سعر شيروكائين 5مجم / مل 10 امبول 2022

Chirocaine 5 mg/ml 10 amp.: levobupivacaine solution for injection (AbbVie/Multipharma).

• Long-acting local anaesthetic for major (e.g. epidural, peripheral nerve block) and minor regional anaesthesia, and for continuous epidural analgesia including postoperative and labour analgesia (EU Chirocaine SmPC; clinician-administered only).Population: Adults (paediatric use restricted per SmPC)HPRA / AbbVie — Chirocaine SmPC

• Hypersensitivity to levobupivacaine, other amide local anaesthetics or excipients; intravenous regional anaesthesia (Bier's block); severe hypotension (cardiogenic/hypovolaemic shock); paracervical block in obstetrics (EU Chirocaine SmPC).International label, same formulation · HPRA / AbbVie — Chirocaine SmPC

• Administer only in well-equipped facilities by trained staff; risk of CNS/cardiac toxicity with intravascular or high doses; epidural infusion >24 h associated with reports of cauda equina syndrome/neurotoxicity — weigh benefit/risk; reduce dose in debilitated/elderly/acutely ill and use caution in hepatic impairment (EU SmPC).International label, same formulation · HPRA / AbbVie — Chirocaine SmPC

• CYP3A4 / CYP1A2 inhibitors (e.g. ketoconazole, methylxanthines)Metabolism may be affected; use caution (EU SmPC in vitro notes).HPRA / AbbVie — Chirocaine SmPC
• Other local anaesthetics / class III anti-arrhythmicsAdditive systemic toxicity possible.HPRA / AbbVie — Chirocaine SmPC

• Contraindicated for paracervical block in obstetrics (fetal bradycardia risk with bupivacaine class). Limited first-trimester data; use in early pregnancy only if clearly necessary. Breastfeeding generally considered possible after local anaesthesia (EU SmPC).International label, same formulation · HPRA / AbbVie — Chirocaine SmPC

• Levobupivacaine: Blocks voltage-gated sodium channels on nerve membranes, inhibiting nerve impulse conduction.