PEDIATRIC SURGERY

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PEDIATRIC

ASK ABOUT NON-OPIOID OPTIONS FOR PAIN AFTER YOUR CHILD’S SURGERY.

Some of the most common concerns about surgery are the amount of pain involved and what to expect when your child is recovering. Well-controlled pain can aid your child’s recovery. Everyone experiences pain differently, and your child’s doctor will create a postsurgical pain management plan that includes a combination of medications, including opioid and non-opioid options. In addition to managing pain after surgery, this approach is aimed at helping your child reach important recovery goals, such as moving, walking, eating, and getting back to normal daily activities. A successful surgery and recovery for your child starts with a pain management plan.

Some common pediatric surgeries are

ACL repair
Cleft palate repair
Scoliosis and spinal surgery
Appendectomy
Hernia repair
Tonsillectomy
Cardiothoracic surgery
Meniscus of the knee repair
Wisdom tooth removal
Chest deformity

ACL repair
Hernia repair
Appendectomy
Meniscus of the knee repair
Cardiothoracic surgery
Scoliosis and spinal surgery
Chest deformity
Tonsillectomy
Cleft palate repair
Wisdom tooth removal

Non-opioid EXPAREL is proven safe in children

EXPAREL is the first and only FDA-approved long-lasting non-opioid pain management medication studied in ages 6 and above. The safety and effectiveness of EXPAREL in children has been demonstrated to provide^*

Effective pain management designed with children’s safety in mind

Reduction or elimination of the need for opioids^†

Long-lasting pain management for the critical first few days following surgery to help enhance recovery

Despite the use of opioids after surgery, children may have ongoing pain

Children reporting pain at 2 weeks following their surgery were likely to still have

pain 6 months later^‡

22% of children still reported

high levels of pain 1 YEAR LATER^‡

2 weeks

Children were still reporting
pain following their surgery^‡

6 months

Those children in pain at 2 weeks
were still experiencing pain^‡

1 year

22% of children still reported
high levels of pain^‡

While many patients may receive opioids after surgery, there are other options for pain management that may help your child during recovery. That’s why it is important to discuss these options with your child’s doctor or surgeon.

SIDE EFFECTS from opioids can slow down your child's recovery and may include nausea, vomiting, and constipation. Opioids may make your child feel drowsy or confused.

3 out of 10 kids who receive opioid prescriptions before their high school graduation are more likely to misuse opioids in the future.

Non-opioid EXPAREL provides your child with long-lasting pain relief after surgery. EXPAREL is given during surgery as part of a plan to minimize opioid use and control pain for the first few days after surgery, when your child will need it most

EXPAREL works by numbing the area of your child’s body where the surgery was performed—unlike opioids, which affect your child’s entire body
EXPAREL can be used in most kids’ surgeries

Do you want to have a conversation with your child’s doctor, but you aren’t sure where to start?

Use this helpful tool to put together talking points for your next appointment.

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^*The PLAY study assessed the safety of EXPAREL in children 6 to <17 years old.

^†The clinical benefit of the decrease in opioid consumption was not demonstrated in the pivotal trials.

^‡In a study of 83 children who had orthopedic or general surgery.

Indication

EXPAREL^® (bupivacaine liposome injectable suspension) is indicated to produce postsurgical local analgesia via infiltration in patients aged 6 years and older and regional analgesia in adults via an interscalene brachial plexus nerve block, sciatic nerve block in the popliteal fossa, and an adductor canal block. Safety and efficacy have not been established in other nerve blocks.

Important Safety Information

EXPAREL should not be used in obstetrical paracervical block anesthesia.

In studies in adults where EXPAREL was injected into a wound, the most common side effects were nausea, constipation, and vomiting.

In studies in adults where EXPAREL was injected near a nerve, the most common side effects were nausea, fever, headache, and constipation.

In the study where EXPAREL was given to children, the most common side effects were nausea, vomiting, constipation, low blood pressure, low number of red blood cells, muscle twitching, blurred vision, itching, and rapid heartbeat.

EXPAREL can cause a temporary loss of feeling and/or loss of muscle movement. How much and how long the loss of feeling and/or muscle movement depends on where and how much of EXPAREL was injected and may last for up to 5 days.

EXPAREL is not recommended to be used in patients younger than 6 years old for injection into the wound, for patients younger than 18 years old for injection near a nerve, and/or in pregnant women.

Tell your health care provider if you or your child has liver disease, since this may affect how the active ingredient (bupivacaine) in EXPAREL is eliminated from the body.

EXPAREL should not be injected into the spine, joints, or veins.

The active ingredient in EXPAREL can affect the nervous system and the cardiovascular system; may cause an allergic reaction; may cause damage if injected into the joints; and can cause a rare blood disorder.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.