Bupivacaine HCl is contraindicated in obstetrical paracervical block anesthesia. Its use by technique has resulted in fetal bradycardia and death. It is contraindicated in patients who have known sensitivity to it or to any local anesthesia of amide-type. The use of bupivacaine is contraindicated in children under the age of 12 years and should be used with caution in debilitated, elderly, or acutely ill patients. It is not also recommended for intravenous regional anesthesia.