Bupivacaine

Bupivacaine Basic information
Product Name:Bupivacaine
Synonyms:MARCAINE;BUPIVACAINE;BUPIVACAINE BASE;2',6'-Pipecoloxylidide, 1-butyl-;6’-pipecoloxylidide,1-butyl-2;Anekain;Carbostesin;DL-Bupivacaine
CAS:2180-92-9
MF:C18H28N2O
MW:288.43
EINECS:218-553-3
Product Categories:research chemical;Active Pharmaceutical Ingredients;API
Mol File:2180-92-9.mol
Bupivacaine Structure
Bupivacaine Chemical Properties
Melting point 107.5-108°
Boiling point 430.65°C (rough estimate)
density 1.0238 (rough estimate)
refractive index 1.5700 (estimate)
pka8.09; also reported as 8.17(at 25℃)
Water Solubility 101.5mg/L(25 ºC)
InChIInChI=1S/C18H28N2O/c1-4-5-12-20-13-7-6-11-16(20)18(21)19-17-14(2)9-8-10-15(17)3/h8-10,16H,4-7,11-13H2,1-3H3,(H,19,21)
InChIKeyLEBVLXFERQHONN-UHFFFAOYSA-N
SMILESC1(CCCCN1CCCC)C(=O)NC1C(C)=CC=CC=1C
CAS DataBase Reference2180-92-9(CAS DataBase Reference)
NIST Chemistry Reference2-Piperidinecarboxamide, 1-butyl-n-(2,6-dimethylphenyl)-(2180-92-9)
EPA Substance Registry System2-Piperidinecarboxamide, 1-butyl-N-(2,6-dimethylphenyl)- (2180-92-9)
Safety Information
Hazard Codes T+
Risk Statements 26/27/28-38-41
Safety Statements 22-26-36/37/39-45
RIDADR 2811
MSDS Information
Bupivacaine Usage And Synthesis
OriginatorCarbostesin,Astra,W. Germany,1967
UsesAnesthetic (local).
UsesLike lidocaine and mepivacaine, bupivacaine is used in infiltration, spinal, and epidural anesthesia in blocking nerve transmission. Its most distinctive property is its long-lasting action. It is used for surgical intervention in urology and in lower thoracic surgery from 3 to 5 h in length, and in abdominal surgery lasting from 45 to 60 min. It is used to block the trifacial nerve, the sacral and brachial plexuses, in resetting dislocations, in epidural anesthesia, and during Cesarian sections.
DefinitionChEBI: 1-butyl-N-(2,6-dimethylphenyl)piperidine-2-carboxamide is a piperidinecarboxamide obtained by formal condensation of the carboxy group of N-butylpipecolic acid with the amino group of 2,6-dimethylaniline. It is a piperidinecarboxamide, an aromatic amide and a tertiary amino compound. It is a conjugate base of a 1-butyl-2-[(2,6-dimethylphenyl)carbamoyl]piperidinium.
Brand nameMarcaine (Hospira); Sensorcaine (AstraZeneca).
Therapeutic FunctionLocal anesthetic
General DescriptionBupivacaine was synthesized simultaneously with mepivacainein 1957 but was at first overlooked because of the increasedtoxicity compared with mepivacaine. When themethyl on the cyclic amine of mepivacaine is exchanged fora butyl group the lipophilicity, potency and the duration ofaction all increase. Literature reports of cardiovascular toxicity,including severe hypotension and bradycardia, areabundant in the literature.91 Bupivacaine is highly bound toplasma proteins (95%), and thus the free concentration mayremain low until all of the protein binding sites are occupied.After that point, the plasma levels of bupivacaine rise rapidlyand patients may progress to overt cardiac toxicity withoutever showing signs of CNS toxicity. The cardiotoxicity ofbupivacaine is a result of its affinity to cardiac tissues and itsability to depress electrical conduction and predispose theheart to reentry types of arrhythmias. The cardiotoxicity ofbupivacaine was found to be significantly more prominentwith the “R” isomer, or the racemic mixture, thus the “S”stereoisomer is now on the market as levobupivacaine.
Mechanism of actionBupivacaine is a local anaesthetic containing a chiral centre and adopts dextro and laevo forms. The enantiopure l form is less cardio- and neurotoxic and has an equivalent potency to the racemic mixture; therefore levobupivacaine is often preferred to reduce the potential for toxicity. Stereoselectivity describes the differences in response at a given receptor for the different enantiomers (such as the response discussed for S(+) ketamine). The opioid and NMDA receptors also exhibit stereoselectivity.
PharmacologyBupivacaine is a chiral compound used clinically for 50 years, with a slower onset, greater potency and longer duration of action than lidocaine. Initial benefits of bupivacaine were sensory–motor separation and minimal tachyphylaxis, unlike repeated doses of lidocaine. However, it has greater potential for cardiac toxicity, related to its avid binding to and slow dissociation from cardiac N a+ channels. Inadvertent intravenous administration may result in systemic toxicity (see later), and it is contraindicated for intravenous regional anaesthesia.
Bupivacaine is commonly used for epidural administration in obstetrics and postoperative pain management. A hyperbaric preparation containing 80 mg ml-1 glucose is available for spinal anaesthesia.
Side effectsCommon side effects of bupivacaine include:
weakness, long-lasting numbness or tingling;
feeling restless or drowsy;
tremors;
headache, blurred vision;
fast or slow heartbeats;
breathing problems;
chills or shivering;
back pain;
nausea, vomiting.
SynthesisBupivacaine, N-2,6-(dimethyl)1-butyl-2-piperidincarboxamide (2.2.7), is chemically similar to mepivacaine and only differs in the replacement of the N-methyl substituent on the piperidine ring with an N-butyl substituent. There are also two suggested methods of synthesis. The first comes from α-picolin-2,6-xylidide (2.2.4). The alkylation of the last with butyl bromide gives the corresponding pyridine salt (2.2.6). Finally, it is reduced by hydrogen using platinum oxide as a catalyst into a piperidine derivative—bupivacaine.
Synthesis_2180-92-9_1
The other method results directly from the piperidine-2-carboxylic acid chloride, which is reacted with 2,6-dimethylaniline. The resulting amide (2.2.8) is further alkylated with butyl bromide to bupivacaine [17–19].
Synthesis_2180-92-9_2




D-(+)-Bupivacaine,d-Bupivacaine,(R)-(+)-Bupivacaine,(R)-(+)-BUPIVACAINE HCL 1-Butyl-N-(2,6-dimethylphenyl)-2-piperidinecarboxamide hydrochloride,BUPIVACAINE HYDROCHLORIDE Cyhalofop-butyl N,N-Dimethylformamide CARBOXAMIDE Levobupivacaine hydrochloride Piperidine IPRAVACAINE Bupivacaine Buprofezin Levobupivacaine Butyl acetate Dibutyl phthalate BUTYL OLEATE BUPIVACAINE HYDROCHLORIDE, [3H]- Mepivacaine Articaine SALOR-INT L211176-1EA

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