Product image of Izoprenalin Macure (Isoprenaline Hydrochloride) supplied by GNH India

Izoprenalin Macure

Active Ingredient:
Isoprenaline Hydrochloride
Origin:
EU

Izoprenalin Macure (Isoprenaline Hydrochloride)

Isoprenaline Hydrochloride, the active ingredient in Izoprenalin Macure, is a beta‑adrenergic agonist presented as an injection solution for intravenous use. It treats symptomatic bradycardia, heart block, cardiac arrest, and bronchospasm in acute care settings.

GNH India supplies Izoprenalin Macure as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Macure Pharma Aps

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Indications & Clinical Uses

Isoprenaline Hydrochloride is a non‑selective beta‑adrenergic agonist used in acute cardiac and respiratory conditions.

  • Symptomatic bradycardia: increases heart rate to alleviate slow heart rhythms.
  • Heart block: improves atrioventricular conduction by enhancing myocardial contractility.
  • Cardiac arrest: provides temporary circulatory support during resuscitation efforts.
  • Bronchospasm / asthma: relaxes bronchial smooth muscle to improve airflow.

How It Works

  • Isoprenaline Hydrochloride binds to and activates both β1 and β2 adrenergic receptors. Stimulation of β1 receptors in the heart raises cyclic AMP levels, leading to increased heart rate (positive chronotropy) and stronger myocardial contraction (positive inotropy). Activation of β2 receptors in bronchial smooth muscle causes relaxation, producing bronchodilation. The combined effects support cardiac output and airway patency during acute emergencies.

Side Effects

Isoprenaline Hydrochloride may be associated with a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Tachycardia: rapid heart rate.
  • Palpitations: awareness of heartbeat.
  • Tremor: fine muscle shaking.
  • Nausea: upset stomach.

Serious or Rare Side Effects

  • Arrhythmias: potentially life‑threatening irregular rhythms.
  • Myocardial ischemia: reduced blood flow to heart muscle.
  • Severe hypotension: dangerously low blood pressure.

Precautions & Warnings

Use of Izoprenalin Macure requires careful clinical monitoring and consideration of patient‑specific factors.

  • Cardiovascular monitoring: observe heart rate and blood pressure continuously during infusion.
  • Use with caution in coronary artery disease: risk of myocardial ischemia.
  • Avoid in uncontrolled hypertension: may exacerbate high blood pressure.
  • Monitor electrolyte levels: hypokalemia can increase arrhythmia risk.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Isoprenaline Hydrochloride can interact with several drug classes, influencing its efficacy and safety.

Major Interactions (Avoid)

  • Beta‑blockers: antagonize isoprenaline effects, reducing therapeutic benefit.
  • Monoamine oxidase inhibitors (MAOIs): may potentiate hypertensive responses.
  • Tricyclic antidepressants: increase risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • Digitalis glycosides: additive increase in heart rate.
  • Diuretics causing electrolyte imbalance: heightened arrhythmia risk.
  • Theophylline: may amplify bronchodilator effect, monitor for tachycardia.

Frequently Asked Questions

Izoprenalin Macure contains isoprenaline hydrochloride and is used in emergency settings to treat symptomatic bradycardia, heart block, cardiac arrest, and bronchospasm. By stimulating beta‑adrenergic receptors, it raises heart rate, improves cardiac contractility, and relaxes airway smooth muscle, providing rapid physiological support when conventional measures are insufficient.

Isoprenaline Hydrochloride is a non‑selective beta‑adrenergic agonist. It binds to β1 receptors in the heart, increasing cyclic AMP and producing faster heartbeats and stronger contractions. Simultaneously, it activates β2 receptors in the lungs, causing smooth‑muscle relaxation and bronchodilation. The combined actions enhance cardiac output and airway patency during acute crises.

The specific dose of Izoprenalin Macure is determined by the prescribing clinician based on the patient’s condition, weight, and response. Dosing is individualized and administered intravenously, often as a continuous infusion or titrated bolus under continuous cardiac and respiratory monitoring.

Safety data for isoprenaline hydrochloride in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. Clinicians must evaluate each case carefully and consider alternative therapies when appropriate.

To order Izoprenalin Macure, 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 logistics if needed), and any required import documentation.

The primary alternatives to isoprenaline are dopamine and epinephrine. While dopamine has dose‑dependent effects on dopaminergic and adrenergic receptors, epinephrine stimulates both alpha and beta receptors, causing vasoconstriction as well as cardiac stimulation. Isoprenaline offers a more selective beta‑agonist profile, providing strong chronotropic and bronchodilator effects with less peripheral vasoconstriction, which can be advantageous in certain cardiac or respiratory emergencies.

Izoprenalin Macure should be stored refrigerated at 2‑8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. If the product reaches room temperature, it should be used promptly and not re‑refrigerated.

The medication is supplied as a sterile injection solution for intravenous use. It can be administered as a slow intravenous bolus or as a continuous infusion, depending on the clinical situation. Administration should occur under continuous cardiac and respiratory monitoring, with dosage adjustments made by the treating physician.

Serious risks include life‑threatening arrhythmias, myocardial ischemia, and severe hypotension. Patients may also develop excessive tachycardia or experience allergic reactions such as anaphylaxis. Immediate medical attention is required if any of these events occur, and continuous monitoring is essential during therapy.

Izoprenalin Macure is contraindicated in patients with known hypersensitivity to isoprenaline or any component of the formulation. It should be avoided in individuals with uncontrolled hypertension, severe coronary artery disease, or recent myocardial infarction unless the benefits clearly outweigh the risks and close monitoring is possible.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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