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Liposome bupivacaine is an extended-release formulation of the amide-type local anesthetic bupivacaine, designed to provide prolonged postsurgical analgesia. It utilizes the proprietary DepoFoam technology, which consists of multivesicular liposomes that encapsulate the drug and release it slowly over time, typically extending the duration of pain relief up to 72 hours. This formulation is primarily indicated for single-dose infiltration into the surgical site or for use in specific regional nerve blocks, such as interscalene brachial plexus blocks or sciatic nerve blocks, to manage postoperative pain while reducing the need for systemic opioids. Developed by Pacira BioSciences, it is marketed under the brand name Exparel and has been extensively studied in various surgical procedures, including total knee arthroplasty and bunionectomy.
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