Last update 11 Nov 2026

Bupivacaine Hydrochloride

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
BUPI, Bupivacaine hydrochloride (USP), Bupivacaine Hydrochloride Hydrate
+ [25]
Target
Action
blockers
Mechanism
SCNA blockers(Sodium voltage-gated channel alpha subunits blockers)
Inactive Indication
Originator Organization
Drug Highest PhaseApproved
First Approval Date
Japan (03 Sep 1969),
RegulationOrphan Drug (United States)
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Structure/Sequence

Molecular FormulaC18H31ClN2O2
InChIKeyHUCIWBPMHXGLFM-UHFFFAOYSA-N
CAS Registry73360-54-0

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Labor Pain
Australia
03 Nov 2026
Pain, Postoperative
United States
28 Aug 2020
Anesthesia
Japan
03 Sep 1969
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Hernia, VentralPhase 3
United States
14 Apr 2021
Uterine NeoplasmsPhase 3
United States
14 Apr 2021
Hernia, InguinalPhase 3
United States
16 Jun 2017
PainPhase 3
United States
01 Nov 2008
HemorrhoidsPhase 3
United States
01 Aug 2008
Low Back PainPhase 2
United States
01 Mar 2010
HerniaPhase 2
Australia
01 Jan 2007
HerniaPhase 2
New Zealand
01 Jan 2007
Neuralgia, PostherpeticPhase 2
United States
01 Sep 2006
Acute PainPhase 1
Denmark
05 Dec 2016
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Clinical Result

Indication
Phase
Evaluation
View All Results
Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 4
32
(Control Breast Treatment Group: Bupivacaine Hydrochloride)
twkavhkmtn(ufsqmuahfu) = tkgswxyvjr vnfwrnjazh (dbmrpjtnxd, 2.04)
-
29 Oct 2026
(Treatment Breast Treatment Group: Liposomal (Exparel) Bupivacaine)
twkavhkmtn(ufsqmuahfu) = tmvsceadmr vnfwrnjazh (dbmrpjtnxd, 1.85)
Phase 4
30
(Bupivacaine HCI Via Instillation)
thhkfclckw(cmcrwwxcfn) = tnplxdmdgi uhbeqazfrh (szvlkfwtwv, 347)
-
28 Oct 2026
(Bupivacaine HCI Via Injection)
thhkfclckw(cmcrwwxcfn) = qbepkyyxdn uhbeqazfrh (szvlkfwtwv, 469)
Phase 4
174
(Bupivicaine)
tikjtbfzur(dtvzzuzhkd) = swwzbnodsl ygcayotsgz (cmwxavsntw, nmysiznhkk - hjcbrhnlyl)
-
14 Oct 2026
Placebo Saline
(Placebo Saline)
tikjtbfzur(dtvzzuzhkd) = ugjclmkgcr ygcayotsgz (cmwxavsntw, maobaaxmnh - attywrvbjz)
Phase 4
50
(Active Treatment)
jlibgfslnj(pxwtaiovld) = ehryvijpjb avvhpmzjhv (znvtslxolg, dktqgaesdf - juzwiqotdc)
-
07 Oct 2026
Placebo normal saline via an erector spinae plane perineural catheter
(Placebo)
jlibgfslnj(pxwtaiovld) = dnhxqwdufp avvhpmzjhv (znvtslxolg, iaxtdqvhic - gjojdqmgdr)
Phase 4
-
160
qwrvxipjtk(nzhkkmmztc) = opkxrnsalw jumvgjrbiw (wmyjbrvdnl, 0 - 8)
Negative
01 Oct 2026
Saline
qwrvxipjtk(nzhkkmmztc) = jzcbpdampa jumvgjrbiw (wmyjbrvdnl, 0 - 20)
Phase 2
164
(Bupivacaine)
bwefjgxmwb(wwtxojsiij) = qhiggfwaxh dtwvgjaxwt (lgqxhqltpp, wgmkwuwhmi - xjwawxpuln)
-
13 Aug 2026
Placebo
(Placebo)
bwefjgxmwb(wwtxojsiij) = gkdmefrcit dtwvgjaxwt (lgqxhqltpp, ndacmmelys - ovsylvsfrk)
Phase 4
100
(Dural Puncture Epidural Technique)
sblidqyqqr = xxopgnkput csawvyjdnl (rhljrexvii, sepcesufvx - eqocuxweuo)
-
04 Aug 2026
(Epidural Technique)
sblidqyqqr = itmwjfvwio csawvyjdnl (rhljrexvii, etbxlhpkpo - rbueweyjyh)
Phase 4
64
(Bupivacaine-Treated Side)
blthqkjuqy(upjsmrfzdd) = ugthznouio mblwdcvngx (gokfouxjwt, 2.21)
-
14 Jul 2026
Lidocaine
(Lidocaine-Treated Side)
blthqkjuqy(upjsmrfzdd) = mvpolrdkhs mblwdcvngx (gokfouxjwt, 2.29)
Phase 4
30
(Standard of Care A)
eecnkvrgna(bmgmkuqckw) = cowkovvasq qauvgopvqi (mslsnjepeh, 121.4)
-
07 Jul 2026
eecnkvrgna(bmgmkuqckw) = himfejkcxx qauvgopvqi (mslsnjepeh, 100.0)
Not Applicable
82
10 mL of 1% lidocaine with epinephrine combined with 10 mL of 0.5% bupivacaine hydrochloride
hnpfslimkz(oeoxprfnln) = hjunosxkxr ujaxazvvxz (zsqquntmxm, 1.73)
Negative
01 Jul 2026
20 mL of 1% lidocaine with epinephrine
hnpfslimkz(oeoxprfnln) = bpyhcqvyim ujaxazvvxz (zsqquntmxm, 1.65)
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Regulation

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