ropivacaine, a local anesthetic. ▪ INDICATIONS: It is used to produce peripheral nerve block, caudal anesthesia, central neural block, and vaginal block. ▪ CONTRAINDICATIONS: Its use is prohibited in children less than 12 years of age, the elderly, those with severe liver disease, and those with known hypersensitivity to this drug. ▪ ADVERSE EFFECTS: Life-threatening effects are convulsions, loss of consciousness, myocardial depression, cardiac arrest, arrhythmias, fetal bradycardia, status asthmaticus, respiratory arrest, and anaphylaxis. Other adverse effects are anxiety, restlessness, drowsiness, disorientation, tremors, shivering, bradycardia, hypotension, hypertension, nausea, vomiting, blurred vision, tinnitus, pupil constriction, rash, urticaria, allergic reactions, edema, burning, skin discoloration at the injection site, and tissue necrosis.
