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Med Rx.

Bupivacaine Hydrochloride interactions

Checked as Bupivacaine in this data source.

Full monograph for Bupivacaine HydrochlorideCheck it against another medicine

Medicines

215 documented

Medicines documented to interact with Bupivacaine Hydrochloride, worst severity first.
MedicineSeverityMechanismEffectSources
Articaine Hydrochloride + Epinephrine BitartrateMajorSynergy · UnknownAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms3 sources — open the full entry
Beclomethasone Dipropionate + Chloramphenicol + Clotrimazole + LidocaineMajorSynergy · UnknownAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms3 sources — open the full entry
Benzocaine + Butamben + Tetracaine HydrochlorideMajorSynergyAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms10 sources — open the full entry
Betamethasone + Phenylephrine + LignocaineMajorSynergyAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…3 sources — open the full entry
Calcium Dobesilate + Lidocaine + DexamethasoneMajorSynergy · UnknownAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms3 sources — open the full entry
Chloramphenicol + Lidocaine HydrochlorideMajorSynergy · UnknownAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms3 sources — open the full entry
Chloroquine PhosphateMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
CyclophosphamideMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
DapsoneMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Diclofenac Sodium + Lidocaine HydrochlorideMajorSynergy · UnknownAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms3 sources — open the full entry
FlutamideMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Hydrocortisone + LidocaineMajorSynergy · UnknownAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms3 sources — open the full entry
HydroxyureaMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
IfosfamideMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Isosorbide Dinitrate + Hydralazine HydrochlorideMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Lidocaine + AdrenalineMajorSynergy · UnknownAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms3 sources — open the full entry
Lidocaine + EpinephrineMajorSynergy · UnknownAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…2 documented mechanisms3 sources — open the full entry
Lidocaine + PrilocaineMajorSynergyAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…3 documented mechanisms16 sources — open the full entry
Lidocaine HydrochlorideInjectionSprayMajorSynergyAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…3 sources — open the full entry
NitrofurantoinMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Nitrofurantoin + Nitrofurantoin MicrocrystalsMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Ofloxacin + Clotrimazole + Beclomethasone + LidocaineMajorSynergyAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…3 sources — open the full entry
PhenobarbitalMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Primaquine PhosphateMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Quinine SulfateMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
SulfasalazineMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…5 sources — open the full entry
Sulphamethoxazole + TrimethoprimMajorSynergyCoadministration of local anesthetics with other oxidizing agents that can also induce methemoglobinemia such as antimalarials (e.g., chloroquine, primaquine…2 documented mechanisms5 sources — open the full entry
Tolperisone + LidocaineMajorSynergyAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…3 sources — open the full entry
Tropicamide + Phenylephrine + LidocaineMajorSynergyAdditive toxicities may occur when bupivacaine is coadministered with other local anesthetics. The potential for increased risk of systemic toxicities such as…3 sources — open the full entry
AbametapirModerateMetabolismBased on in vitro inhibition data, a single topical application of abametapir lotion may increase plasma concentrations of drugs that are substrates of CYP450…1 sources — open the full entry
AlprazolamModerateSynergyThe concomitant use of local anesthetics and benzodiazepines may have additive CNS-depressant effects. Both types of drugs are CNS depressants.7 sources — open the full entry
Amiodarone HydrochlorideModerateSynergyAmide-type local anesthetics may have additive cardiac effects (e.g., bradycardia, chest pain, heart block, arrhythmias, ECG abnormalities, cardiac arrest)…2 sources — open the full entry
Amitriptyline Hydrochloride + ChlordiazepoxideModerateSynergyThe concomitant use of local anesthetics and benzodiazepines may have additive CNS-depressant effects. Both types of drugs are CNS depressants.7 sources — open the full entry
Amlodipine Besilate + AtenololModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
AprepitantModerateMetabolismCoadministration with aprepitant or its prodrug, fosaprepitant, may increase the plasma concentrations of drugs that are primarily metabolized by CYP450 3A4…2 sources — open the full entry
AtenololModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
Atenolol + ChlorthalidoneModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
Betaxolol HydrochlorideModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
Bimatoprost + TimololModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
Bisoprolol FumarateModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
Bisoprolol Fumarate + Amlodipine BesilateModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
Bisoprolol Fumarate + HydrochlorothiazideModerateSynergy · UnknownBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…2 documented mechanisms3 sources — open the full entry
Brimonidine Tartrate + Timolol MaleateModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
Brinzolamide + TimololModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
CarvedilolModerateSynergyBeta-blockers may increase the risk of bupivacaine-induced side effects. The proposed mechanism is increased bupivacaine levels due to hepatic enzyme…3 sources — open the full entry
Cinchocaine + Hydrocortisone + Framycetin + EsculinModerateSynergy · UnknownSome topical anesthetics can be systemically absorbed and cause methemoglobinemia, particularly when applied to mucous membranes. Coadministration with other…2 documented mechanisms7 sources — open the full entry
Cinchocaine + Hydrocortisone + Neomycin + EsculinModerateSynergy · UnknownSome topical anesthetics can be systemically absorbed and cause methemoglobinemia, particularly when applied to mucous membranes. Coadministration with other…2 documented mechanisms7 sources — open the full entry
ClobazamModerateSynergyThe concomitant use of local anesthetics and benzodiazepines may have additive CNS-depressant effects. Both types of drugs are CNS depressants.7 sources — open the full entry
ClonazepamModerateSynergyThe concomitant use of local anesthetics and benzodiazepines may have additive CNS-depressant effects. Both types of drugs are CNS depressants.7 sources — open the full entry
DiazepamModerateSynergyThe concomitant use of local anesthetics and benzodiazepines may have additive CNS-depressant effects. Both types of drugs are CNS depressants.7 sources — open the full entry

Therapeutic duplication

Drug classes that overlap with Bupivacaine Hydrochloride, so taking both doubles up the same effect. This source publishes no per-row citations for duplication.