Ropivacaine

Ropivacaine is a local anesthetic. It is used during minor surgical procedures such as dental, oral, diagnostic, or other therapeutic procedures to anesthetize or numb the surgical area. Ropivacaine must be administered by healthcare professionals. It blocks the pain signals to reach the brain by temporarily numbing the surgical area and helps to perform a painless procedure. The most common side effects of this medicine include injection site reactions (pain, swelling and redness). These are usually mild and short-lived. If the numbness or other side effects persist at the injection site, consult your doctor without delay. Before using Ropivacaine, it is very important to tell your doctor if you have any underlying heart disease or are taking medicines for heart rhythm problems. Ask your doctor for advice if you are pregnant or breastfeeding. Also, it is not safe to drive or operate heavy machinery while on medication, as you may feel dizzy. Ropivacaine is a local anesthetic. It works by blocking the transmission of pain signals from the nerves to the brain. This helps to decrease the sensation of pain.

• Local anesthesia (Numb tissues in a specific area)

Local anesthetics prevent generation/conduction of nerve impulses by reducing sodium permeability & increasing action potential threshold

Adult Dose: Epidural/Caudal Anesthesia 75-200 mg (15-30 mL of 0.5%-1% solution) Major Nerve Block 175-250 mg (35-50 mL) of 0.5% solution 75-300 mg (10-40 mL) of 0.75% solution Field Block 5-200 mg (1-40 mL) of 0.5% solution Labor Pain 20-40 mg (10-20 mL) initial of 0.2% solution, THEN 12-28 mg/hr (6-14 mL/hr) of 0.2% solution OR 20-30 mg/hr (10-15 mL/hr) continuous infusion of 0.2% solution Post-Op Pain Peripheral Nerve Block 5-10 mL/hr continuous infusion of 0.2% solution Lumbar or Thoracic Epidural 6-14 mL/hr continuous infusion of 0.2% solution Infiltration/ Minor Nerve Block 1-100 mL dose of 0.2% solution 1-40 mL dose of 0.5% solution

Your doctor or nurse will give you this medicine. Kindly do not self administer.

Common: • Back pain • Dizziness • Feeling of cold • Headache • High blood pressure • Increased body temperature • Paresthesia (tingling or pricking sensation) • Slow heart rate • Urinary retention • Vomiting

[UNSAFE] Ropivacaine may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. It is given as an injection by the healthcare professional. Ropivacaine may affect your concentration or make you feel sleepy, so avoid driving or using tools or machines until the next day. Consult your doctor immediately if you experience dizziness, lightheadedness, problem with sight or hearing or numbness around lips, tongue and mouth. Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

Hypersensitivity to ropivacaine or amide-type local anesthetics, sensitivity to parabens Obstetrical paracervical block anesthesia

[CONSULT YOUR DOCTOR] It is not known whether it is safe to consume alcohol with Ropivacaine. Please consult your doctor.

[SAFE IF PRESCRIBED] Ropivacaine is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

[SAFE IF PRESCRIBED] Ropivacaine is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

[SAFE IF PRESCRIBED] Ropivacaine is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Ropivacaine may not be needed in these patients. Please consult your doctor. [CAUTION] Ropivacaine should be used with caution in patients with liver disease. Dose adjustment of Ropivacaine may be needed. Please consult your doctor.