Product image of Manitol Braun (Mannitol) supplied by GNH India

Manitol Braun

Active Ingredient:
Mannitol
Origin:
EU

Manitol Braun (Mannitol)

Mannitol, the active ingredient in Manitol Braun, is an osmotic diuretic presented as an intravenous solution for intravenous use. It reduces intracranial and intra‑ocular pressure and promotes diuresis in conditions such as cerebral edema, acute renal failure, and glaucoma.

GNH India supplies Manitol Braun as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide. The product conforms to EU pharmacopeial standards and is manufactured under strict quality controls. It is available for bulk procurement and can be shipped under appropriate temperature conditions.

Manufacturer / TM Owner

B. Braun Medical Lda.

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Indications & Clinical Uses

Manitol Braun, an osmotic diuretic, is employed in clinical situations that require rapid reduction of fluid volume in specific compartments.

  • Cerebral edema: reduces brain swelling and lowers intracranial pressure.
  • Increased intracranial pressure: rapidly decreases pressure to prevent neurological deterioration.
  • Acute renal failure: promotes osmotic diuresis to improve urine output.
  • Glaucoma: lowers intra‑ocular pressure by drawing fluid from the eye.

How It Works

  • Mannitol acts as an osmotically active agent that remains largely extracellular. After intravenous administration it raises plasma osmolarity, creating an osmotic gradient that pulls water from intracellular and interstitial spaces into the vascular compartment. The resulting plasma expansion enhances renal perfusion and induces diuresis, while the shift of fluid away from the brain and eye reduces intracranial and intra‑ocular pressure.

Side Effects

Mannitol may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Headache: mild to moderate pain during infusion.
  • Nausea: feeling of queasiness that may lead to vomiting.
  • Thirst: increased desire for fluids.
  • Transient hypotension: temporary drop in blood pressure with rapid administration.

Serious or Rare Side Effects

  • Pulmonary edema: fluid accumulation in lungs requiring urgent care.
  • Severe dehydration: excessive fluid loss causing hypotension and organ dysfunction.
  • Acute renal failure: worsening kidney function in vulnerable patients.
  • Anaphylactic reaction: rare hypersensitivity needing immediate treatment.

Precautions & Warnings

When using Manitol Braun, clinicians should observe specific safety measures to minimize risks.

  • Monitor electrolytes: check serum sodium, potassium and osmolality regularly.
  • Assess renal function: evaluate creatinine clearance before and during therapy.
  • Use cautiously in heart failure: avoid rapid infusion in patients with compromised cardiac output.
  • Adjust infusion rate in hypovolemia: give slower bolus to prevent sudden plasma shifts.
  • Avoid concurrent nephrotoxic drugs: limit use with aminoglycosides or contrast agents.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Mannitol can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Loop diuretics (e.g., furosemide): additive diuretic effect may cause severe electrolyte loss.
  • Nephrotoxic agents (e.g., aminoglycosides, contrast media): increased risk of renal injury.
  • Insulin: enhanced hypokalemia risk due to combined intracellular shift of potassium.
  • Lithium: mannitol may increase lithium clearance, reducing therapeutic levels.

Moderate Interactions (Monitor Closely)

  • Antihypertensives (e.g., ACE inhibitors, ARBs): may potentiate blood pressure lowering.
  • NSAIDs: can blunt diuretic response and affect renal perfusion.
  • Anticonvulsants (e.g., phenytoin): altered plasma protein binding may occur.

Frequently Asked Questions

Manitol Braun is an intravenous osmotic diuretic used to lower elevated intracranial and intra‑ocular pressure, to treat cerebral edema, to promote diuresis in acute renal failure, and to reduce intra‑ocular pressure in glaucoma. It works by drawing fluid from tissues into the bloodstream, helping to manage fluid overload in these specific clinical settings.

Mannitol is a highly osmotic sugar alcohol that remains largely in the extracellular space after IV administration. By increasing plasma osmolarity, it creates an osmotic gradient that pulls water out of cells and interstitial tissue into the vascular compartment, leading to plasma expansion, increased renal perfusion, and enhanced urine output while decreasing pressure in the brain and eye.

The dose of Manitol Braun is individualized by the prescribing clinician based on the patient’s weight, the severity of the condition, renal function, and response to therapy. Dosing regimens are not standardized in public literature and must be set by a qualified healthcare professional in accordance with local guidelines and patient-specific factors.

Mannitol Braun is classified as pregnancy category unknown, and limited data exist on its use in pregnant or lactating women. The potential benefits must be weighed against possible risks, and the decision to use the product during pregnancy or breastfeeding should be made by the treating physician after careful consideration of the clinical situation.

To order Manitol Braun, 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 any cold‑chain requirements), and necessary import documentation.

Both mannitol and hypertonic saline act as osmotic agents, but mannitol is a sugar alcohol that is freely filtered by the kidneys and primarily increases plasma osmolarity without adding sodium. Hypertonic saline raises both sodium and osmolarity, which can be advantageous in certain electrolyte disorders. Choice of agent depends on the clinical context, renal function, and electrolyte considerations.

Manitol Braun should be stored at ambient temperature, preferably below 25 °C. Keep the solution in its original packaging, protect it from direct sunlight, moisture, and extreme temperature fluctuations. Do not freeze the product, and ensure the container remains sealed until use to maintain sterility.

Manitol Braun is administered intravenously, typically as a sterile solution that may be diluted with compatible IV fluids. The infusion rate is controlled by the prescriber, often starting with a slow bolus followed by a maintenance infusion, and the patient’s vital signs and laboratory values are monitored throughout the administration.

The most serious risks include pulmonary edema, severe dehydration, acute renal failure, and anaphylactic reactions. These events are rare but can be life‑threatening and require immediate medical intervention. Monitoring of fluid balance, renal function, and respiratory status is essential to detect early signs of these complications.

Manitol Braun is contraindicated in patients with known hypersensitivity to mannitol, severe dehydration, active intracranial bleeding, uncontrolled heart failure, or severe renal impairment where diuresis may worsen kidney function. Clinicians should also exercise caution in patients with pulmonary edema or those receiving concurrent nephrotoxic medications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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