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

Inoxgen

Active Ingredient:
Nitric Oxide
Origin:
EU

Inoxgen (Nitric Oxide)

Nitric Oxide, the active ingredient in Inoxgen, is a vasodilator presented as a gas for inhalation use. It is employed to manage pulmonary hypertension in both neonates and adults, facilitating relaxation of pulmonary vascular smooth muscle and improving oxygenation. GNH India supplies Inoxgen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide, adhering to stringent quality standards and providing regulatory support for global distribution.

Manufacturer / TM Owner

Nippon Gases Deutschland Gmbh

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Indications & Clinical Uses

  • Inoxgen, a pulmonary vasodilator, is used in conditions characterized by elevated pulmonary arterial pressure.
  • Neonatal pulmonary hypertension: improves pulmonary blood flow and oxygenation in newborns.
  • Adult pulmonary hypertension: reduces pulmonary vascular resistance and alleviates symptoms.
  • Pulmonary arterial hypertension (PAH): helps lower mean pulmonary artery pressure and improve exercise capacity.

How It Works

  • Inoxgen releases nitric oxide in the lungs, where it activates soluble guanylate cyclase in vascular smooth muscle cells. This increases cyclic GMP levels, leading to smooth muscle relaxation, vasodilation of the pulmonary vasculature, and reduced pulmonary arterial pressure, thereby improving gas exchange and cardiac output.

Side Effects

Inoxgen may cause a range of adverse reactions.

Common Side Effects

  • Cough or throat irritation
  • Headache
  • Flushing or warmth sensation
  • Mild hypotension
  • Nausea or dizziness

Serious or Rare Side Effects

  • Methemoglobinemia
  • Severe hypotension or cardiovascular collapse
  • Pulmonary edema
  • Bronchospasm or respiratory distress
  • Allergic reactions such as rash or anaphylaxis

Precautions & Warnings

Use Inoxgen with careful monitoring of hemodynamic status.

  • Blood pressure monitoring: observe for hypotension during and after administration.
  • Caution in patients with pre‑existing hypotension or cardiovascular instability.
  • Avoid in individuals with methemoglobin reductase deficiency.
  • Assess liver and kidney function before initiating therapy.
  • Do not combine with other potent pulmonary vasodilators without specialist guidance.
  • Store at room temperature: keep cylinder upright, protect from heat and direct sunlight.

Avoid Interactions

Inoxgen can interact with several drug classes.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil) – risk of profound hypotension.
  • Inhaled anesthetics such as nitrous oxide – additive vasodilatory effect.
  • Other pulmonary vasodilators (e.g., prostacyclin analogs) – may cause excessive pulmonary pressure drop.

Moderate Interactions (Monitor Closely)

  • Systemic antihypertensives – may enhance blood pressure lowering.
  • Anticoagulants – potential increased bleeding risk.
  • Bronchodilators – may affect respiratory response to nitric oxide.

Frequently Asked Questions

Inoxgen is prescribed for the management of pulmonary hypertension, including neonatal pulmonary hypertension in newborns and adult pulmonary hypertension. By delivering nitric oxide directly to the lungs, it helps lower pulmonary arterial pressure and improve oxygenation in these patient groups.

Nitric oxide released from Inoxgen activates soluble guanylate cyclase in pulmonary vascular smooth muscle, raising cyclic GMP levels. This biochemical cascade leads to smooth muscle relaxation, vasodilation of the pulmonary arteries, and a reduction in pulmonary vascular resistance.

The dose of Inoxgen is individualized and set by the prescribing clinician based on the patient’s age, weight, severity of pulmonary hypertension, and response to therapy. Specific dosing regimens are not standardized and must follow the prescriber’s instructions.

The safety of Inoxgen in pregnancy and lactation has not been definitively established. It is classified as unknown for pregnancy, and healthcare providers should weigh potential benefits against risks before prescribing to pregnant or nursing individuals.

To order Inoxgen, 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, and any necessary import documentation.

Inoxgen delivers nitric oxide directly to the lungs, offering rapid and targeted vasodilation, whereas other agents such as phosphodiesterase‑5 inhibitors act systemically. This inhaled approach can provide quicker hemodynamic effects with potentially fewer systemic side effects, but it requires specialized delivery equipment.

Inoxgen should be stored at room temperature, kept upright in its original cylinder, and protected from excessive heat and direct sunlight. Ensure the cylinder is secured to prevent movement that could affect the gas integrity.

Inoxgen is administered via inhalation using a calibrated delivery system that mixes the gas with the patient’s breathing circuit. The prescriber determines the flow rate and duration, and healthcare staff monitor the patient’s respiratory and hemodynamic status throughout treatment.

Serious risks include severe hypotension, methemoglobinemia, pulmonary edema, bronchospasm, and allergic reactions such as anaphylaxis. Patients should be closely monitored for signs of these events, and immediate medical intervention should be initiated if they occur.

Inoxgen is contraindicated in patients with known hypersensitivity to nitric oxide, those with methemoglobin reductase deficiency, and individuals with severe hypotension or unstable cardiovascular status unless under specialist supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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