Product image of Isoprenaline Chlorhydrate Tillomed (Isoprenaline Hydrochloride) supplied by GNH India

Isoprenaline Chlorhydrate Tillomed

Active Ingredient:
Isoprenaline Hydrochloride
Origin:
EU

Isoprenaline Chlorhydrate Tillomed (Isoprenaline Hydrochloride)

Isoprenaline Hydrochloride, the active ingredient in Isoprenaline Chlorhydrate Tillomed, is a non‑selective beta‑adrenergic agonist presented as an injectable solution for intravenous and subcutaneous use. It is employed to increase heart rate and myocardial contractility in bradycardia, to support cardiac output during heart block, and to provide bronchodilation in bronchospasm.

GNH India supplies Isoprenaline Chlorhydrate Tillomed as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Tillomed Pharma Gmbh

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Indications & Clinical Uses

Isoprenaline Hydrochloride is used in cardiovascular and respiratory conditions where beta‑adrenergic stimulation is required.

  • Bradycardia: raises heart rate to restore adequate cardiac output.
  • Heart block: improves conduction through the atrioventricular node.
  • Cardiac arrest (adjunct): supports circulation during resuscitation efforts.
  • Bronchospasm / asthma: relaxes airway smooth muscle to relieve breathing difficulty.

How It Works

  • Isoprenaline Hydrochloride non‑selectively stimulates β1 and β2 adrenergic receptors. Activation of β1 receptors in the heart increases cyclic AMP, enhancing sinoatrial node firing and myocardial contractility. β2 receptor activation in bronchial smooth muscle raises cyclic AMP, leading to relaxation and bronchodilation. The combined effect raises cardiac output and improves airway patency.

Side Effects

Isoprenaline Hydrochloride may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Tachycardia: excessive increase in heart rate.
  • Palpitations: awareness of rapid heartbeat.
  • Tremor: fine muscle shaking.
  • Headache: mild to moderate pain.
  • Nausea: feeling of stomach upset.
  • Hyperglycemia: elevated blood glucose levels.

Serious or Rare Side Effects

  • Arrhythmias: abnormal heart rhythms that can be life‑threatening.
  • Myocardial ischemia: reduced blood flow to heart muscle.
  • Severe hypotension: dangerous drop in blood pressure.
  • Pulmonary edema: fluid accumulation in lungs.
  • Allergic reactions: rash, itching, or anaphylaxis.

Precautions & Warnings

When using Isoprenaline Hydrochloride, clinicians should consider several safety measures.

  • Cardiac monitoring: observe heart rate and rhythm continuously.
  • Blood pressure checks: watch for hypertension or hypotension.
  • Diabetes management: monitor glucose as hyperglycemia may occur.
  • Thyroid disease: use cautiously in hyperthyroid patients.
  • Concomitant MAO inhibitors: avoid due to risk of severe hypertension.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Isoprenaline Hydrochloride can interact with other medicines, altering its effects or safety profile.

Major Interactions (Avoid)

  • Beta‑blockers: antagonize therapeutic action, may cause severe bradycardia.
  • MAO inhibitors: increase risk of hypertensive crisis.
  • Tricyclic antidepressants: potentiate cardiovascular stimulation.

Moderate Interactions (Monitor Closely)

  • Diuretics: may exacerbate electrolyte disturbances.
  • Digoxin: increased risk of arrhythmias.
  • Anticholinergic agents: additive tachycardia.
  • Calcium channel blockers: may enhance cardiac effects.

Frequently Asked Questions

Isoprenaline Chlorhydrate Tillomed is indicated for the treatment of symptomatic bradycardia, various degrees of heart block, as an adjunct in cardiac arrest resuscitation, and for relief of bronchospasm in asthma or related respiratory conditions. It works by stimulating beta‑adrenergic receptors to increase heart rate and relax airway smooth muscle.

Isoprenaline Hydrochloride acts as a non‑selective agonist at β1 and β2 adrenergic receptors. Stimulation of β1 receptors in cardiac tissue raises cyclic AMP, enhancing pacemaker activity and contractility. Activation of β2 receptors in bronchial smooth muscle also raises cyclic AMP, causing muscle relaxation and bronchodilation, thereby improving airflow.

The dosage of Isoprenaline Chlorhydrate Tillomed is determined by the prescribing clinician based on the patient’s clinical condition, response, and route of administration. Healthcare professionals adjust the infusion rate or injection volume to achieve the desired heart rate or bronchodilatory effect while monitoring safety parameters.

Safety data for Isoprenaline Hydrochloride in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified healthcare provider after careful assessment.

To place an order, 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 cold‑chain if needed), and necessary import documentation.

Isoprenaline is a non‑selective β1/β2 agonist, providing both cardiac stimulation and bronchodilation, whereas agents like albuterol are selective for β2 receptors and primarily used for asthma. Compared with selective β1 agents such as dobutamine, Isoprenaline has a stronger chronotropic effect but may cause more peripheral side effects due to β2 activity.

The product should be stored at 2‑8 °C in a refrigerator. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. Do not use if the solution appears discolored or contains particles.

Isoprenaline is supplied as an injectable solution for intravenous or subcutaneous administration. The route, infusion rate, or injection volume is set by the prescriber and administered by qualified medical personnel, with continuous monitoring of cardiovascular parameters during use.

Serious risks include life‑threatening arrhythmias, myocardial ischemia, severe hypertension or hypotension, pulmonary edema, and allergic reactions such as anaphylaxis. Prompt recognition and management of these events are essential, and patients should be monitored closely during therapy.

Isoprenaline is contraindicated in patients with known hypersensitivity to the drug, uncontrolled ventricular tachyarrhythmias, severe coronary artery disease, recent myocardial infarction, or those taking non‑selective beta‑blockers that cannot be discontinued. Caution is also advised in hyperthyroid patients and those with severe hypertension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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