You should not receive this medicine if you have had an allergic reaction to bupivacaine, lidocaine, or certain other types of local anesthetic (numbing medicine). You should not receive this medicine if you have certain heart rhythm problems such as Wolff-Parkinson-White syndrome, Stokes-Adams syndrome, or severe heart block, unless you have a pacemaker.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are taking heart or blood pressure medicine such as digoxin (Lanoxin®), atenolol (Tenormin®), propranolol (Inderal®), or metoprolol (Lopressor®). Make sure your doctor knows about any other medicine you have used recently.
Make sure your doctor knows if you are pregnant or breast feeding. You may need to stop breast feeding for a short time after receiving this medicine.
Make sure your doctor knows if you have high blood pressure, low blood pressure, or other circulation problems. Tell your doctor if you have heart problems, such as congestive heart failure or heart rhythm problems. Make sure your doctor knows if you have liver disease, or any other health problems or drug allergies.