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Liposomal Bupivacaine (Exparel) dosing

Local Anesthetics · 13.3 mg/mL · Infiltration / Nerve Block

Calculated, not generated

Weight-based dose

DosePer kgFor 70 kg
low1.3 mg/kg91 mg
standard2 mg/kg140 mg
high2.7 mg/kg189 mg

Max 266 mg (single dose vial). Duration up to 72 hr. Do not admix with bupivacaine (disrupts liposomes). Wait 20 min after lidocaine before injecting.

Renal & hepatic adjustment

No drug-specific organ adjustment in our database — use clinical judgment and verify against the label.

Evidence B · FDA approved; variable RCT results for efficacy

More local anesthetics

Get the exact dose for your patient

Vigil computes Liposomal Bupivacaine (Exparel) for your patient's actual weight — and adjusts for renal or hepatic impairment automatically, with the cited rationale. The number is calculated from a verified database, never guessed.

Decision support for licensed clinicians — not a substitute for clinical judgment. Always verify against the package insert and the patient in front of you.