Product image of Infusio Mannitoli (Mannitol) supplied by GNH India

Infusio Mannitoli

Active Ingredient:
Mannitol
Origin:
EU

Infusio Mannitoli (Mannitol)

Mannitol, the active ingredient in Infusio Mannitoli, is an osmotic diuretic presented as a sterile solution for injection for intravenous use. It is employed in hospital settings to lower intracranial and intraocular pressure and to promote diuresis in acute renal failure.

GNH India supplies Infusio Mannitoli as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide. The company follows EU GMP standards and provides reliable logistics for global procurement.

Manufacturer / TM Owner

Imuna Pharm, A.S.

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Indications & Clinical Uses

Mannitol is used as an osmotic agent to manage conditions where fluid shifts reduce pressure or support renal clearance.

  • Increased intracranial pressure: reduces cerebral edema and lowers intracranial pressure.
  • Acute renal failure: enhances osmotic diuresis to aid removal of excess fluid and waste products.
  • Glaucoma: decreases intraocular pressure by drawing fluid from the eye.

How It Works

  • After intravenous administration, mannitol remains largely confined to the extracellular space because it is not readily metabolized or reabsorbed. It creates an osmotic gradient that draws water from intracellular compartments into the vascular compartment, increasing renal tubular fluid flow and promoting excretion of water and electrolytes. The resulting reduction in plasma and tissue volume lowers intracranial and intraocular pressure.

Side Effects

Mannitol may be associated with several adverse reactions, ranging from mild to severe.

Common Side Effects

  • Headache
  • Nausea
  • Vomiting
  • Thirst
  • Dizziness
  • Electrolyte imbalance (e.g., hyponatremia, hypokalemia)

Serious or Rare Side Effects

  • Pulmonary edema
  • Severe hypotension
  • Anaphylactic reaction
  • Cardiac arrhythmia
  • Acute renal failure worsening
  • Metabolic acidosis

Precautions & Warnings

When using mannitol, clinicians should observe specific precautions to minimize risks.

  • Renal function: assess baseline renal status and avoid use in anuric patients.
  • Electrolyte balance: monitor serum sodium, potassium and osmolality during therapy.
  • Cardiovascular status: watch for hypotension, especially in hypovolemic patients.
  • Pregnancy: use only if potential benefit justifies potential risk to the fetus.
  • Drug interactions: review concomitant medications that may potentiate fluid shifts or electrolyte disturbances.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mannitol can interact with several drugs, affecting fluid balance or cardiovascular stability.

Major Interactions (Avoid)

  • Loop diuretics: may cause excessive fluid loss and electrolyte depletion.
  • Insulin: can enhance hypoglycemic effect when combined with mannitol‑induced fluid shifts.
  • Lithium: mannitol may increase lithium serum concentrations, raising toxicity risk.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: additive hypotensive effect may require blood pressure monitoring.
  • NSAIDs: may blunt diuretic response and affect renal perfusion.
  • Other antihypertensives: combined use can lead to marked blood pressure reductions.

Frequently Asked Questions

Infusio Mannitoli is a sterile intravenous solution of mannitol, an osmotic diuretic. It is indicated for the rapid reduction of elevated intracranial pressure, the management of acute renal failure to promote diuresis, and the lowering of intraocular pressure in glaucoma. The product is typically used in hospital environments such as intensive care units, neurosurgical suites and ophthalmic care settings.

Mannitol works by remaining in the extracellular fluid after intravenous infusion because it is not metabolized or reabsorbed by the kidneys. This creates an osmotic gradient that pulls water from intracellular spaces into the vascular compartment, increasing urine output and reducing fluid volume in the brain and eye. The resulting osmotic diuresis helps lower intracranial and intraocular pressures and facilitates renal clearance of waste products.

The dosage of Infusio Mannitoli is determined by the prescribing clinician based on the patient’s condition, weight, renal function and therapeutic goals. Typical regimens may involve an initial bolus followed by a continuous infusion, but exact rates and total daily amounts are individualized. Healthcare professionals calculate the dose according to current clinical guidelines and monitor the patient’s response and laboratory parameters.

The pregnancy category for mannitol is listed as unknown, and there are limited data on its use during lactation. Consequently, the product should be administered to pregnant or nursing women only when the anticipated therapeutic benefit outweighs any potential risk to the fetus or infant. Clinicians should discuss the risk‑benefit profile with the patient and consider alternative therapies when appropriate.

To place an order, visit the product page on gnhindia.com and submit an enquiry with the required quantity of Infusio Mannitoli. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifying trade or institutional credentials before providing a formal quotation. The sales team then confirms pricing, availability, shipping conditions—including any cold‑chain requirements—and assists with necessary import documentation.

The primary alternative to mannitol for reducing intracranial or intraocular pressure is hypertonic saline. While both agents create an osmotic gradient, mannitol is a non‑ionic sugar alcohol that is freely filtered and not reabsorbed, whereas hypertonic saline adds sodium chloride to the extracellular space. Mannitol generally provides a more predictable diuretic effect, but hypertonic saline may be preferred in patients with severe renal impairment where mannitol clearance is reduced.

Infusio Mannitoli should be stored at 2 °C to 8 °C in a refrigerator. The solution must be kept in its original packaging to protect it from light, and it should never be frozen or shaken vigorously, as this could affect sterility and solution integrity. Prior to use, inspect the vial for particulate matter or discoloration and discard if any abnormalities are observed.

The product is administered intravenously, either as a rapid bolus injection or as a controlled infusion, depending on the clinical indication and physician orders. Administration should be performed by qualified healthcare personnel using aseptic technique. The infusion rate is adjusted based on the target therapeutic effect and the patient’s hemodynamic and renal status, with continuous monitoring of vital signs and laboratory values.

The most critical adverse events to monitor include severe hypotension, pulmonary edema from fluid overload, electrolyte disturbances such as hyponatremia or hypokalemia, and rare anaphylactic reactions. Rapid shifts in plasma osmolality can also precipitate cardiac arrhythmias or metabolic acidosis. Prompt recognition and management of these complications, along with regular monitoring of blood pressure, electrolytes and renal function, are essential for patient safety.

Infusio Mannitoli is contraindicated in patients with known hypersensitivity to mannitol, anuria or severe renal impairment where urine output is absent, uncontrolled electrolyte imbalances, and in individuals with active pulmonary edema. Caution is also advised for patients with severe heart failure, uncontrolled hypertension, or those who are pregnant unless the therapeutic benefit justifies potential risks. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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