Bupivacaine and meloxicam

Generic name: Bupivacaine And Meloxicam
Brand names: Zynrelef
Dosage form: injectable solution, extended release (200 mg-6 mg/7 mL; 400 mg-12 mg/14 mL)
Drug class: Analgesic combinations

Usage of Bupivacaine and meloxicam

Bupivacaine and meloxicam is used in adults to relieve pain for up to 72 hours after certain surgical procedures.

Bupivacaine and meloxicam may also be used for purposes not listed in this medication guide.

Bupivacaine and meloxicam side effects

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).

Seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, or yellowing of your skin or eyes.

Bupivacaine and meloxicam may cause serious side effects. Call your doctor at once if you have:

low red blood cells (anemia)--pale skin, tiredness, feeling light-headed or short of breath, cold hands and feet;

liver problems--loss of appetite, stomach pain (upper right side), tiredness, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;

chest pain, shortness of breath, weakness, or slurring of speech; or

pale, gray, or blue colored skin, headache, rapid heart rate, shortness of breath, lightheadedness, or tiredness.

Common side effects of bupivacaine and meloxicam may include:

constipation, vomiting; or

headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Before taking Bupivacaine and meloxicam

You should not use bupivacaine and meloxicam if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID.

Bupivacaine and meloxicam can increase your risk of fatal heart attack or stroke, even if you don't have any risk factors. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG).

Bupivacaine and meloxicam may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using this medicine, especially in older adults.

Bupivacaine and meloxicam is not used as an anesthetic in tissues around the cervix.

Tell your doctor if you have ever had:

kidney or liver disease;

heart disease, high blood pressure, or if you smoke;

a heart attack, stroke, or blood clot;

anemia (low red blood cells);

ulcers or bleeding in your stomach;

asthma; or

fluid retention.

Tell your doctor if you are pregnant or plan to become pregnant. Bupivacaine and meloxicam may harm an unborn baby if used at 20 weeks or later in pregnancy. If you are between 20 to 30 weeks of pregnancy, only use this medicine if your doctor has told you to. Avoid using this medicine if you are more than 30 weeks pregnant.

Ask a doctor if it is safe to breastfeed while using this medicine.

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How to use Bupivacaine and meloxicam

Bupivacaine and meloxicam is administered by a healthcare professional. You will receive bupivacaine and meloxicam in a medical setting.

Bupivacaine and meloxicam causes temporary loss of sensation near the surgical site.

Your breathing, blood pressure, or other vital signs will be watched closely.

Warnings

Bupivacaine and meloxicam can increase your risk of fatal heart attack or stroke. Do not use bupivacaine and meloxicam just before or after heart bypass surgery (coronary artery bypass graft, or CABG). This medicine may also cause stomach or intestinal bleeding, which can be fatal.

What other drugs will affect Bupivacaine and meloxicam

Tell your doctor about all your other medicines, especially:

a blood thinner--warfarin, Coumadin, Jantoven;

an antidepressant;

heart or blood pressure medication, including a diuretic or "water pill";

lithium;

methotrexate;

cyclosporine; or

pemetrexed.

This list is not complete and many other drugs may affect bupivacaine and meloxicam. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Disclaimer

Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.