Ropivacaine (HCl Monohydrate)
Ropivacaine (HCl Monohydrate) is a long-acting amide type local anaesthetic agent. It blocks pain by causing numbness or loss of feeling in an area of the body. Given before, during, or after surgery or childbirth, or at other times when pain needs to be controlled. Ropivacaine (HCl Monohydrate) is used for epidural block, peripheral nerve block and field blocks. At higher doses it produces surgical anaesthesia, whereas at lower doses Ropivacaine (HCl Monohydrate) is used for the management of acute pain such as labour pain and postoperative pain. Like Bupivacaine, ropivacaine has a differential blocking effect on nerve fibres and, at the lowest concentration used, there is good differentiation between sensory and motor block.
Primary Characteristics
It is of Synthetic origin and belongs to Amide.
Molecular Weight: 328.9 · pKa: 8.1 · Solubility in Water: 1 in 19 · Non-proprietary name: Ropivacaine (HCl Monohydrate).

Pharmacokinetics
Distribution: Ropivacaine (HCl Monohydrate) has a volume of distribution is 41 litre. plasma protein binding is 94 %.
Elimination: it is metabolised via 86 %, plasma half-life is 1.85 hr, renal excretion is 1 %.
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Indications
Ropivacaine (HCl Monohydrate) is primarily indicated in conditions like Acute pain, Epidural analgesia in labor, Field block, Peripheral nerve block, Post operative analgesia, Post-operative epidural infusion, Surgical anaesthesia, Wound infiltration.
Contraindications
Ropivacaine (HCl Monohydrate) is contraindicated in conditions like Hypersensitivity.
Dosage
None recorded.
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Ropivacaine (HCl Monohydrate) produces potentially life-threatening effects which include Convulsions , Cardiac depression. Careful monitoring is needed with proper medical management.
The signs and symptoms that are produced after acute overdosage of Ropivacaine (HCl Monohydrate) are Dizziness, Visual distrubances, Paresthesia, Loss of conciousness.
Ropivacaine (HCl Monohydrate) is known to cause more or less tolerable side effects which are usually transient. These include Bradycardia , Dizziness, Headache, Hypotension , Nausea and vomiting, Pruritus .
Warnings / Precautions
Available Brands
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Single Ingredient
Storage Conditions
Drug Classification
- 1.1.2 — Local anesthetics
Manufacturers
Manufacturers of Ropivacaine (HCl Monohydrate) in Pakistan: