Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Levobupivacaine
Drug ID BADD_D01269
Description 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.
Indications and Usage For the production of local or regional anesthesia for surgery and obstetrics, and for post-operative pain management
Marketing Status Discontinued
ATC Code N01BB10
DrugBank ID DB01002
KEGG ID D08116
MeSH ID D000077554
PubChem ID 92253
TTD Drug ID D09QUQ
NDC Product Code 61876-0728
Synonyms Levobupivacaine | Levobupivacaine Hydrochloride | Chirocaine
Chemical Information
Molecular Formula C18H28N2O
CAS Registry Number 27262-47-1
SMILES CCCCN1CCCCC1C(=O)NC2=C(C=CC=C2C)C
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Neuropathy peripheral17.09.03.003--Not Available
Oedema14.05.06.010; 08.01.07.006--Not Available
Orthostatic hypotension17.05.01.020; 24.06.03.004--Not Available
Pain08.01.08.004--
Paraesthesia17.02.06.005--
Paralysis17.01.04.004--Not Available
Paraplegia17.01.04.007--Not Available
Priapism21.03.01.005--Not Available
Pruritus23.03.12.001--
Pulmonary oedema22.01.03.003; 02.05.02.003--
Purpura01.01.04.003; 24.07.06.005; 23.06.01.004--
Respiratory arrest22.02.01.009--Not Available
Respiratory failure22.02.06.002; 14.01.04.003--
Seizure17.12.03.001--
Sensory disturbance17.02.07.006--Not Available
Shock24.06.02.002--Not Available
Skin discolouration23.03.03.005--Not Available
Sneezing22.02.05.011--
Somnolence19.02.05.003; 17.02.04.006--
Syncope24.06.02.012; 17.02.04.008; 02.01.02.008--
Tachycardia02.03.02.007--Not Available
Tremor17.01.06.002--
Urinary incontinence20.02.02.010; 17.05.01.008--
Urinary tract infection20.08.02.001; 11.01.14.004--
Urine abnormality20.02.01.013--Not Available
Urine flow decreased20.02.02.012--Not Available
Urticaria10.01.06.001; 23.04.02.001--
Vascular purpura24.07.06.011; 23.06.01.008; 01.01.04.007--Not Available
Vision blurred17.17.01.010; 06.02.06.007--
Vomiting07.01.07.003--
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