Ropivacaine (Naropin, Ropivacaine Hydrochloride)

Other Medications · Approved since 1996

US FDA Approved IV, Epidural, Regional injection 4 Clinical Trials
Voltage-gated sodium channels

Description

Ropivacaine is a long-acting local anesthetic from the amide class used for perioperative pain management in colorectal cancer surgery. It provides regional anesthesia and postoperative analgesia through various delivery methods including epidural infusion, transversus abdominis plane (TAP) blocks, and rectus sheath catheters during laparoscopic and open colorectal procedures. This medication serves as a supportive care agent to optimize pain control and potentially improve surgical outcomes in CRC patients undergoing hemicolectomy, laparotomy, and other abdominal surgeries.

Mechanism of Action

Ropivacaine blocks voltage-gated sodium channels in nerve cell membranes, preventing the initiation and propagation of nerve impulses responsible for pain sensation. It demonstrates preferential binding to inactivated sodium channels and has reduced cardiotoxicity compared to other long-acting local anesthetics due to its S-enantiomer structure.

Molecular Targets

Side Effects

Hypotension Nausea Vomiting Bradycardia Dizziness Paresthesias Back pain Urinary retention

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT07624916 Phase 4
Not yet recruiting
Transversus Abdominis Plane and Rectus Sheath Block for Robotic Colectomy
Taiwan
NCT07099924 Not Applicable
Not yet recruiting
Rectus Sheath Catheters Following Midline Laparotomy
Germany
NCT03570541 Phase 4
Archived
TQL-block for Laparoscopic Hemicolectomy
Denmark
NCT01318161 Phase 3
Archived
Epidural Versus Patient-controlled Analgesia for Reduction in Long-term Mortality Following Colorectal Cancer Surgery
Sweden