stunned [1%:61 years of age). Other warnings/precautions: Administration: Intravascular injections should be avoided; aspiration should be performed prior to administration; the needle must be repositioned until no return of blood can be elicited by aspiration; however, absence of blood in the syringe does not guarantee that intravascular injection has been avoided. Rapid administration: Ropivacaine is not recommended for use in emergency situations where rapid administration is necessary. Trained personnel: Clinicians using local anesthetic agents should be well trained in diagnosis and management of emergencies that may arise from the use of these agents. Resuscitative equipment, oxygen, and other resuscitative drugs should be available for immediate use. Monitoring Parameters Heart rate, blood pressure, ECG monitoring (if used with antiarrhythmics) Pregnancy Risk Factor B Pregnancy Considerations Adverse events have not been observed in animal reproduction studies. When used for epidural block during labor and delivery, systemically absorbed ropivacaine may cross the placenta, resulting in varying degrees of fetal or neonatal effects (eg, CNS or cardiovascular depression). Fetal or neonatal adverse events include fetal bradycardia (12%), neonatal jaundice (8%), low Apgar scores (3%), fetal distress (2%), neonatal respiratory disorder (3%). Maternal hypotension may also result from systemic absorption. In cases of hypotension, position pregnant woman in left lateral decubitus position to prevent aortocaval compression by the gravid uterus. Epidural anesthesia may prolong the second stage of labor. Patient Education Discuss specific use of drug and side effects with patient as it relates to treatment. (HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? How often did hospital staff describe possible side effects in a way you could understand?) Patient may experience back pain. Have patient report immediately to prescriber severe loss of strength and energy, bradycardia, tachycardia, arrhythmia, fast breathing, change in balance, burning or numbness feeling, difficult urination, confusion, agitation, anxiety, difficulty speaking, metallic taste, blurred vision, tinnitus, severe dizziness, passing out, tremors, twitching, fatigue, depression, severe headache, seizures, difficulty breathing, slow breathing, shallow breathing, angina, severe vomiting, or severe nausea (HCAHPS). Educate patient about signs of a significant reaction (eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat). Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions. Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for health care professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience, and judgment in diagnosing, treating, and advising patients. Next Interactions Print this page Add to My Med List More about ropivacaine Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Compare Alternatives Support Group Pricing & Coupons En Español 1 Review Add your own review/rating Drug class: local injectable anesthetics Consumer resources Ropivacaine Ropivacaine Injection (Advanced Reading) Professional resources Ropivacaine Injection (FDA) Other brands: Naropin Related treatment guides Cesarean Section Local Anesthesia Labor Pain] Drug Status Rx Availability Prescription only B Pregnancy Category No proven risk in humans N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Ropivacaine Rating 1 User Review 3.5 /10 1 User Review 3.5 Rate it! Manufacturers Akorn, Inc. Pfizer Inc. Sandoz Inc. Advanced Pharma, Inc. Fresenius Kabi USA, LLC More... Drug Class Local injectable anesthetics Related Drugs local injectable anesthetics lidocaine , Marcaine , bupivacaine , prilocaine , tetracaine , Novocain Local Anesthesia lidocaine ophthalmic , Marcaine , bupivacaine , cocaine topical , Xylocaine Jelly , tetracaine topical , More... Labor Pain Opana , oxymorphone , butorphanol , Stadol , Talwin , pentazocine , Naropin , Naropin SDV , More... Cesarean Section Marcaine , bupivacaine , piperacillin , cefotaxime , cefoxitin , cefotetan , Mefoxin , Claforan , More... the baby
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