Article: Possible Bupropion Interaction With Ropivacaine: Setting the Stage for Seizure?

To the Editor:

Little information is available about the coadministration of local anesthetics in patients receiving medications that are epileptogenic or may lower the seizure threshold. We describe a grand mal seizure following infraclavicular brachial plexus block, which may possibly have been influenced by an interaction between bupropion (Wellbutrin SR®, GlaxoSmithkline, Brentford, Middlesex, United Kingdom) and ropivacaine. A 16-year-old (body mass index, 22.6), American Society of Anesthesiology (ASA) Class II male, received an infraclavicular brachial plexus block for elective outpatient surgery. Medical history included depression with suicidal ideation that had required a brief ...

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