into the spinal cord by an anesthesiologist (experienced anesthetist) with experience in anesthesia of children.&nbsp;Dose&nbsp;one depends on age and weight and will be determined by the anesthesiologist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Hevicain Spinal Tung than you should&nbsp;<\/h2>\n\n\n\n<p>It is very rare for&nbsp;side effects&nbsp;to&nbsp;occur due to overdose.&nbsp;The care staff is trained to handle such situations.<\/p>\n\n\n\n<p>Signs of an overdose with Hevicain&nbsp;Spinal&nbsp;Tongue include&nbsp;low&nbsp;blood pressure, slow heartbeat, irregular&nbsp;heartbeat,&nbsp;or&nbsp;central nervous system&nbsp;effects.&nbsp;Tell your doctor immediately if you notice any of these signs.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Serious&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>paralysis or muscle weakness (paresis)&nbsp;<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>heart failure<\/li><li>pain and sensory disturbances due to nerve inflammation<\/li><li>inflammation&nbsp;of the membrane surrounding the spinal cord (arachnoiditis).&nbsp;Symptoms of arachnoiditis may include drowsiness, joint pain, fever, rapid breathing<\/li><li>movement paralysis<\/li><li>bilateral paralysis, often in the lower part of the body or in both legs (paraplegia)<\/li><li>unintentional blockage of nerves in the spine (spinal block)<\/li><li>weak breathing.&nbsp;Blue staining of lips and nails.&nbsp;Contact a doctor immediately.<\/li><li>sudden skin rash and fainting (within minutes to hours) due to hypersensitivity (anaphylactic&nbsp;shock&nbsp;), can be life-threatening.&nbsp;Contact a doctor immediately.&nbsp;<\/li><\/ul>\n\n\n\n<p><strong>Other&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 user in 10)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>dizziness, possible fainting due to low&nbsp;blood pressure<\/li><li>nausea<\/li><li>slow&nbsp;pulse&nbsp;.&nbsp;Can get serious.&nbsp;If you experience a very slow&nbsp;pulse&nbsp;or feel sick or faint, consult a doctor.&nbsp;Contact a doctor immediately.&nbsp;<\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache<\/li><li>vomiting<\/li><li>difficulty urinating<\/li><li>accidental urination&nbsp;<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>muscle weakness<\/li><li>back pain<\/li><li>stinging sensation or loss of sensation in the skin<\/li><li>painful or abnormal sensation in the skin<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>allergic reactions<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Additional side effects in children and adolescents<\/h2>\n\n\n\n<p>Side effects&nbsp;in children and adolescents are similar to those in adults.<\/p>\n\n\n\n<p><strong>Reporting of&nbsp;side effects&nbsp;ar<\/strong><\/p>\n\n\n\n<p>If you get&nbsp;any side effects, talk to your doctor or nurse.&nbsp;This also applies to any&nbsp;side effects&nbsp;not mentioned in this information.&nbsp;You can also report&nbsp;side effects&nbsp;directly via the details below.&nbsp;By reporting&nbsp;side effects, you can help increase the safety of medicines.<\/p>\n\n\n\n<p>The Medical Products Agency<\/p>\n\n\n\n<p>Box 26<\/p>\n\n\n\n<p>751 03 Uppsala<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Hevicain Spinal Tung<\/h2>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is bupivacaine hydrochloride.<\/li><li>The other ingredients are glucose monohydrate, sodium hydroxide, water for injections.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Colorless&nbsp;glass&nbsp;ampoules&nbsp;in blisters: 5 x 4 ml<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>EQL Pharma AB<br>Stortorget 1<\/p>\n\n\n\n<p>222 23 Lund<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<p>Denmark: Hevicain&nbsp;Spinal&nbsp;Tung 5 mg\/ml, solution for injection<\/p>\n\n\n\n<p>Norway: Hevicain&nbsp;Spinal&nbsp;Tung 5 mg\/ml, solution for injection<\/p>\n\n\n\n<p>Sweden: Hevicain&nbsp;Spinal&nbsp;Heavy 5 mg\/ml&nbsp;injection&nbsp;solution<\/p>\n\n\n\n<p>Finland: Hevicain&nbsp;Spinal&nbsp;Tung 5 mg \/ ml, injection test, liuos<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hevicain Spinal Tung is a local anesthetic used to numb (remove the sensation) parts of the body. The anesthetic is used to block or relieve pain.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,2208],"tags":[13782,13786,8254,8258,13783,13787,13781,13785,8255,13784],"class_list":["post-13760","post","type-post","status-publish","format-standard","hentry","category-medicines","category-h","tag-benefits-of-bupivacaine-hydrochloride","tag-benefits-of-hevicain-spinal-tung","tag-bupivacaine-hydrochloride","tag-bupivacaine-hydrochloride-side-effects","tag-hevicain-spinal-tung","tag-hevicain-spinal-tung-side-effects","tag-what-bupivacaine-hydrochloride-is-uded-for","tag-what-hevicain-spinal-tung-is-used-for","tag-what-is-bupivacaine-hydrochloride","tag-what-is-hevicain-spinal-tung"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13760","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=13760"}],"version-history":[{"count":6,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13760\/revisions"}],"predecessor-version":[{"id":15280,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/13760\/revisions\/15280"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=13760"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=13760"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=13760"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}