Product image of Isoprenaline Hydrochloride Monico (Isoprenaline Hydrochloride) supplied by GNH India

Isoprenaline Hydrochloride Monico

Active Ingredient:
Isoprenaline Hydrochloride
Origin:
EU

Isoprenaline Hydrochloride Monico (Isoprenaline Hydrochloride)

Isoprenaline Hydrochloride, the active ingredient in Isoprenaline Hydrochloride Monico, is a beta-adrenergic agonist presented as a sterile injectable solution for intramuscular, intravenous and subcutaneous use. It is employed to raise heart rate in bradycardia and to relax airway smooth muscle in bronchospasm.

GNH India supplies Isoprenaline Hydrochloride Monico as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Monico S.P.A.

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Indications & Clinical Uses

Isoprenaline Hydrochloride acts on the beta‑adrenergic system to manage cardiac and respiratory conditions.

  • Bradycardia: increases heart rate and improves cardiac output.
  • Heart block: facilitates conduction through the atrioventricular node.
  • Asthma: relaxes bronchial smooth muscle to relieve airway obstruction.
  • Bronchospasm: provides rapid bronchodilation during acute episodes.

How It Works

  • Isoprenaline Hydrochloride is a non‑selective beta‑adrenergic receptor agonist that binds to both β1 and β2 receptors. Activation of β1 receptors in the heart enhances sinoatrial node firing and myocardial contractility, while β2 receptor stimulation in the lungs causes smooth‑muscle relaxation, leading to bronchodilation. The combined actions increase cardiac output and improve airway patency.

Side Effects

Isoprenaline Hydrochloride may produce a range of adverse reactions.

Common Side Effects

  • Tachycardia: rapid increase in heart rate.
  • Palpitations: awareness of heartbeats.
  • Headache: mild to moderate intensity.
  • Tremor: fine muscle shaking.
  • Nausea: gastrointestinal discomfort.
  • Anxiety: heightened nervousness.

Serious or Rare Side Effects

  • Arrhythmias: abnormal heart rhythms that may be life‑threatening.
  • Myocardial ischemia: reduced blood flow to heart muscle.
  • Severe hypotension: marked drop in blood pressure.
  • Pulmonary edema: fluid accumulation in lungs.
  • Anaphylactic reaction: acute allergic response.
  • Severe bronchospasm paradoxically worsened.

Precautions & Warnings

Careful assessment and monitoring are required when using Isoprenaline Hydrochloride.

  • Cardiac monitoring: continuous ECG for patients with existing heart disease.
  • Ischemic heart disease: avoid or use only under specialist supervision.
  • Uncontrolled hypertension: contraindicated due to risk of further blood pressure elevation.
  • Asthma: monitor for paradoxical bronchospasm.
  • Renal/hepatic impairment: dose adjustment may be necessary.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Isoprenaline Hydrochloride can interact with several medication classes.

Major Interactions (Avoid)

  • Beta‑blockers: antagonize therapeutic effect and may precipitate severe bradycardia.
  • Calcium channel blockers: increase risk of cardiac arrhythmias.
  • MAO inhibitors: potentiate hypertensive responses.

Moderate Interactions (Monitor Closely)

  • Digoxin: may enhance risk of arrhythmias.
  • Diuretics: can exacerbate electrolyte disturbances.
  • Anesthetics: may alter cardiovascular stability during surgery.

Frequently Asked Questions

Isoprenaline Hydrochloride Monico is employed primarily to treat symptomatic bradycardia, various forms of heart block, and acute bronchospasm associated with asthma or chronic obstructive pulmonary disease. By stimulating beta‑adrenergic receptors, it raises heart rate and relaxes airway smooth muscle, providing rapid clinical improvement in these emergencies.

The drug acts as a non‑selective agonist at β1 and β2 adrenergic receptors. Stimulation of β1 receptors in the heart increases pacemaker activity and contractile force, while β2 receptor activation in the lungs leads to smooth‑muscle relaxation and bronchodilation. This dual action supports both cardiac output and airway patency.

Dosing of Isoprenaline Hydrochloride Monico is individualized and determined by the prescribing clinician based on the patient’s condition, route of administration, and response. The prescriber will calculate the appropriate infusion rate or bolus amount and adjust it according to clinical monitoring.

Safety data for Isoprenaline Hydrochloride in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any potential risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

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.

Compared with selective β1‑agonists such as dobutamine, Isoprenaline Hydrochloride has a broader β‑adrenergic profile, offering stronger chronotropic effects and additional bronchodilation. This makes it useful in combined cardiac and respiratory emergencies, though its non‑selectivity can increase the risk of tachyarrhythmias.

The product should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. Vials must be inspected for particulate matter before use and kept out of reach of children.

Isoprenaline Hydrochloride is supplied as a sterile injectable solution and may be given intravenously, intramuscularly, or subcutaneously. Administration is performed by qualified healthcare personnel, with dosing titrated to achieve the desired heart rate or bronchodilatory response while monitoring vital signs.

Serious risks include life‑threatening arrhythmias, myocardial ischemia, severe hypotension, and anaphylactic reactions. Continuous cardiac monitoring and readiness to manage acute adverse events are essential during administration, especially in patients with underlying heart disease.

Patients with uncontrolled hypertension, severe coronary artery disease, recent myocardial infarction, or known hypersensitivity to the drug should not receive Isoprenaline Hydrochloride. Additionally, concurrent use of non‑selective beta‑blockers is contraindicated because it can negate therapeutic effects and precipitate adverse outcomes.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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