ropivacaine

Adult Dosing .

Dosage forms:  INJ (0.2%): 2 mg per mL; INJ (0.5%): 5 mg per mL; INJ (0.75%): 7.5 mg per mL; INJ (1%): 10 mg per mL

regional anesthesia, surgery

[lumbar block, cesarean section]

Dose: 100-150 mg (0.5%) epidurally x1; Alt: 113-150 mg (0.75%) epidurally x1; Info: onset 10-25min, duration 2-5h

[lumbar block, all other procedures]

Dose: 75-150 mg (0.5%) epidurally x1; Alt: 113-188 mg (0.75%) epidurally x1; 150-200 mg (1%) epidurally x1; Info: onset 10-30min, duration 2-6h

[thoracic block]

Dose: 25-75 mg (0.5%) epidurally x1; Alt: 38-113 mg (0.75%) epidurally x1; Info: onset 10-20min

[peripheral nerve block, major]

Dose: 175-250 mg (0.5%) perineurally x1; Alt: 75-300 mg (0.75%) perineurally x1; Info: onset 10-30min, duration 5-10h

[peripheral nerve block, minor]

Dose: 5-200 mg (0.5%) perineurally x1; Info: onset 1-15min, duration 2-6h

local anesthesia, surgery

[infiltration]

Dose: 5-200 mg (0.5%) via infiltration x1; Info: onset 1-15min, duration 2-6h

labor pain

[lumbar block]

Dose: 12-28 mg/h (0.2%) epidurally; Start: 20-40 mg (0.2%) epidurally x1; Info: titrate to effect

regional analgesia, postop

[lumbar block]

Dose: 12-28 mg/h (0.2%) epidurally; Info: titrate to effect

[thoracic block]

Dose: 12-28 mg/h (0.2%) epidurally; Info: titrate to effect

[peripheral nerve block, minor]

Dose: 5-200 mg (0.5%) perineurally x1; Alt: 2-200 mg (0.2%) perineurally x1; Info: onset 1-5min, duration 2-6h

local analgesia, postop

[infiltration]

Dose: 5-200 mg (0.5%) via infiltration x1; Alt: 2-200 mg (0.2%) via infiltration x1; Info: onset 1-5min, duration 2-6h

renal dosing

[see below]

renal impairment: consider decr. usual dose

HD/PD: not defined

hepatic dosing

[see below]

hepatic impairment: not defined, caution advised

Peds Dosing .

Dosage forms:  INJ (0.2%): 2 mg per mL

regional anesthesia (off-label)

[peripheral nerve block, upper or lower extremity]

Dose: 0.5-1.5 mg/kg/dose perineurally x1; Max: 3 mg/kg/dose; Alt: 0.1-0.3 mg/kg/h perineurally; Info: onset intermediate, duration 2.5-3h

[peripheral nerve block, fascial plane]

Dose: 0.25-0.75 mg/kg/dose perineurally x1; Max: 3 mg/kg/dose; Alt: 0.1-0.3 mg/kg/h perineurally; Info: onset intermediate, duration 2.5-3h

[caudal block]

Dose: 1-2 mg/kg/dose intracaudally x1; Max: 2 mg/kg/dose; Info: onset intermediate, duration 2.5-3h

renal dosing

[not defined]

renal impairment: not defined, consider adult renal dosing for guidance

HD/PD: not defined

hepatic dosing

[not defined]

hepatic impairment: consider adult hepatic dosing for guidance