Product image of Mannitol-Infusionslösung 20 (Mannitol) supplied by GNH India

Mannitol-Infusionslösung 20

Active Ingredient:
Mannitol
Origin:
EU

Mannitol-Infusionslösung 20 (Mannitol)

Mannitol, the active ingredient in Mannitol-Infusionslösung 20, is an osmotic diuretic presented as an intravenous solution for intravenous use. It is employed to reduce intracranial pressure, lower intra‑ocular pressure, and promote diuresis in acute renal failure, and is supplied in a standard concentration suitable for infusion therapy.

GNH India supplies Mannitol-Infusionslösung 20 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, and clinics worldwide.

Manufacturer / TM Owner

Burg Pharma Gmbh

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Indications & Clinical Uses

Mannitol is used in clinical situations that require osmotic reduction of fluid pressure.

  • Intracranial hypertension: reduces elevated intracranial pressure.
  • Elevated intra‑ocular pressure: lowers pressure within the eye.
  • Acute renal failure with oliguria: promotes diuresis to aid renal clearance.

How It Works

  • Mannitol creates an osmotic gradient in the renal tubules and plasma by remaining largely unmetabolized, drawing water from intracellular and interstitial spaces into the tubular lumen. This increased urinary flow enhances excretion of water and electrolytes, while the resulting plasma osmolar shift reduces intracranial and intra‑ocular pressure, providing neuro‑protective and diuretic effects.

Side Effects

Mannitol may be associated with a range of adverse reactions.

Common Side Effects

  • Headache: mild to moderate discomfort.
  • Nausea: feeling of unease often accompanied by stomach upset.
  • Vomiting: expulsion of stomach contents.
  • Thirst: increased desire to drink fluids.
  • Electrolyte imbalance: mild changes in sodium or potassium levels.
  • Transient hypotension: temporary drop in blood pressure.

Serious or Rare Side Effects

  • Acute renal failure worsening: severe decline in kidney function.
  • Pulmonary edema: fluid accumulation in the lungs.
  • Severe electrolyte disturbances: marked hyponatremia or hyperkalemia.
  • Anaphylactic reaction: rapid onset of allergic symptoms.
  • Hemolysis: destruction of red blood cells.
  • Seizures: neurological events due to rapid osmolar shifts.

Precautions & Warnings

Mannitol administration requires careful clinical monitoring.

  • Assess renal function: evaluate baseline creatinine and glomerular filtration rate.
  • Monitor serum electrolytes: check sodium, potassium, and osmolality regularly.
  • Monitor fluid balance: record input and output to avoid overload.
  • Avoid in severe dehydration: ensure adequate intravascular volume before infusion.
  • Use cautiously in heart failure: consider risk of fluid shifts.
  • Adjust dosing in elderly patients: start with lower infusion rates.
  • Store at room temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Mannitol can interact with several drug classes, influencing safety and efficacy.

Major Interactions (Avoid)

  • Loop diuretics: may cause excessive diuresis and electrolyte loss.
  • Insulin: osmotic shifts can potentiate hypoglycemia.
  • Lithium: increased risk of lithium toxicity.
  • ACE inhibitors: enhanced renal effects leading to dysfunction.
  • Antifungal agents (e.g., amphotericin B): additive nephrotoxicity.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: additive blood pressure lowering.
  • NSAIDs: may impair renal perfusion.
  • Anticonvulsants: altered fluid balance may affect drug levels.
  • Corticosteroids: potential for compounded electrolyte disturbances.

Frequently Asked Questions

Mannitol-Infusionslösung 20 is an intravenous osmotic diuretic used to lower elevated intracranial pressure, reduce intra‑ocular pressure, and increase urine output in patients with acute renal failure. It works by creating an osmotic gradient that draws fluid from tissues into the bloodstream and then into the renal tubules for excretion.

Mannitol remains largely unmetabolized after intravenous administration, establishing an osmotic gradient across cell membranes and within the renal tubules. This gradient pulls water from intracellular and interstitial spaces into the vascular compartment and then into the urine, thereby decreasing swelling in the brain and eye and promoting diuresis.

The specific dose and infusion rate of Mannitol-Infusionslösung 20 are determined by the prescribing clinician based on the patient’s condition, weight, renal function, and therapeutic goals. Healthcare professionals tailor the regimen to achieve the desired reduction in pressure or diuretic effect while monitoring safety parameters.

Safety data for mannitol in pregnancy and lactation are limited, and the product is classified as pregnancy category unknown. 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.

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 any cold‑chain requirements), and necessary import documentation.

Mannitol is a non‑metabolizable sugar alcohol commonly used for its rapid osmotic effect, whereas alternatives such as hypertonic saline or glycerol may have different electrolyte profiles and onset times. Mannitol’s advantage lies in its predictable renal excretion and ability to lower both intracranial and intra‑ocular pressures effectively.

Mannitol-Infusionslösung 20 should be stored at room temperature, below 25 °C, in its original packaging to protect from moisture and light. The solution must be kept in a clean, dry environment and inspected for particulate matter before use.

The product is administered intravenously by slow infusion through a calibrated infusion set. Healthcare professionals calculate the infusion rate based on the prescribed dose, monitor the patient’s vital signs, and adjust the rate as needed to achieve therapeutic goals while observing for adverse reactions.

Serious risks include acute renal failure worsening, severe electrolyte disturbances (especially hyponatremia or hyperkalemia), pulmonary edema from fluid overload, and rare anaphylactic reactions. Continuous monitoring of renal function, electrolytes, and fluid balance is essential to mitigate these risks.

Mannitol is contraindicated in patients with known hypersensitivity to mannitol, severe dehydration, active intracranial bleeding, uncontrolled heart failure, or severe renal impairment where excretion is compromised. Clinicians should evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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