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compositionComposition:BUPIVACAINE-5MG
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Prescription Medicine
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Bupibloc Heavy 20 mg Injection 4 ml is used to reduce pain and discomfort during labour, surgery, dental treatment and other medical procedures. It contains Bupivacaine, which works by blocking the transmission of pain signals and numbing the area. In some cases, this medicine may cause side effects such as weakness, numbness or tingling, restlessness, drowsiness, headache, nausea and vomiting. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

BUPIVACAINE-5MG

Manufacturer/Marketer :

Samarth Life Sciences Pvt Ltd

Consume Type :

Parenteral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Bupibloc Heavy 20 mg Injection 4 ml

Bupibloc Heavy 20 mg Injection 4 ml is a prescription local anesthetic used to numb a specific area of the body during surgery, medical procedures, labor, or pain management treatments. It works by temporarily blocking pain signals from the nerves, allowing procedures to be performed without causing pain while you remain comfortable. Bupibloc Heavy 20 mg Injection 4 ml is administered only by a trained healthcare professional in a hospital or clinical setting.

Since Bupibloc Heavy 20 mg Injection 4 ml is given as an injection by a healthcare professional, you should receive it exactly as directed by your doctor. It is not intended for self-administration or routine home use. Depending on the type of procedure, your doctor may advise you not to eat or drink for several hours beforehand. Following all pre-procedure instructions can help ensure Bupibloc Heavy 20 mg Injection 4 ml works safely and effectively.

Common side effects of Bupibloc Heavy 20 mg Injection 4 ml include nausea, dizziness, low blood pressure, slow heart rate, or temporary numbness and weakness in the treated area. These effects are usually short-lived, but seek immediate medical attention if you experience difficulty breathing, chest pain, severe dizziness, seizures, blurred vision, ringing in the ears, or numbness around the mouth.

Before receiving Bupibloc Heavy 20 mg Injection 4 ml, tell your doctor if you have heart disease, liver disease, kidney disease, bleeding disorders, low blood pressure, or a history of seizures. Do not receive Bupibloc Heavy 20 mg Injection 4 ml if you are allergic to Bupibloc Heavy 20 mg Injection 4 ml or other similar local anesthetics. Your healthcare provider will carefully assess your medical history to determine whether Bupibloc Heavy 20 mg Injection 4 ml is appropriate for you.

Bupibloc Heavy 20 mg Injection 4 ml may interact with certain heart medicines, other local anesthetics, and medicines that affect heart rhythm or blood pressure, so inform your doctor about all Bupibloc Heavy 20 mg Injection 4 mls and supplements you are taking. If you are pregnant, planning to become pregnant, breastfeeding, or are an older adult, discuss the potential benefits and risks with your healthcare provider before receiving Bupibloc Heavy 20 mg Injection 4 ml.

Uses of Bupibloc Heavy 20 mg Injection 4 ml

Bupibloc Heavy 20 mg Injection 4 ml is used to relieve pain. The detailed uses of Bupibloc Heavy 20 mg Injection 4 ml are as follows:

  • Surgical Pain Prevention: Bupibloc Heavy 20 mg Injection 4 ml helps by completely numbing a specific part of the body, allowing surgeons to perform operations without you feeling pain.
  • Labor and Childbirth Pain Relief: It is used in epidurals to ease pain during labor and delivery while keeping you awake and alert.
  • Post-Operative Pain Relief: It helps manage pain after surgery by continuing to block pain signals from the surgical site to the brain.
  • Diagnostic and Therapeutic Nerve Blocks: It helps temporarily block nerve pathways to relieve chronic pain or help doctors find the source of your pain.
     

Key Benefits

Bupibloc Heavy 20 mg Injection 4 ml provides effective local or regional pain relief during surgical procedures, childbirth, and after surgery. Blocking pain signals at their source, it improves comfort while supporting a smoother recovery.

Benefits may include:

  • Provides targeted pain relief by numbing the specific area being treated.
  • Helps control pain during surgery, medical procedures, and childbirth.
  • Reduces the need for strong opioid pain medicines after surgery.
  • Supports earlier movement and participation in rehabilitation after procedures.
  • Helps improve comfort during recovery from surgery or injury.
  • Provides long-lasting pain relief under medical supervision.
     

Directions for Use

  • Bupibloc Heavy 20 mg Injection 4 ml will be administered by the doctor or nurse in a healthcare setting.
  • Do not self-administer it.

How Bupibloc Heavy 20 mg Injection 4 ml Works

Bupibloc Heavy 20 mg Injection 4 ml works by temporarily blocking the pathway of pain signals along your nerves. Inside your body, nerves send messages to your brain using tiny electrical currents that rely on sodium. Bupibloc Heavy 20 mg Injection 4 ml works by stopping sodium from entering the nerve endings in the area where it is injected. When these sodium channels are blocked, the nerve cannot generate or transmit the electrical signal. As a result, the pain messages never reach your brain, and you feel temporary numbness in the targeted part of your body. Once Bupibloc Heavy 20 mg Injection 4 ml naturally wears off, the sodium channels open back up, and normal sensation slowly returns.
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Alcohol

Caution

You are recommended to limit or avoid alcohol consumption while taking Bupibloc Heavy 20 mg Injection 4 ml. Alcohol intake, along with Bupibloc Heavy 20 mg Injection 4 ml, may cause increased drowsiness.

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Pregnancy

Caution

Bupibloc Heavy 20 mg Injection 4 ml is a pregnancy category C drug. Please consult your doctor before taking Bupibloc Heavy 20 mg Injection 4 ml if you are pregnant or planning to conceive.

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Breast Feeding

Caution

Bupibloc Heavy 20 mg Injection 4 ml is excreted into the breast milk. Please consult your doctor before taking Bupibloc Heavy 20 mg Injection 4 ml if you are a nursing mother.

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Driving

Unsafe

Bupibloc Heavy 20 mg Injection 4 ml may make you feel dizzy and drowsy that can affect your ability to drive. Do not drive or operate machinery if you experience these side effects.

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Liver

Caution

Please consult your doctor since Bupibloc Heavy 20 mg Injection 4 ml should be used with caution in patients with liver impairment/liver disease.

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Kidney

Caution

Please consult your doctor since Bupibloc Heavy 20 mg Injection 4 ml should be used with caution in patients with kidney impairment/kidney disease.

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Children

Caution

Bupibloc Heavy 20 mg Injection 4 ml is not recommended in children, unless prescribed by a doctor.

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Heart

Consult your doctor

Please inform your doctor if you have a history of heart disease before using Bupibloc Heavy 20 mg Injection 4 ml. Your doctor will prescribe it only if the benefits outweigh the risks.

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Geriatrics

Consult your doctor

Limited information available for use of Bupibloc Heavy 20 mg Injection 4 ml in elderly patients. Please consult your doctor.

What if I have taken an overdose of Bupibloc Heavy 20 mg Injection 4 ml

An overdose is rare because a trained medical professional carefully calculates and injects the dose. However, if you experience symptoms like dizziness, ringing in the ears, numbness around the mouth, or trouble breathing during or shortly after your injection, tell your healthcare provider immediately. Medical staff are equipped to manage any adverse reactions on-site.

Diet & Lifestyle Advise

  • Follow fasting guidelines: If you are scheduled to receive this injection for a surgery, strictly follow your doctor’s instructions regarding when to stop eating and drinking beforehand.
  • Rest and avoid sudden movements: Because Bupibloc Heavy 20 mg Injection 4 ml numbs your body, you may have temporary weakness or lack of feeling in your legs or other areas. Avoid standing up or walking without assistance until the sensation completely returns to prevent falls.
  • Protect the numbed area: Since you cannot feel pain while Bupibloc Heavy 20 mg Injection 4 ml is active, be careful not to bump, scrape, or burn the numbed part of your body.
  • Stay hydrated: Drink plenty of fluids after your procedure, as advised by your healthcare team, to help your body process the medication and support recovery.
     
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How Soon It Starts Working

The time required for Bupibloc Heavy 20 mg Injection 4 ml to start to work: Bupibloc Heavy 20 mg Injection 4 ml ideally shows its action within 10 to 15 minutes after administration. The time for which the effects of Bupibloc Heavy 20 mg Injection 4 ml last: The effect of Bupibloc Heavy 20 mg Injection 4 ml lasts for 2 to 9 hours.

What if you forget to take Bupibloc Heavy 20 mg Injection 4 ml

Since Bupibloc Heavy 20 mg Injection 4 ml is administered by a healthcare professional for specific medical procedures, missing a dose is highly unlikely. It is given only when needed for pain control during or after a medical procedure.

Storage

•Bupibloc Heavy 20 mg Injection 4 ml must be kept at controlled room temperature, between 20°C and 25°C (68°F to 77°F).

Drug Warnings

  • Verify the solution: If you are involved in preparing the medication, always inspect the vial before use; the solution should be clear and colorless, without any visible particles.
  • Monitor your heart: Ensure that medical staff are monitoring your blood pressure and heart rate during and after the injection.
  • Speak up immediately: Tell your doctor right away if you feel anxious, dizzy, or experience a strange metallic taste during the injection.
  • Avoid driving post-procedure: Do not drive or operate heavy machinery until your doctor confirms that Bupibloc Heavy 20 mg Injection 4 ml has fully worn off and your reflexes have returned to normal.
     

Drug-Drug Interactions

verifiedApollotooltip
  • Other local anesthetics: Taking these medicines alongside Bupibloc Heavy 20 mg Injection 4 ml may increase the risk of side effects and local anesthetic toxicity.
  • Heart medicines (e.g., beta-blockers, blood pressure medicines): Combining these with Bupibloc Heavy 20 mg Injection 4 ml may cause your heart rate or blood pressure to drop too low.
  • Medicines for irregular heartbeats (antiarrhythmic medicines): Taking these alongside Bupibloc Heavy 20 mg Injection 4 ml may increase the risk of serious heart-related side effects.
     
BupivacaineProcaine
Severe
BupivacaineChloroquine
Severe

Drug-Drug Interactions

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BupivacaineProcaine
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
C0-administration of Bupibloc Heavy 20 mg Injection 4 ml with procaine can have additive toxic effects, so using them together increases the risk of serious side effects like methemoglobinemia (a condition that can deprive tissues and organs of oxygen), reactions in the central nervous system (e.g-convulsions, unconsciousness, coma, respiratory arrest), and cardiovascular disorders (e.g- low blood pressure, heart block, irregular heart rhythm).

How to manage the interaction:
Co-administration of Bupibloc Heavy 20 mg Injection 4 ml with Procaine can result in an interaction, but it can be taken if your doctor has advised it. However, if you experience pale, grey, or blue-coloured skin, headache, rapid heart rate, shortness of breath, lightheadedness, or fatigue, consult a doctor. Do not stop using any medications without consulting a doctor.
BupivacaineChloroquine
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Taking Bupibloc Heavy 20 mg Injection 4 ml with chloroquine may cause methemoglobinemia (blood disorder in which too little oxygen is delivered to your cells).

How to manage the interaction:
Although taking Bupibloc Heavy 20 mg Injection 4 ml and chloroquine together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as gray discoloration of the skin, abnormal blood coloration, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion, consult the doctor immediately. Do not discontinue any medications without consulting a doctor.
BupivacainePrimaquine
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Coadministration of Primaquine and Bupibloc Heavy 20 mg Injection 4 ml can induce methemoglobinemia, (a condition in which the iron in the hemoglobin molecule -the red blood pigment is defective, making it unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking Bupibloc Heavy 20 mg Injection 4 ml and primaquine together may cause an interaction, it can be taken if a doctor has prescribed it. However, if you experience symptoms such as gray discoloration of the skin, nausea, headache, dizziness, lightheadedness, fatigue, breathing difficulty, rapid or shallow breathing, a rapid heartbeat, anxiety, or confusion, consult the doctor immediately. Do not discontinue any medications without consulting a doctor.
BupivacaineSulfasalazine
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Coadministration of Bupibloc Heavy 20 mg Injection 4 ml and sulfasalazine may result in methemoglobinemia, an uncommon disorder that lowers the blood's ability to carry oxygen, which can induce oxygen deprivation in tissues and essential organs.

How to manage the interaction:
Although taking Bupibloc Heavy 20 mg Injection 4 ml and sulfasalazine together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as grey discoloration of the skin, abnormal blood coloration, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion, consult a doctor immediately. Do not discontinue any medications without consulting a doctor.
BupivacaineHydroxycarbamide
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Taking Bupibloc Heavy 20 mg Injection 4 ml and Hydroxycarbamide may cause methemoglobinemia (a rare disorder in which the iron in the hemoglobin molecule (the red blood pigment) is defective, preventing it from carrying oxygen to the tissues adequately).

How to manage the interaction:
Although taking hydroxycarbamide and Bupibloc Heavy 20 mg Injection 4 ml together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as gray discoloration of the skin, abnormal blood coloration, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion, consult the doctor immediately. Do not discontinue any medications without consulting a doctor.
BupivacaineChloroprocaine
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Combining Bupibloc Heavy 20 mg Injection 4 ml with Chloroprocaine can increase the risk and severity of side effects.

How to manage the interaction:
There may be a possibility of interaction between Chloroprocaine and Bupibloc Heavy 20 mg Injection 4 ml, but it can be taken if prescribed by a doctor.However, if you experience pale, gray, or blue colored skin, headache, rapid heart rate, shortness of breath, lightheadedness, or fatigue, consult a doctor. Do not stop using any medications without consulting a doctor.
BupivacaineLidocaine
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Taking Lidocaine with Bupibloc Heavy 20 mg Injection 4 ml may cause serious side effects including methemoglobinemia (blood disorder in which too little oxygen is delivered to your cells), brain related problems and heart problems.

How to manage the interaction:
There may be a possibility of interaction between Lidocaine and Bupibloc Heavy 20 mg Injection 4 ml, but it can be taken if prescribed by a doctor. However, consult the doctor immediately if you develop pale, gray, or blue colored skin, abnormal blood coloration, nausea, headache, dizziness, lightheadedness, weakness, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion. Do not stop using any medications without talking to a doctor.
BupivacaineNitric oxide
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Taking Bupibloc Heavy 20 mg Injection 4 ml and Nitric oxide may cause methemoglobinemia, (a condition in which the iron in the hemoglobin molecule -the red blood pigment is defective, making it unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking Bupibloc Heavy 20 mg Injection 4 ml and nitric oxide together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as gray discoloration of the skin, abnormal blood coloration, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion, consult the doctor immediately. Do not discontinue any medications without consulting a doctor.
BupivacaineRopivacaine
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Combining Ropivacaine with Bupibloc Heavy 20 mg Injection 4 ml can have additive toxic effects, so using them together increases the risk of serious side effects like methemoglobinemia (a condition that can deprive tissues and organs of oxygen), reactions in the central nervous system (e.g-convulsions, unconsciousness, coma, respiratory arrest), and cardiovascular disorders (e.g- low blood pressure, heart block, irregular heart rhythm).

How to manage the interaction:
Although there is a possible interaction between Ropivacaine and Bupibloc Heavy 20 mg Injection 4 ml, you can take these medicines together if prescribed by a doctor. However, if you experience pale, grey, or blue-coloured skin, headache, rapid heart rate, shortness of breath, lightheadedness, or fatigue, consult a doctor. Do not stop using any medications without consulting a doctor.
BupivacaineMexiletine
Severe
How does the drug interact with Bupibloc Heavy 20 mg Injection 4 ml:
Taking Mexiletine with Bupibloc Heavy 20 mg Injection 4 ml may cause serious side effects including methemoglobinemia, a serious blood disorder in which too little oxygen is delivered to your cells and heart problems.

How to manage the interaction:
Although taking Bupibloc Heavy 20 mg Injection 4 ml and mexiletine together is generally avoided as it can result in an interaction, it can be taken if a doctor has advised it. However, consult a doctor immediately if you develop pale, grey, or blue-coloured skin, abnormal blood colouration, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, Jerking movements of the arms and legs, Loss of consciousness, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

verifiedApollotooltip

No clinically significant food interactions are known with Bupibloc Heavy 20 mg Injection 4 ml when used as directed.     
 

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[LOCAL ANESTHETICS]

FAQs

Bupibloc Heavy 20 mg Injection 4 ml is used to induce anaesthesia to reduce pain and discomfort during labour, surgery, dental treatment and other medical procedures.
Bupibloc Heavy 20 mg Injection 4 ml temporarily blocks the pain signals from the nerves of the painful area to the brain, thereby causing numbness at the affected site and providing relief from pain.
Bupibloc Heavy 20 mg Injection 4 ml may affect your blood pressure. It is advised to inform your doctor before using Bupibloc Heavy 20 mg Injection 4 ml if you have high blood pressure during pregnancy or low blood pressure.
You are recommended to consult your doctor to know the after-effects of Bupibloc Heavy 20 mg Injection 4 ml if you are using an epidural injection of Bupibloc Heavy 20 mg Injection 4 ml. Some epidural numbing medications may have long-lasting or permanent effects on body functions like bowel movement or bladder control, sexual function and movement in your legs. Please discuss the risks and benefits thoroughly with your doctor.
After using Bupibloc Heavy 20 mg Injection 4 ml, you may not be able to move your body or the localised part for a certain time. You may feel numbness in the injected area. When you are injected with an epidural, you may not be able to move the lower part of your body for a certain period. It is advised to stay careful during such times to avoid any injuries. After a dental procedure with the usage of Bupibloc Heavy 20 mg Injection 4 ml, please don't eat, chew gum or drink hot beverages until your mouth is completely free of numbness.
Bupibloc Heavy 20 mg Injection 4 ml should be used with caution and only under doctor's supervision if you have any liver, kidney or heart diseases, high or low blood pressure, excess fat in the body, breathing problems, excess fluid in womb during pregnancy (a condition called hydramnios), a tumour of the ovary, blood poisoning (septicaemia) and fluid around lungs. Please let your doctor know if you suffer from any medical issues before using Bupibloc Heavy 20 mg Injection 4 ml.
The common side effects of the Bupibloc Heavy 20 mg Injection 4 ml may include weakness, numbness or tingling, restlessness, drowsiness, tremors or shakiness, headache, blurred vision, chills or shivering, back pain, nausea, and vomiting. However, these symptoms vanish as your body adjusts to the medication. If these symptoms become worse, please consult a doctor for relief.
Bupibloc Heavy 20 mg Injection 4 ml contains Bupivacaine, which belongs to the group of medicines called amide-type anesthetics.
Bupibloc Heavy 20 mg Injection 4 ml is not an opioid or narcotic. It belongs to the class of local anesthetics. It primarily reduces pain and discomfort during surgery, dental treatments, and other medical procedures.
Bupibloc Heavy 20 mg Injection 4 ml is a local anesthetic for numbing a specific area during surgeries or medical procedures. Depending on your condition, pain extent, and overall health, your doctor may combine it with other medications for optimal pain relief. Following your doctor's advice is best to avoid any potential interactions.
Both Ropivacaine and Bupibloc Heavy 20 mg Injection 4 ml are safe and effective local anesthetics. Your doctor will prescribe the one most suitable for you based on your health status and the severity of your condition.
Early signs of local anesthesia toxicity can include symptoms like perioral numbness (numbness around the mouth), tinnitus (ringing in the ears), agitation, difficulty speaking (dysarthria), and confusion. These may be followed by more severe central nervous system (CNS) derangements such as seizures and coma.
The effect typically lasts between 2 to 9 hours, but it can vary based on the injection site and the specific dose used. Talk to your doctor or pharmacist if you have concerns.
Serious or permanent nerve damage is extremely rare when Bupibloc Heavy 20 mg Injection 4 ml is administered by a qualified professional. Talk to your doctor if you experience persistent numbness after your recovery period.
It is commonly used for pain relief during labor and delivery (such as epidurals). However, you should talk to your doctor about the risks and benefits if you require this injection during other stages of pregnancy.
Yes, you are typically awake during the injection, though you may receive a mild sedative to help you relax. Talk to your doctor about what to expect.
Fasting guidelines depend entirely on the medical procedure you are undergoing. Always follow the specific fasting instructions provided by your healthcare team.
General anesthesia puts your entire body to sleep, while Bupibloc Heavy 20 mg Injection 4 ml only numbs a specific part of your body, keeping you awake and pain-free. Talk to your doctor for more information.
If you still feel numb or weak several hours after your doctor said Bupibloc Heavy 20 mg Injection 4 ml should wear off, contact your healthcare provider immediately. Talk to your doctor or pharmacist for guidance.

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While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Samarth House, 168, Bangur Nagar, Off Link Road, Near Ayappa Temple & Kallol Kali Temple, Goregaon (W), Mumbai - 400 090.
Other Info - BUP0052
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