Product image of Inalossin (Nitric Oxide) supplied by GNH India

Inalossin

Active Ingredient:
Nitric Oxide
Origin:
EU

Inalossin (Nitric Oxide)

Nitric Oxide, the active ingredient in Inalossin, is a gaseous donor presented as a gas for inhalation for inhalation use. It facilitates pulmonary vasodilation and improves oxygenation in specific respiratory conditions by releasing nitric oxide directly into the pulmonary circulation.

GNH India supplies Inalossin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and research institutions worldwide, with a focus on quality and regulatory compliance.

Manufacturer / TM Owner

Societa' Italiana Acetilene E Derivati S.I.A.D. S.P.A.

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Indications & Clinical Uses

  • Inalossin is used in pulmonary vascular disorders where inhaled nitric oxide provides selective vasodilation.
  • Persistent Pulmonary Hypertension of the Newborn: improves oxygenation and reduces right‑to‑left shunt.
  • Acute Respiratory Distress Syndrome: enhances ventilation‑perfusion matching and supports oxygenation.
  • Pulmonary Hypertension in Adults: provides selective pulmonary vasodilation to lower pulmonary arterial pressure.

How It Works

  • Inalossin donates nitric oxide directly to the pulmonary circulation, where it activates soluble guanylate cyclase in smooth‑muscle cells. This increases intracellular cyclic guanosine monophosphate (cGMP), leading to relaxation of pulmonary vascular smooth muscle and resulting in selective vasodilation of the pulmonary arteries without systemic effects.

Side Effects

Inhaled nitric oxide may be associated with several adverse reactions, ranging from mild to severe.

Common Side Effects

  • Hypotension: transient drop in systemic blood pressure.
  • Headache: mild to moderate intensity.
  • Dizziness or light‑headedness.
  • Flushing of the skin.
  • Nausea or mild gastrointestinal discomfort.
  • Cough or throat irritation.

Serious or Rare Side Effects

  • Methemoglobinemia: elevated methemoglobin levels impairing oxygen delivery.
  • Rebound pulmonary hypertension upon abrupt discontinuation.
  • Severe hypotension requiring intervention.
  • Bronchospasm or airway irritation.
  • Hemorrhage related to anticoagulation.
  • Infection from contaminated delivery system.

Precautions & Warnings

  • When using Inalossin, clinicians should observe several safety considerations.
  • Pregnancy: safety not established; weigh potential benefits against risks.
  • Contraindications: avoid in patients with severe anemia or known methemoglobinemia.
  • Monitoring: continuously monitor methemoglobin levels and hemodynamics during therapy.
  • Equipment: ensure proper delivery system and leak‑free connections.
  • Store at ambient temperature: keep cylinder in original packaging, protect from heat and direct sunlight.

Avoid Interactions

Inhaled nitric oxide can interact with other agents that affect vascular tone or hemoglobin.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): may cause profound hypotension.
  • Other nitric oxide donors or inhaled vasodilators: risk of additive hypotensive effects.
  • Certain anesthetic gases (e.g., nitrous oxide): can potentiate vasodilation.

Moderate Interactions (Monitor Closely)

  • Systemic antihypertensives: may require dose adjustment.
  • Anticoagulants: monitor for increased bleeding risk if pulmonary hypertension worsens.
  • Beta‑blockers: observe for altered hemodynamic response.

Frequently Asked Questions

Inalossin is an inhaled nitric oxide preparation used to provide selective pulmonary vasodilation. It is employed in conditions such as persistent pulmonary hypertension of the newborn, acute respiratory distress syndrome, and adult pulmonary hypertension to improve oxygenation and reduce pulmonary arterial pressure.

Nitric oxide released from Inalossin activates soluble guanylate cyclase in pulmonary vascular smooth‑muscle cells, raising cyclic GMP levels. Elevated cGMP causes smooth‑muscle relaxation, leading to selective dilation of pulmonary vessels without significant systemic vasodilation.

The specific dose and duration of Inalossin therapy are determined by the prescribing clinician based on the patient’s condition, weight, and response. Dosing regimens are individualized and should follow institutional protocols and the prescriber’s instructions.

Safety data for Inalossin in pregnancy and lactation are limited. The potential benefits must be weighed against unknown risks, and use is generally reserved for situations where no safer alternative exists and the therapeutic advantage is clear.

To order Inalossin, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Inalossin delivers nitric oxide directly to the lungs, offering rapid and selective pulmonary vasodilation with minimal systemic effects. Compared with systemic agents such as prostacyclin analogues, inhaled nitric oxide provides a quicker onset and easier titration, but requires specialized delivery equipment and careful monitoring for methemoglobinemia.

Inalossin cylinders should be stored at ambient temperature, kept in their original packaging, and protected from heat and direct sunlight. Ensure cylinders are secured upright, check for leaks before use, and follow local regulations for handling compressed gases.

Inalossin is administered via a calibrated inhalation delivery system that mixes the gas with the patient’s ventilatory circuit. The prescribed flow rate is set on the device, and continuous monitoring of oxygenation, hemodynamics and methemoglobin levels is performed throughout therapy.

The most serious risks include methemoglobinemia, which can impair oxygen delivery, and rebound pulmonary hypertension if the gas is stopped abruptly. Severe hypotension and bronchospasm are also possible and require immediate medical attention.

Inalossin should be avoided in patients with known severe anemia, existing methemoglobinemia, or hypersensitivity to nitric oxide. It is also contraindicated when appropriate delivery equipment cannot be guaranteed or when the clinical setting cannot support the required monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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