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BUPIS<br />

89548<br />

BUPM<br />

500038<br />

membrane protein of stratified aqueous epithelia. Cell 1981;24:897-903 4. Hamada T, Nagata Y, Tmita<br />

M, et al: Bullous pemphigoid sera react specially with various domains of BP230, most frequently with<br />

C-terminal domain, by immunblot analyses using bacterial recombinant proteins covering the entire<br />

molecule. Exp Dermatol 2001;10:256-263<br />

Bupivacaine, Serum<br />

Clinical Information: Bupivacaine (1-butyl-N-[2,6-dimethylphenyl] piperidine-2-carboxamide) is<br />

used as a local anesthetic for many surgical procedures, and is injected directly into surgical sites to<br />

reduce pain for up to 20 hours postsurgery. As an injectable local anesthetic, the drug is used to effect<br />

peripheral, sympathetic, caudal, epidural, or retrobulbar nerve membrane permeability to sodium ions,<br />

which results in inhibition of depolarization with resultant conduction blockade.(1) The onset and<br />

duration of anesthesia is route- and dose-dependent, ranging from 1 to 17 minutes and lasting for 2 to 9<br />

hours.(1) The drug is highly protein bound (approximately 95%), and has a volume of distribution (Vd) of<br />

0.4 L/kg to 1.0 L/kg. Bupivacaine under goes significant metabolism;

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