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Read all of this leaflet carefully before this In particular, tell your doctor if you are taking any
medicine is given to you because it contains of the following medicines:
important information for you. • Other local anaesthetics.
• Keep this leaflet. You may need to read it again. • Medicines used to treat an uneven heart beat
• If you have any further questions, ask your (arrhythmia), such as amiodarone.
doctor or nurse. Your doctor needs to know about these medicines
• If you get any side effects, talk to your doctor to be able to work out the correct dose of
or nurse. This includes any possible side Marcain Heavy for you.
effects not listed in this leaflet. See section 4. Pregnancy, breast-feeding and fertility
What is in this leaflet: If you are pregnant or breast-feeding, think that
1. What Marcain Heavy is and what it is used for you may be pregnant or are planning to have a
2. What you need to know before Marcain Heavy baby, ask your doctor for advice before taking this
is given to you medicine.
3. How Marcain Heavy is given to you Driving and using machines
4. Possible side effects Marcain Heavy may make you feel sleepy and
5. How to store Marcain Heavy affect the speed of your reactions. After you have
6. Contents of the pack and other information been given Marcain Heavy, you should not drive or
use tools or machines until the next day.
1. What Marcain Heavy is and what it is used for
Marcain Heavy contains sodium
Marcain Heavy contains a medicine called This medicinal product contains less than 1 mmol
bupivacaine hydrochloride. It belongs to a group of sodium (23 mg) per ampoule. This is considered
medicines called local anaesthetics. essentially sodium free.
Marcain Heavy is used to numb (anaesthetise)
parts of the body during surgery in adults and 3. How Marcain Heavy is given to you
children of all ages. It stops pain happening during Marcain Heavy will be given to you by a doctor,
surgery (operations). who will decide the correct dose. It will be given
to you as an injection into the lower part of
2. What you need to know before
your spine.
Marcain Heavy is given to you
Use in children and adolescents
You must not be given Marcain Heavy: Marcain Heavy is injected slowly into the
• If you are allergic to bupivacaine hydrochloride spinal channel (part of the spine) by a doctor
or any of the other ingredients of this medicine experienced in paediatric anaesthetic techniques.
(listed in Section 6). Dosage depends on the age and weight of the
• If you are allergic to any other local patient and will be determined by the doctor.
anaesthetics of the same class (such as
lidocaine or ropivacaine). When Marcain Heavy is injected, it stops the
• If you have a skin infection near to where the nerves from being able to pass pain messages to
injection will be given. the brain.
• If you have blood poisoning (septicaemia). If you have been given too much Marcain Heavy
• If you have something called cardiogenic shock Serious side effects from getting too much
(a serious condition where the heart is unable Marcain Heavy need special treatment and the
to supply enough blood to the body). doctor treating you is trained to deal with these
• If you have something called hypovolaemic situations. The first signs of being given too much
shock (very low blood pressure leading to Marcain Heavy are usually as follows:
collapse). • Feeling dizzy or light-headed.
• If you have problems with clotting of your blood. • Numbness of the lips and around the mouth.
• If you have diseases of the brain or spine such • Numbness of the tongue.
as meningitis, polio or spondylitis. • Hearing problems.
• If you have a severe headache caused • Problems with your sight (vision).
by bleeding inside the head (intracranial To reduce the risk of serious side effects, your
haemorrhage). doctor will stop giving you Marcain Heavy as
• If you have problems with your spinal cord due soon as these signs appear. This means that
to anaemia. if any of these happen to you, or you think you
• If you have had a recent trauma, tuberculosis have received too much Marcain Heavy, tell your
or tumours of the spine. doctor immediately.
You must not be given this medicine if any of More serious side effects from being given
the above apply to you. If you are not sure, talk too much Marcain Heavy include tremors, fits
to your doctor or nurse before you are given this (seizures) and heart problems.
medicine.
Warnings and precautions 4. Possible side effects
Talk to your doctor or nurse before having Like all medicines, this medicine can cause side
Marcain Heavy: effects, although not everybody gets them.
• If you have heart, liver or kidney problems. This Severe allergic reactions (rare, may affect up to
is because your doctor may need to adjust the 1 in 1,000 people)
dose of Marcain Heavy. If you have a severe allergic reaction, tell your
• If you have been told that you have decreased doctor immediately. The signs may include
volumes of blood (hypovolaemia). sudden onset of:
• If you have fluid in your lungs. • Swelling of your face, lips, tongue or throat.
If you are not sure if any of the above apply to This may make it difficult to swallow.
you, talk to your doctor or nurse before you are • Severe or sudden swelling of your hands, feet
given this medicine. and ankles.
Other medicines and Marcain Heavy • Difficulty breathing.
Tell your doctor if you are taking, have recently • Severe itching of the skin (with raised lumps).
taken or might take any other medicines. • Very low blood pressure which can make you
This includes medicines that you buy without feel faint or collapse.
a prescription and herbal medicines. This is
because Marcain Heavy can affect the way some
medicines work and some medicines can have an
effect on Marcain Heavy.