Product image of Levobupivacaína Kabi (Levobupivacaine Hydrochloride) supplied by GNH India

Levobupivacaína Kabi

Active Ingredient:
Levobupivacaine Hydrochloride
Origin:
EU

Levobupivacaína Kabi (Levobupivacaine Hydrochloride)

Levobupivacaine, the active ingredient in Levobupivacaína Kabi, is a local anesthetic (amide type) presented as a sterile solution for epidural, infiltration, intrathecal, and peripheral nerve use. It provides regional anesthesia for surgical procedures, postoperative pain control, and labor analgesia.
GNH India supplies Levobupivacaína Kabi as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Fresenius Kabi España S.A.U.

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Indications & Clinical Uses

  • Levobupivacaine is an amide-type local anesthetic used in various regional anesthesia techniques.
  • Surgical anesthesia: provides intra‑operative analgesia and muscle relaxation during operative procedures.
  • Post‑operative analgesia: extends pain relief after surgery to reduce opioid requirements.
  • Labor analgesia: offers effective pain control during childbirth while preserving maternal consciousness.

How It Works

  • Levobupivacaine reversibly binds to voltage‑gated sodium channels on neuronal membranes, stabilizing the inactive state of the channel. This inhibition prevents the rapid influx of sodium ions required for depolarization, thereby blocking the initiation and propagation of nerve impulses. The result is a reversible loss of sensation in the targeted area without affecting consciousness.

Side Effects

Adverse reactions may occur following administration of levobupivacaine.

Common Side Effects

  • Hypotension: decreased blood pressure due to vasodilation.
  • Bradycardia: slowed heart rate, especially with high spinal blocks.
  • Nausea: mild gastrointestinal upset.
  • Vasodilation: transient flushing or warmth.
  • Dizziness: feeling light‑headed after injection.
  • Metallic taste: occasional oral sensation.

Serious or Rare Side Effects

  • Cardiac arrest: severe cardiotoxicity at high plasma concentrations.
  • Seizures: central nervous system excitation from excessive dosing.
  • Methemoglobinemia: reduced oxygen‑carrying capacity of blood.
  • Allergic reactions: urticaria, bronchospasm, or anaphylaxis.
  • Persistent neurologic deficit: prolonged numbness or motor weakness.
  • Respiratory depression: especially when combined with other depressants.

Precautions & Warnings

  • When using levobupivacaine, clinicians should observe several safety measures.
  • Assess cardiovascular status: monitor blood pressure and heart rate before and during administration.
  • Avoid intravascular injection: aspirate before injection to prevent systemic toxicity.
  • Use incremental dosing: limit total dose per procedure and observe patient response.
  • Consider patient comorbidities: adjust dosing for hepatic impairment or advanced age.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Levobupivacaine may interact with other medications, requiring careful management.

Major Interactions (Avoid)

  • Class I antiarrhythmic agents (e.g., quinidine, procainamide): increase risk of cardiotoxicity.
  • Beta‑blockers: may exacerbate bradycardia.
  • General anesthetics (e.g., halothane): additive central nervous system depression.

Moderate Interactions (Monitor Closely)

  • Opioids: enhanced analgesic effect, monitor respiratory status.
  • Vasopressors: may mask hypotension caused by the anesthetic.
  • Other local anesthetics: cumulative toxicity risk when combined.

Frequently Asked Questions

Levobupivacaína Kabi contains levobupivacaine, a long‑acting amide local anesthetic. It is used to provide regional anesthesia for surgical procedures, to manage postoperative pain, and to offer analgesia during labor. The drug is administered by epidural, intrathecal, infiltration, or peripheral nerve techniques under the direction of a qualified healthcare professional.

Levobupivacaine blocks voltage‑gated sodium channels on nerve membranes, stabilizing them in an inactive state. This prevents the rapid influx of sodium ions needed for depolarization, thereby inhibiting the generation and propagation of nerve impulses. The result is a reversible loss of sensation in the area where the drug is applied.

The specific dose of Levobupivacaína Kabi is determined by the prescribing clinician based on the type of procedure, patient characteristics, and the chosen route of administration. Dosage calculations consider factors such as total allowable dose, concentration of the solution, and the need for incremental injection.

Safety data for levobupivacaine in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. Use during pregnancy or while breastfeeding should only occur if the potential benefit justifies any potential risk, and it must be decided by the treating physician.

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, and will request trade or institutional credentials. After verification, the team provides pricing, availability, shipping details (including cold‑chain if needed), and import documentation.

Levobupivacaine is the S‑enantiomer of bupivacaine and offers a similar duration of anesthesia with a lower risk of cardiotoxicity and central nervous system toxicity. Both agents provide long‑lasting analgesia, but levobupivacaine is often preferred when a safer cardiac profile is desired, especially in high‑risk patients.

Levobupivacaína Kabi should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight, and extreme temperature fluctuations. Do not freeze the solution, and ensure the container is sealed when not in use.

The drug is supplied as a sterile solution for injection. It can be administered via epidural, intrathecal, infiltration, or peripheral nerve techniques. Administration is performed by trained anesthesiologists or qualified clinicians who follow aseptic technique, aspirate to avoid intravascular injection, and monitor the patient throughout the procedure.

Serious risks include cardiovascular toxicity such as hypotension, bradycardia, arrhythmias, and cardiac arrest, as well as central nervous system toxicity leading to seizures or respiratory depression. Rare but severe reactions may involve allergic responses, methemoglobinemia, and persistent neurologic deficits. Immediate monitoring and prompt management are essential.

Levobupivacaína Kabi should be avoided in patients with known hypersensitivity to levobupivacaine or other amide local anesthetics. Caution is advised for individuals with severe cardiac disease, significant hepatic impairment, or those receiving interacting medications that increase the risk of toxicity. The decision to use the drug must be made by a qualified healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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