Narpicaine (Ropivacaine) 0.2, 0.5 %

Narpicaine is an amide-type local anesthetic used for local or regional anesthesia during surgery.

Sterile Isotonic Solution
For epidural administration only.
Avoid intravenous administration.
For hospital use only.

Lumbar Epidural Block for Surgery: 15 to 30 mL of 0.5% solution
Lumbar Epidural Block for Cesarean Delivery: 20 to 30 mL dose of 0.5% solution
Thoracic Epidural Block: 5 to 15 mL dose of 0.5% solution
Major Nerve Block: 35 to 50 mL dose of 0.5% solution
Field Block: 1 to 40 mL dose of 0.5% solution
Off-Labeled Indications: Pediatric
Caudal Epidural Block: 1.25-6.5 mg/kg or 1 mL/kg of 0.2% strength
Epidural Continuous Infusion:
< 4 Months: Safety and efficacy not established
4 Months to 7 Years: 1 mg/kg loading dose; follow with 0.2-0.4 mg/kg/hr for 48 hr
7-12 Years: 3.6 mg loading dose; follow with 3.2 mg/hr infusion; may titrate up to 27.2 mg/hr PRN
>12 Years: 75-200 mg (15-30 mL of 0.5%-1% solution)

Bradycardia, myocardial depression, cardiac arrhythmias, edema, hypotension, cardiovascular collapse, cardiac arrest, palpitation, tachycardia, anginal pain, hypertension (epinephrine-containing solutions)

Anxiety, apprehension, chills, headache, restlessness, nervousness, disorientation, confusion, dizziness, tremors, twitching, shivering, seizures; CNS depression manifested restlessness, tremors, drowsiness, unconsciousness, tinnitus

Nausea, vomiting

Blurred vision, miosis

Respiratory arrest, status asthmaticus

Anaphylactoid reactions (sometimes fatal)

Bromperidol: Avoid combination.
Bupivacaine (Liposomal): Avoid combination.

Store below 30°C.
Do not refrigerate or freeze.
Keep out of the sight and reach of children.