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A combination of bupivacaine, a local anesthetic, and nalbuphine, a synthetic opioid agonist-antagonist. When administered intrathecally (into the spinal canal), this combination provides enhanced and prolonged analgesia for various surgical procedures. Bupivacaine works by blocking sodium channels to inhibit nerve conduction, while nalbuphine binds to kappa opioid receptors in the spinal cord to produce analgesia with antagonist effects at mu opioid receptors. This combination offers extended duration of sensory blockade and postoperative pain relief with fewer side effects compared to other opioid adjuvants.
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