Ropivacaine

Generic Name: ropivacaine (roe-PI-va-kane)
Brand Name: Naropin

Ropivacaine is used for:

Causing loss of feeling during surgical procedures, labor, and delivery, or for short-term pain management. It may also be used for other conditions as determined by your doctor.

Ropivacaine is a local anesthetic. It works by blocking nerve impulses, which helps to numb the area so you feel less pain.

Do NOT use ropivacaine if:

  • you are allergic to any ingredient in ropivacaine

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: 2014 Update - First Time Brand-to-Generic Switches

Before using ropivacaine:

Some medical conditions may interact with ropivacaine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have liver or heart problems, low blood pressure, or a low volume of blood in your body

Some medical conditions may interact with ropivacaine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • Fluvoxamine, ketoconazole, imipramine, or theophylline because the side effects of ropivacaine may be increased
  • Class III antiarrhythmics (eg, amiodarone) because the risks of abnormal heart rhythms or other heart problems may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if ropivacaine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use ropivacaine:

Use ropivacaine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Ropivacaine is usually administered as an injection at your doctor's office, hospital, or clinic. If you are using ropivacaine at home, carefully follow the injection procedures taught to you by your health care provider.
  • If ropivacaine contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
  • Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
  • If you miss a dose of ropivacaine, contact your doctor immediately.

Ask your health care provider any questions you may have about how to use ropivacaine.

Important safety information:

  • Ropivacaine may cause drowsiness, dizziness, or blurred vision. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to ropivacaine. Using ropivacaine alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
  • You may lose the ability to feel or move the treated area of the body after the injection of this medication.
  • If you are going home before the numbness wears off, protect the treated area from injury until you regain feeling.
  • Use ropivacaine with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: It is unknown if ropivacaine can cause harm to the fetus. If you become pregnant while taking ropivacaine, discuss with your doctor the benefits and risks of using ropivacaine during pregnancy. It is unknown if ropivacaine is excreted in breast milk. If you are or will be breast-feeding while you are using ropivacaine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of ropivacaine:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abnormal skin sensations; back pain; chills; difficulty urinating; dizziness; fast heartbeat; fatigue; headache; nausea; numbness; pain; vomiting; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; blurred vision; changes in hearing; delayed progression of labor; drowsiness; excitement; fever; irregular or slow heartbeat; numbness that lasts for more than a few hours; restlessness; severe vomiting; tremors; yellowing of skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include difficulty breathing; seizures.

Proper storage of ropivacaine:

Ropivacaine is usually handled and stored by a health care provider. If you are using ropivacaine at home, store ropivacaine as directed by your pharmacist or health care provider. Keep ropivacaine out of the reach of children and away from pets.

General information:

  • If you have any questions about ropivacaine, please talk with your doctor, pharmacist, or other health care provider.
  • Ropivacaine is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take ropivacaine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about ropivacaine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to ropivacaine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using ropivacaine.

Issue Date: December 3, 2014
Database Edition 14.4.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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