NAROPIN (Ropivacaine)
NAROPIN (Ropivacaine)
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NAROPIN (Ropivacaine)

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What is this medication?

Ropivacaine, Naropin (US/CDN)
Local Anesthetic

Indicated for use as a surgical anesthesia; acute pain management.

How does this medication work? 

Ropivacaine, Naropin is a long-acting local anesthetic that blocks nerve conduction.

How should I take this medication? 

Dose varies with procedure, onset and depth of anesthesia desired, vascularity of tissues, duration of anesthesia, and condition of patient. A test dose of 3 to 5 mL of short-acting local anesthetic containing epinephrine should be administered prior to epidural anesthesia or induction of complete block with ropivacaine. Incremental ropivacaine dosing is recommended.

How to Take: Administered via local infiltration, epidural block and epidural infusion, or intermittent bolus.  Avoid rapid administration of large volumes of ropivacaine; use fractional (incremental) doses with the lowest effective dose and concentration required to produce the desired result. Prior to epidural anesthesia or induction of complete block, a test dose of 3 to 5 mL of short-acting local anesthetic with epinephrine should be administered.  The On-Q infusion pump is used to slowly administer local anesthetics to or around surgical wound sites and/or in close proximity to nerves for pre- or postoperative regional anesthesia. When infused directly into the shoulder, destruction of articular cartilage has occurred. On-Q pumps should never be placed directly into any joint.

You Need to Avoid: 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.

What should I watch for while using this medication? 

Before starting Ropivacaine, Naropin make sure your physician is aware of any allergies or medications you currently take, and existing medical conditions.  Ropivacaine has been associated with CNS toxicity, chondrolysis, methemoglobinemia, respiratory arrest, and seizures leading to cardiac arrest.

What if I miss a dose?

Ropivacaine, Naropin is used when needed and does not have a daily dosing schedule. Since Ropivacaine, Naropin is given by a healthcare professional in a medical setting, you are not likely to miss a dose.

How should I store this medication?

Store solutions at 15-30ºC.  Do not freeze. From a microbiological point of view, the mixtures should be used immediately. If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and would normally not be longer than 24 hours at 2 to 8°C.

What are the possible side effects of using this medication?

Hypotension, bradycardia, tachycardia, nausea, vomiting, back and chest pain, tachycardia, paresthesia, dizziness, chills, rigors, anxiety, pruritis, hypokalemia, oliguria, urinary retention, urinary tract infection, anemia, short of breath, rhinitis, fever and post operative complications.

Note this is not a complete list of side effects, only the most common.