Medicine guide

MARCAINE

As listed in the register: MARCAINE

250 mg · solution

  • Prescription status not stated
  • Pain, sleep, mood, epilepsy and the brain
Made by
Pfizer Canada Ulc

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

What it is for

Medicine groupPain, sleep, mood, epilepsy and the brainN01BB01

Mediclarum has not yet retrieved and stored the official label for this product, so none of its text is shown here. Open the official leaflet

How it works

From the US prescribing label for the same active substance (EXPAREL). It describes the substance, not this exact product.

Local anesthetics block the generation and the conduction of nerve impulses presumably by increasing the threshold for electrical excitation in the nerve, by slowing the propagation of the nerve impulse, and by reducing the rate of rise of the action potential.

In general, the progression of anesthesia is related to the diameter, myelination, and conduction velocity of affected nerve fibers.

How the body breaks it down

Amide-type local anesthetics, such as bupivacaine, are metabolized primarily in the liver via conjugation with glucuronic acid.

How it leaves the body

Only 6% of bupivacaine is excreted unchanged in the urine.

Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2025-12-12

Safety of the active substance

From the US prescribing label for the same active substance (EXPAREL). It describes the substance, not this exact product.

Must not be used by
  • EXPAREL is contraindicated in obstetrical paracervical block anesthesia [see Use in Specific Populations (8.1) ].
  • While EXPAREL has not been tested with this technique, the use of bupivacaine HCl with this technique has resulted in fetal bradycardia and death.
Most common side effects

Most common adverse reactions (incidence greater than or equal to 10%) were nausea, constipation, and vomiting.

Quoted from the US prescribing label for the same active substance. Your own pack’s leaflet is the authority for your product. DailyMed

Same active substance, strength and form in other countries

Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.

Medicine passport: one printable page to show a pharmacist abroad

United StatesNo exact match for this strength and form

European UnionNo exact match for this strength and form

SpainNo exact match for this strength and form

NetherlandsNo exact match for this strength and form

SwitzerlandNo exact match for this strength and form

Details

Made byPfizer Canada Ulc
Active substanceBupivacaine Hydrochloride
Used inPain, sleep, mood, epilepsy and the brain
Strength250 mg
Formsolution
ClassificationN01BB01 · Pain, sleep, mood, epilepsy and the brain
Routeblock/infiltration
Dispensing (as stated by the register)ETHICAL
StatusMarketed
MarketedYes, according to the register
DIN02305909
DPD drug code79145

Source: Drug Product Database · 2026-09-30 · not reviewed by a clinician

Contains information licensed under the Open Government Licence – Canada. Reuse terms: Open Government Licence – Canada.

Other strengths and forms

3 products are sold under this name. Grouped by form; a number on a strength means several companies make it.

Same active substance

These contain the same substance. That does not mean one can replace another — ask a pharmacist.