MedPath

Levobupivacaine

Generic Name
Levobupivacaine
Drug Type
Small Molecule
Chemical Formula
C18H28N2O
CAS Number
27262-47-1
Unique Ingredient Identifier
A5H73K9U3W
Background

Levobupivacaine is an amino-amide local anaesthetic drug belonging to the family of n-alkylsubstituted

pipecoloxylidide. It is the S-enantiomer of bupivacaine. Levobupivacaine hydrochloride is commonly marketed by AstraZeneca under the trade name Chirocaine. In particular, the specific levobupivacaine enantiomer is a worthwhile pursuit because it demonstrates less vasodilation and possesses a greater length of action in comparison to bupivacaine. It is approximately 13 per cent less potent (by molarity) than racemic bupivacaine.Levobupivacaine is indicated for local anaesthesia including infiltration, nerve block, ophthalmic, epidural and intrathecal anaesthesia in adults; and infiltration analgesia in children. When administered appropriately, the occurrence of adverse effects is not anticipated much if at all. In general, the majority of potential adverse effects are predominantly associated with inappropriate administration methods that may cause systemic exposure and/or toxicity associated with overexposure to an anesthetic. Regardless, allergic reactions may also occur - although only rarely.

Indication

For the production of local or regional anesthesia for surgery and obstetrics, and for post-operative pain management

Associated Conditions
Pain
Associated Therapies
Local Anaesthesia therapy, Lumbar epidural anesthesia therapy

Dexamethasone As Adjuvant for Pre - emptiveTransversusAbdominus Muscle Plane Block

Not Applicable
Completed
Conditions
Post Operative Pain
Interventions
First Posted Date
2025-05-14
Last Posted Date
2025-05-14
Lead Sponsor
Sohag University
Target Recruit Count
40
Registration Number
NCT06970548
Locations
🇪🇬

Sohag University Hospital, Sohag, Egypt

Comparative Study Between Intrathecal (Dexmedetomidine Versus Fentanyl)

Not Applicable
Completed
Conditions
Cholecystitis
Interventions
First Posted Date
2025-05-14
Last Posted Date
2025-05-14
Lead Sponsor
Sohag University
Target Recruit Count
60
Registration Number
NCT06970574
Locations
🇪🇬

Sohag University Hospital, Sohag, Egypt

Intertransverse Process Block to Improve Quality of Recovery After Cardiac Surgery With Sternotomy

Not Applicable
Not yet recruiting
Conditions
Acute Postoperative Pain
Interventions
Procedure: Intertransverse process block
Procedure: Sham Block
Drug: Sodium Chloride (NaCl) 0.9 %
Device: Ultrasound guided injection with local anaestethic
First Posted Date
2025-04-15
Last Posted Date
2025-04-16
Lead Sponsor
Chinese University of Hong Kong
Target Recruit Count
100
Registration Number
NCT06926764

Rebound Pain Following Regional Anaesthesia for Ankle Fracture Surgery

Phase 4
Completed
Conditions
Ankle Fracture (bimalleolar Equivalent, Bimalleolar, or Trimalleolar)
Ankle Fracture - Lateral Malleolus
Ankle Fracture - Medial Malleolus
Rebound Pain
Interventions
First Posted Date
2025-03-07
Last Posted Date
2025-03-07
Lead Sponsor
University College Cork
Target Recruit Count
120
Registration Number
NCT06864312
Locations
🇮🇪

Cork University Hospital, Cork, Ireland

Comparison of the Effects of Two Different Local Anesthetics Used in Spinal Anesthesia

Completed
Conditions
Local Anaesthesia
Interventions
First Posted Date
2025-01-08
Last Posted Date
2025-01-20
Lead Sponsor
Ankara Ataturk Sanatorium Training and Research Hospital
Target Recruit Count
40
Registration Number
NCT06763510
Locations
🇹🇷

Fatih University, Ankara, Turkey

Efficacy and Safety of Adding Dexmedetomidine to Levobupivacaine in Rectus Sheath Block Compared to Quadratus Lumborum Block in Patients Undergoing Lower Abdominal Cancer Surgery: a Randomized Clinical Trial

Phase 4
Not yet recruiting
Conditions
Abdominal Cancer Surgery
Interventions
First Posted Date
2024-11-19
Last Posted Date
2024-11-19
Lead Sponsor
Assiut University
Target Recruit Count
122
Registration Number
NCT06695468

Local LevoBupivacaine for Pain Relief After Endoscopic Submucosal Dissection for Esophageal Lesions

Not Applicable
Recruiting
Conditions
Endoscopic Submucosal Dissection
Levobupivacaine
Interventions
First Posted Date
2024-09-24
Last Posted Date
2024-12-02
Lead Sponsor
Laura Boer
Target Recruit Count
88
Registration Number
NCT06611176
Locations
🇳🇱

UMCG, Groningen, Netherlands

🇳🇱

St Antonius Hospital, Nieuwegein, Netherlands

🇳🇱

UMCU, Utrecht, Netherlands

Spinal Nalbuphine for Analgesia in Total Hip Arthroplasty

Phase 2
Not yet recruiting
Conditions
Total Hip Arthroplasty
Analgesia
Interventions
First Posted Date
2024-08-29
Last Posted Date
2024-08-30
Lead Sponsor
Asklepieion Voulas General Hospital
Target Recruit Count
60
Registration Number
NCT06577155
Locations
🇬🇷

Asklepieion Hospital of Voula, Athens, Ελλάδα (+30), Greece

The Role of Peripheral Afferents in Modulating Post-stroke Central Pain

Phase 3
Recruiting
Conditions
Stroke
Interventions
First Posted Date
2024-06-06
Last Posted Date
2025-03-12
Lead Sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Target Recruit Count
36
Registration Number
NCT06446960
Locations
🇫🇷

Hôpital Raymond Poincaré, Garches, France

🇫🇷

CHU Ambroise Paré, Boulogne-Billancourt, France

Dexmeditomedine as an Adjuvant to Levobupivacaine in Transversus Thoracis Plane Block on the Management of Post-sternotomy Pain in Open-heart Surgeries

Not Applicable
Not yet recruiting
Conditions
Pain, Postoperative
Interventions
Procedure: transversus thoracis plane block
First Posted Date
2024-05-13
Last Posted Date
2024-05-30
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT06410404
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