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Bupivacaine is used as a local anesthetic. It is commonly administered to numb a specific area of the body during surgical, dental, or diagnostic procedures. It is also used for pain management, such as in epidural anesthesia during labor and delivery.

Bupivacaine is not classified as a controlled substance. It is a local anesthetic commonly used for pain management during surgical procedures.

If a person is allergic to lidocaine, it is important to exercise caution with bupivacaine, as both are amide-type local anesthetics. Allergies to one amide anesthetic do not necessarily mean an allergy to another, but cross-reactivity can occur. It is essential for the individual to consult with a healthcare provider or an allergist to determine the safety of using bupivacaine in their specific case.

A serious adverse effect of bupivacaine is cardiotoxicity, which can lead to severe cardiovascular complications such as arrhythmias, hypotension, or even cardiac arrest. Additionally, central nervous system toxicity, including seizures, can also occur with high doses or accidental intravascular injection.

Bupivacaine is classified as a local anesthetic.