Exparel injection

  • Research has not shown exparel to be any better than other cocktail injections for post-operative joint replacement pain. (Noviasky J, Hosp Pharm 2014;49(6):539–543)
  • Exparel is expensive and has not demonstrated clinical evidence of decreased pain in joint procedures thus far. 

Exparel Alternative Cocktail injection

  • Bupivacaine 0.5% with Epi            30mL
  • Morphine                                            8mg
  • Ketorolac                                             30mg
  • Dispensed in total volume of 60mL