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Namespace Prefixes

PrefixIRI
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n9http://linked.opendata.cz/resource/atc/
n23http://linked.opendata.cz/resource/drugbank/drug/DB01002/identifier/wikipedia/
n8http://linked.opendata.cz/ontology/sukl/drug/

Statements

Subject Item
n2:DB01002
rdf:type
n3:Drug
n3: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. Compared to bupivacaine, levobupivacaine is associated with less vasodilation and has a longer duration of action. 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. Adverse drug reactions (ADRs) are rare when it is administered correctly. Most ADRs relate to administration technique (resulting in systemic exposure) or pharmacological effects of anesthesia, however allergic reactions can rarely occur. [Wikipedia]
n3:generalReferences
# Leone S, Di Cianni S, Casati A, Fanelli G: Pharmacology, toxicology, and clinical use of new long acting local anesthetics, ropivacaine and levobupivacaine. Acta Biomed. 2008 Aug;79(2):92-105. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/ 18788503 # "http://www.orgyn.com/resources/genrx/D003445.asp":http://www.orgyn.com/resources/genrx/D003445.asp # Burlacu CL, Buggy DJ: Update on local anesthetics: focus on levobupivacaine. Ther Clin Risk Manag. 2008 Apr;4(2):381-92. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/18728849
n3:group
approved
n3:halfLife
3.3 hours
n3:indication
For the production of local or regional anesthesia for surgery and obstetrics, and for post-operative pain management
n3:manufacturer
n21:271B4EE4-363D-11E5-9242-09173F13E4C5
owl:sameAs
n18:DB01002 n19:DB01002
dcterms:title
Levobupivacaine
adms:identifier
n6:6149 n7:83289 n10:46505295 n11:92253 n12:DB01002 n13:C07887 n22:PA164754741 n23:Levobupivacaine
n3:mechanismOfAction
Local anesthetics such as Levobupivacaine block the generation and the conduction of nerve impulses, presumably by increasing the threshold for electrical excitation in the nerve, by slowing the propagation of the nerve impulse, and by reducing the rate of rise of the action potential. In general, the progression of anesthesia is related to the diameter, myelination and conduction velocity of affected nerve fibers. Specifically, the drug binds to the intracellular portion of sodium channels and blocks sodium influx into nerve cells, which prevents depolarization.
n3:packager
n21:271B4EE3-363D-11E5-9242-09173F13E4C5 n21:271B4EE2-363D-11E5-9242-09173F13E4C5
n3:patent
n20:5708011
n3:routeOfElimination
Following intravenous administration, recovery of the radiolabelled dose of levobupivacaine was essentially quantitative with a mean total of about 95% being recovered in urine and feces in 48 hours. Of this 95%, about 71% was in urine while 24% was in feces.
n3:synonym
(-)-Bupivacaine Levobupivacaine L-(-)-1-Butyl-2',6'-pipecoloxylidide L-(-)-Bupivacaine (S)-1-Butyl-2',6'-pipecoloxylidide (S)-Bupivacaine
n3:toxicity
LD50: 5.1mg/kg in rabbit, intravenous; 18mg/kg in rabbit, oral; 207mg/kg in rabbit, parenteral; 63mg/kg in rat, subcutaneous (Archives Internationales de Pharmacodynamie et de Therapie. Vol. 200, Pg. 359, 1972.) Levobupivacaine appears to cause less myocardial depression than both bupivacaine and ropivacaine, despite being in higher concentrations.
n3:volumeOfDistribution
66.91 ±18.23 L [after intravenous administration of 40 mg in healthy volunteers]
n3:proteinBinding
>97%
n3:salt
n3:synthesisReference
Hooshang Shahriari Zavareh, Graham Anthony Charles Frampton, "Process for preparing levobupivacaine and analogues thereof." U.S. Patent US5777124, issued February, 1985.
n24:hasConcept
n25:M0452926
foaf:page
n15:levobupivacaine.htm
n3:IUPAC-Name
n4:271B4EE9-363D-11E5-9242-09173F13E4C5
n3:InChI
n4:271B4EEF-363D-11E5-9242-09173F13E4C5
n3:Molecular-Formula
n4:271B4EEE-363D-11E5-9242-09173F13E4C5
n3:Molecular-Weight
n4:271B4EEB-363D-11E5-9242-09173F13E4C5
n3:Monoisotopic-Weight
n4:271B4EEC-363D-11E5-9242-09173F13E4C5
n3:SMILES
n4:271B4EED-363D-11E5-9242-09173F13E4C5
n3:Water-Solubility
n4:271B4EE7-363D-11E5-9242-09173F13E4C5
n3:logP
n4:271B4EFF-363D-11E5-9242-09173F13E4C5 n4:271B4EE5-363D-11E5-9242-09173F13E4C5 n4:271B4EE8-363D-11E5-9242-09173F13E4C5
n3:logS
n4:271B4EE6-363D-11E5-9242-09173F13E4C5
n3:pKa
n4:271B4F00-363D-11E5-9242-09173F13E4C5
n8:hasATCCode
n9:N01BB10
n3:H-Bond-Acceptor-Count
n4:271B4EF5-363D-11E5-9242-09173F13E4C5
n3:H-Bond-Donor-Count
n4:271B4EF6-363D-11E5-9242-09173F13E4C5
n3:InChIKey
n4:271B4EF0-363D-11E5-9242-09173F13E4C5
n3:Polar-Surface-Area--PSA-
n4:271B4EF1-363D-11E5-9242-09173F13E4C5
n3:Polarizability
n4:271B4EF3-363D-11E5-9242-09173F13E4C5
n3:Refractivity
n4:271B4EF2-363D-11E5-9242-09173F13E4C5
n3:Rotatable-Bond-Count
n4:271B4EF4-363D-11E5-9242-09173F13E4C5
n3:absorption
The plasma concentration of levobupivacaine following therapeutic administration depends on dose and also on route of administration, because absorption from the site of administration is affected by the vascularity of the tissue. Peak levels in blood were reached approximately 30 minutes after epidural administration, and doses up to 150 mg resulted in mean C<sub>max</sub> levels of up to 1.2 µg/mL.
n3:affectedOrganism
Humans and other mammals
n3:casRegistryNumber
27262-47-1
n3:clearance
39.06 ±13.29 L/h [after intravenous administration of 40 mg in healthy volunteers]
n3:Bioavailability
n4:271B4EFB-363D-11E5-9242-09173F13E4C5
n3:Ghose-Filter
n4:271B4EFD-363D-11E5-9242-09173F13E4C5
n3:MDDR-Like-Rule
n4:271B4EFE-363D-11E5-9242-09173F13E4C5
n3:Number-of-Rings
n4:271B4EFA-363D-11E5-9242-09173F13E4C5
n3:Physiological-Charge
n4:271B4EF9-363D-11E5-9242-09173F13E4C5
n3:Rule-of-Five
n4:271B4EFC-363D-11E5-9242-09173F13E4C5
n3:Traditional-IUPAC-Name
n4:271B4EEA-363D-11E5-9242-09173F13E4C5
n3:pKa--strongest-acidic-
n4:271B4EF7-363D-11E5-9242-09173F13E4C5
n3:pKa--strongest-basic-
n4:271B4EF8-363D-11E5-9242-09173F13E4C5