Product image of Levobupivacaína Altan (Levobupivacaine) supplied by GNH India

Levobupivacaína Altan

Active Ingredient:
Levobupivacaine
Origin:
EU

Levobupivacaína Altan (Levobupivacaine)

Levobupivacaine, the active ingredient in Levobupivacaína Altan, is a local anesthetic presented as a sterile solution for epidural, infiltration, intrathecal and peripheral nerve block use. It provides surgical anesthesia, post‑operative analgesia and obstetric analgesia in adult patients. It is indicated for use in a variety of surgical procedures, including orthopedic, general and obstetric surgeries, delivering prolonged analgesia with a favorable safety profile.

GNH India supplies Levobupivacaína Altan as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Altan Pharmaceuticals S.A.

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Indications & Clinical Uses

Levobupivacaine is a long‑acting local anesthetic used to achieve analgesia and anesthesia in various clinical settings.

  • Surgical anesthesia: provides dense anesthesia for a range of surgical procedures.
  • Post‑operative analgesia: extends pain relief after surgery, reducing opioid requirement.
  • Obstetric analgesia: enables labor pain control while maintaining maternal and fetal safety.

How It Works

  • Levobupivacaine exerts its effect by reversibly binding to the intracellular portion of voltage‑gated sodium channels in neuronal membranes. This binding stabilizes the inactive state of the channel, preventing sodium influx and thereby blocking the generation and propagation of nerve impulses. The result is a reversible loss of sensation in the targeted area, producing both anesthesia and analgesia without affecting the central nervous system when administered locally.

Side Effects

Levobupivacaine may cause adverse reactions at the site of administration or systemically.

Common Side Effects

  • Injection site pain: mild discomfort at the injection area.
  • Transient hypotension: temporary drop in blood pressure.
  • Bradycardia: slowed heart rate.
  • Nausea: mild nausea.
  • Metallic taste: occasional taste disturbance.

Serious or Rare Side Effects

  • Cardiac arrhythmia: potentially life‑threatening rhythm disturbances.
  • Seizures: central nervous system excitation leading to convulsions.
  • Methemoglobinemia: abnormal hemoglobin causing cyanosis.
  • Allergic reaction: rash, itching, or anaphylaxis.

Precautions & Warnings

  • Precautions should be observed to minimize the risk of toxicity and ensure safe use of Levobupivacaine.
  • Dose individualization: adjust based on patient age, weight, and comorbidities.
  • Cardiovascular monitoring: observe heart rate and blood pressure during administration.
  • Avoid intravascular injection: aspirate before injection to prevent systemic toxicity.
  • Use with caution in hepatic impairment: reduced metabolism may increase exposure.
  • Pregnancy and lactation: limited data, use only if benefit outweighs risk.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Levobupivacaine can interact with other medicines, altering its safety profile or effectiveness.

Major Interactions (Avoid)

  • Other local anesthetics: additive toxicity risk.
  • Class I antiarrhythmics (e.g., quinidine): increased cardiotoxicity.
  • CYP3A4 inhibitors (e.g., ketoconazole): may raise plasma levels.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may enhance bradycardia.
  • Calcium channel blockers: may affect cardiac conduction.
  • Opioids: synergistic CNS depression.

Frequently Asked Questions

Levobupivacaína Altan contains levobupivacaine, a long‑acting local anesthetic indicated for surgical anesthesia, post‑operative analgesia and obstetric analgesia. It is employed in a variety of procedures such as orthopedic, general and obstetric surgeries to provide dense numbness and prolonged pain relief, facilitating patient comfort and reducing the need for systemic opioids.

Levobupivacaine works by reversibly binding to the intracellular portion of voltage‑gated sodium channels on neuronal membranes. This stabilizes the channel in its inactive state, blocking sodium influx and preventing the initiation and propagation of nerve impulses. The resulting interruption of signal transmission produces localized loss of sensation and pain relief without affecting consciousness.

The appropriate dose of Levobupivacaína Altan is determined by the prescribing clinician based on the specific procedure, patient characteristics, and the intended route of administration (epidural, infiltration, intrathecal or peripheral nerve block). Dosage calculations consider factors such as age, weight, comorbidities and the desired depth and duration of anesthesia.

Safety data for levobupivacaine during pregnancy and lactation are limited. It may be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and only under close medical supervision. Breastfeeding mothers should consult their healthcare provider, as the drug can be excreted in small amounts in breast milk.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and the necessary import documentation.

Levobupivacaína Altan is the S‑enantiomer of bupivacaine, offering a similar duration of anesthesia with a lower risk of cardiotoxicity and central nervous system toxicity. While both agents provide effective nerve block, levobupivacaine’s improved safety profile makes it preferable in patients with cardiovascular concerns or when higher doses are required for prolonged procedures.

Levobupivacaína Altan should be stored at room temperature, below 25 °C, in its original sealed container. Protect the product from direct sunlight, moisture and extreme temperature fluctuations. Before use, inspect the solution for any particulate matter or discoloration, and handle it with aseptic technique to maintain sterility.

Levobupivacaína Altan is administered by a qualified healthcare professional via epidural, infiltration, intrathecal or peripheral nerve block techniques. The drug is supplied as a sterile solution that is injected directly into the target tissue or space under aseptic conditions. Proper aspiration and incremental dosing are recommended to avoid inadvertent intravascular injection.

The most serious risks associated with levobupivacaine include cardiac arrhythmias, severe hypotension, seizures, and methemoglobinemia. These events are rare but can be life‑threatening, especially if large systemic doses are inadvertently administered. Immediate recognition and supportive measures, such as cardiovascular monitoring and seizure control, are essential to mitigate these risks.

Levobupivacaína Altan should be avoided in patients with known hypersensitivity to levobupivacaine or other amide‑type local anesthetics, in individuals with severe cardiac conduction disorders, uncontrolled epilepsy, or significant hepatic impairment that could impair drug metabolism. Caution is also advised in patients receiving other agents that affect cardiac function or sodium channel activity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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