Pacira's Exparel Adds Nerve Block Indication For Shoulder Surgery In US

In unusual move, labeling lists data supporting use as nerve block as well as other trials that 'do not support' a broader nerve block indication beyond brachial plexus; labeling includes data on reduced opioid use but notes clinical benefit has not been established.

X-ray of a sore shoulder

The US FDA's unusual approach to a labeling expansion for Pacira Pharmaceuticals Inc.'s local anesthetic Exparel suggests a balancing of the agency's desire to increase availability of non-opioid analgesics while guarding against promotion and use for a broader-than-supported indication.

On April 6, FDA approved the use of Exparel (bupivacaine liposome injectable suspension) as an interscalene brachial plexus nerve block...

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