Product image of Mannitol supplied by GNH India

Mannitol

Active Ingredient:
Mannitol
Origin:
EU

Mannitol

Mannitol, the active ingredient in Mannitol, is an osmotic diuretic presented as an injection solution for intravenous use. It is employed to reduce intracranial pressure, manage acute renal failure, lower intraocular pressure, and promote osmotic diuresis in appropriate clinical settings.

GNH India supplies Mannitol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies, clinics and procurement teams worldwide across multiple regions. The company adheres to stringent quality standards and provides regulatory support for import and distribution.

Manufacturer / TM Owner

Baxter Sa

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Indications & Clinical Uses

  • Mannitol is used as an osmotic diuretic to manage conditions where fluid removal or pressure reduction is required.
  • Intracranial hypertension: reduces intracranial pressure by creating an osmotic gradient that draws fluid from brain tissue into the vascular compartment.
  • Acute renal failure (oliguric phase): promotes osmotic diuresis to increase urine output and assist in the removal of waste products.
  • Elevated intraocular pressure: lowers intraocular pressure by osmotic movement of water from the eye, aiding in the management of glaucoma emergencies.

How It Works

  • Mannitol acts as an osmotically active agent that, when administered intravenously, raises the osmolarity of the glomerular filtrate. The increased osmotic pressure limits reabsorption of water and electrolytes in the renal tubules, generating an osmotic diuresis. In the central nervous system and eye, the elevated plasma osmolarity creates an outward gradient that draws water from cerebral and ocular tissues into the vasculature, thereby decreasing intracranial and intraocular 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 intensity.
  • Nausea or vomiting: gastrointestinal upset.
  • Electrolyte imbalance: especially hyponatremia or hyperkalemia.
  • Transient hypotension: due to rapid plasma expansion.
  • Pulmonary edema: fluid overload in susceptible patients.
  • Thirst or dry mouth.

Serious or Rare Side Effects

  • Acute renal failure: worsening kidney function.
  • Severe electrolyte disturbances: profound hyponatremia or hyperkalemia.
  • Anaphylactic reaction: rare hypersensitivity.
  • Cardiac arrhythmias: secondary to electrolyte shifts.
  • Intracranial hemorrhage: if pressure changes abruptly.
  • Metabolic acidosis: due to accumulation of acid metabolites.

Precautions & Warnings

  • Before using Mannitol, several safety considerations should be observed.
  • Assess renal function: avoid use in severe renal impairment.
  • Monitor fluid balance: prevent volume overload.
  • Check electrolytes: correct abnormalities prior to infusion.
  • Avoid rapid infusion in patients with cardiac disease.
  • Use with caution in pregnancy: safety not established.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mannitol can interact with other medicines, influencing efficacy or safety.

Major Interactions (Avoid)

  • Loop diuretics (e.g., furosemide): may exacerbate electrolyte loss.
  • Insulin or oral hypoglycemics: osmotic shift can affect glucose control.
  • Nephrotoxic agents (e.g., aminoglycosides): increased risk of renal injury.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: additive hypotensive effect.
  • Lithium: altered renal clearance may raise lithium levels.
  • Corticosteroids: may worsen fluid retention.

Frequently Asked Questions

Mannitol is an osmotic diuretic used primarily to lower elevated intracranial pressure, treat acute renal failure by promoting urine output, and reduce intraocular pressure in emergency glaucoma situations. It works by drawing water from tissues into the bloodstream, facilitating fluid removal.

Mannitol increases the osmolarity of plasma and glomerular filtrate after intravenous administration. The resulting osmotic gradient limits water and solute reabsorption in the renal tubules, producing a diuretic effect, while also pulling fluid from the brain and eye, thereby decreasing pressure in those compartments.

The dose of Mannitol is individualized and set by the prescribing clinician based on the specific indication, patient weight, renal function, and desired therapeutic effect. No fixed regimen is provided here; dosing must follow the prescriber's order and institutional protocols.

Safety data for Mannitol during pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and under close medical supervision.

To order Mannitol, 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 import documentation.

Mannitol is a widely used osmotic diuretic with rapid onset when given intravenously. Compared with agents such as hypertonic saline, Mannitol provides both diuretic and pressure‑lowering effects, but may carry a higher risk of electrolyte disturbances. Choice of agent depends on the clinical scenario and physician judgment.

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

Mannitol is administered intravenously, typically as a sterile injection solution. It may be given as a slow infusion or bolus, depending on the indication and clinical protocol. Administration should be performed by qualified healthcare personnel in a setting where vital signs and fluid balance can be monitored.

Serious risks include acute renal failure, severe electrolyte imbalances (especially hyponatremia or hyperkalemia), pulmonary edema from fluid overload, anaphylactic reactions, cardiac arrhythmias, and rapid shifts in intracranial or intraocular pressure that could precipitate hemorrhage.

Mannitol is contraindicated in patients with established anuria, severe renal impairment, active intracranial bleeding, uncontrolled heart failure, severe electrolyte disturbances, and known hypersensitivity to the product. Caution is also advised in pregnant or lactating women and in patients at risk of fluid overload.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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