Levobupivacaine ((S)-(-)-Bupivacaine) is a long-acting amide local anesthetic. Levobupivacaine exerts anesthetic and analgesic effects by reversibly blocking neuronal sodium channels. Levobupivacaine can inhibit the transmission and conduction of impulses in cardiovascular and other tissues, and has certain cardiac and central nervous system toxicity. Levobupivacaine is metabolized in the body by cytochrome P450 (CYP450). Levobupivacaine can also induce ferroptosis in gastric cancer through the miR-489-3p/SLC7A11 signaling pathway.