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Levobupivacaine and ropivacaine were recently added to the list of local anaesthetics that registered podiatrists are allowed to administer. Levobupivacaine is an isomer of bupivacaine with similar actions but fewer adverse effects. Ropivacaine is similar, less potent than bupivacaine but less cardiotoxic and online order tramadol a longer duration of action. Analgesia means without pain. Analgesics are used to relieve pain irrespective of its cause.

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