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Hypersensitivity to local anaesthetics of the amide type, or to any of the excipients.
General contraindications related to intrathecal anaesthesia should be taken into account.
Acute active disease of the central nervous system, such as meningitis, tumours, poliomyelitis and cranial haemorrhage.
Spinal stenosis and active disease (e.g., spondylitis, tumour) or recent trauma (e.g., fracture) in the vertebral column.
Septicaemia.
Pernicious anaemia with subacute combined degeneration of the Spinal cord.
Pyogenic infection of the skin at or adjacent to the site of puncture.
Cardiogenic or hypovolaemic shock.
Coagulation disorders or ongoing anticoagulant treatment.
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