Product image of Mannitol B. Braun (Mannitol) supplied by GNH India

Mannitol B. Braun

Active Ingredient:
Mannitol
Origin:
EU

Mannitol B. Braun (Mannitol)

Mannitol, the active ingredient in Mannitol B. Braun, is an osmotic diuretic presented as an intravenous solution for intravenous use. It is employed to lower elevated intracranial pressure, manage cerebral edema, promote diuresis in acute renal failure, and reduce intraocular pressure in patients requiring rapid fluid shifts.

GNH India supplies Mannitol B. Braun as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

B.Braun Medical Sas

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Indications & Clinical Uses

Mannitol is used in clinical situations that require rapid osmotic fluid removal or pressure reduction.

  • Elevated intracranial pressure: rapidly lowers intracranial pressure to protect brain tissue.
  • Cerebral edema: draws fluid out of swollen brain tissue to improve neurological function.
  • Acute renal failure: enhances renal excretion of water and electrolytes to support diuresis.
  • Intraocular pressure: reduces pressure in the eye during acute glaucoma attacks.
  • Toxin elimination: facilitates renal clearance of certain nephrotoxic substances.

How It Works

  • Mannitol creates an extracellular osmotic gradient that pulls water from intracellular and interstitial compartments into the vascular space. This increase in plasma osmolality promotes renal filtration and urine output while simultaneously decreasing intracranial and intraocular pressures by reducing tissue fluid volume.

Side Effects

Mannitol may cause a range of adverse reactions, from mild to severe, depending on patient factors and dosing.

Common Side Effects

  • Headache: mild to moderate discomfort.
  • Nausea or vomiting: gastrointestinal upset.
  • Electrolyte imbalance: changes in sodium or potassium levels.
  • Transient hypotension: brief drop in blood pressure.
  • Fluid overload: signs of pulmonary edema in susceptible patients.

Serious or Rare Side Effects

  • Acute renal failure: worsening kidney function.
  • Severe electrolyte disturbances: hypernatremia or hyponatremia.
  • Anaphylactic reaction: rare hypersensitivity.
  • Hemolysis: especially in patients with G6PD deficiency.
  • Pulmonary edema: rapid fluid shifts leading to respiratory compromise.

Precautions & Warnings

Mannitol requires careful monitoring and specific patient considerations before and during therapy.

  • Renal function: assess baseline kidney function and monitor creatinine.
  • Electrolytes: check serum sodium, potassium, and osmolality regularly.
  • Cardiovascular status: avoid rapid infusion in patients with heart failure.
  • Pregnancy: use only if benefits outweigh risks (Category C).
  • Pediatric use: dose adjustments needed; monitor growth parameters.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mannitol can alter the pharmacokinetics of several co‑administered agents, requiring vigilance.

Major Interactions (Avoid)

  • Loop diuretics: may exacerbate electrolyte loss and volume depletion.
  • Lithium: increased risk of lithium toxicity due to altered renal clearance.
  • Aminoglycosides: heightened nephrotoxicity risk.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: possible additive hypotensive effect.
  • Insulin or oral hypoglycemics: monitor blood glucose as osmotic shifts may affect levels.
  • Contrast media: increased risk of renal impairment when combined.

Frequently Asked Questions

Mannitol B. Braun is indicated for the reduction of elevated intracranial pressure, treatment of cerebral edema, promotion of diuresis in acute renal failure, lowering intraocular pressure in acute glaucoma, and facilitating renal excretion of certain toxins. It is administered intravenously in hospital or clinical settings under physician supervision.

Mannitol functions as an osmotic agent. When infused, it raises plasma osmolality, drawing water out of brain and eye tissues into the bloodstream. This fluid shift reduces tissue swelling, thereby decreasing intracranial and intraocular pressures while also increasing urine output through osmotic diuresis.

The specific dose and infusion rate of Mannitol B. Braun are determined by the prescribing clinician based on the patient’s condition, weight, renal function, and response to therapy. Dosing is individualized and should follow the prescriber’s order and institutional protocols.

Mannitol is classified as Pregnancy Category C, meaning risk cannot be ruled out. It should be used only if the potential benefit justifies the potential risk to the fetus. Limited data are available for breastfeeding; the decision should be made by the healthcare provider considering maternal and infant health.

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.

Both Mannitol and hypertonic saline create an osmotic gradient to reduce cerebral edema, but Mannitol is a sugar alcohol that is filtered by the kidneys, leading to diuresis, whereas hypertonic saline primarily expands intravascular volume and may be preferred when fluid balance is a concern. Choice depends on patient-specific factors and clinician judgment.

Mannitol B. Braun should be stored at 2‑8 °C (refrigerated). Keep the solution in its original container, protect it from light, and avoid freezing or shaking the vial. Do not use the product if the solution appears cloudy or contains particles.

Mannitol B. Braun is given as an intravenous infusion. The solution is typically diluted in compatible IV fluids and administered over a period determined by the prescriber, often ranging from a rapid bolus to a slower infusion, depending on the clinical indication and patient tolerance.

Serious risks include acute renal failure, severe electrolyte disturbances (especially hypernatremia), pulmonary edema from fluid overload, and rare anaphylactic reactions. Patients should be closely monitored for changes in renal function, serum electrolytes, and respiratory status throughout treatment.

Mannitol is contraindicated in patients with known hypersensitivity to mannitol, severe dehydration, active intracranial hemorrhage where rapid volume shifts could worsen bleeding, and in those with severe renal impairment where excretion is compromised. Clinicians must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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