Exparel is a great pain medication if it is available to you. The only real downside compared to marcaine is the cost. Marcaine generally lasts about 12 hours, but Exparel is a special formulation of marcaine that allows it to last up to 72 hours. My recommendation would be to use it if your surgeon recommends it and feels it is appropriate in your case.
Exparel is touted as being a long-acting anesthetic that may last up to 3 days. A careful look at their FDA studies, however, indicates that its effect may not be that prolonged. Some now question whether it is really much more effective than that of the traditional use of Marcaine. I have not been that impressed that Exparel has such a prolonged local anesthetic effect.
Exparel is a long acting marcaine solution mixed with liposomes. It can last up to 3 days. In many patients it helps to relieve the early pain after a procedure. It is useful in patients who have difficulty with pain medications.
Comparison of marcaine and Exparel
Thank you for your question! Marcaine and Exparel are very similar local anesthetics however Exparel lasts significantly longer. This means that Exparel can help provide pain relief for about 72 hours whereas marcaine only lasts the day of surgery. The only downside to Exparel is the added expense but I strongly recommend it to my patients for procedures such as a tummy tuck. Hope that helps answer your question!
Great question. I feel that exparel is superior over marcaine. They both work the same way, but exparel lasts significantly longer. My patients have had great results with it. I had one patient go out to a coffee shop the night of surgery! This is a decision you should make with your surgeon understanding the benefits and drawbacks of each. Exparel works better, but is more expensive.
I wish you the best.
Local Anesthesia and Tummy Tuck Surgery
If you want an anesthetic in the sheath of the muscle that gets sewn together for tummy tuck surgery, and your doctor plans to use Exparel, Marcaine will be mixed with it to cover the early discomfort, then Exparel will take over. Although the company says it will last 3 days it usually lasts a little more than 48 hours. It must be injected into the tissues. It doesn't work if it just is pooled on the tissues the way a pain pump works.
Not all surgical facilities are allowing the use of Exparel yet so it isn't universally available. Sometimes the limitation for allowing it to be used is the cost to the pharmacy of the facility. Your surgeon is not allowed to bring it to the facility either, usually.
That being said the worst discomfort is in the first evening after surgery and Marcaine, which has been used safely for years, will cover that time.
Marcaine is a long acting local anesthetic which may provide pain relief for up to 7 hours following a procedure. Exparel and Marcaine are both bupivicaine. They are produced differently. The advantage of Exparel is that it lasts for 3 days. The disadvantage of Exparel is cost which is usually in excess of $500 per patient.
Exparel last 2 to 3 days, but it costs more than marcaine, so your surgeon may charge you to use it. It is probably most useful when a muscle separation is being repaired since this part hurts the most, but it also can be used around the skin incision. Although there is little downside besides cost, I am not aware of any controlled study that using Exparel decreases the need for narcotic pain medications after a tummy tuck.
Marcaine vs. exparel? Is one better than the other
Exparel wil give you a longer lasting effect compared to the Marcaine due to the method it is applied and then asorbed
Marcaine vs. Exparel for pain management
Thank you for the question. Marcaine has a shorter half life than Exparel.
Exparel is basically Marcaine in liposomes and is released slowly to last up to 3 days.
The other main difference is the cost.
Exparel is more costly than Marcaine.
Good luck with your surgery!