Product image of Mannitolo Fresenius Kabi Italia (Mannitol) supplied by GNH India

Mannitolo Fresenius Kabi Italia

Active Ingredient:
Mannitol
Origin:
EU

Mannitolo Fresenius Kabi Italia (Mannitol)

Mannitol, the active ingredient in Mannitolo Fresenius Kabi Italia, is an excipient presented as a solution for injection for intravenous use. It reduces intracranial pressure, promotes diuresis in acute renal failure, and serves as a solvent for intravenous drug formulations.

GNH India supplies Mannitolo Fresenius Kabi Italia as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Fresenius Kabi Italia S.R.L.

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Indications & Clinical Uses

  • Mannitol is employed as an osmotic agent in several clinical situations.
  • Intracranial hypertension: reduces intracranial pressure by drawing fluid from the brain into the vascular compartment.
  • Acute renal failure: promotes diuresis to aid fluid removal and electrolyte balance.
  • Intravenous drug formulation: acts as an isotonic solvent for the preparation of various injectable medicines.

How It Works

  • Mannitol increases plasma osmolarity, creating an osmotic gradient that pulls water from intracellular and interstitial spaces into the vascular compartment. This shift expands intravascular volume, enhances renal perfusion, and induces an osmotic diuretic effect, while also lowering intracranial and intra‑ocular pressure through fluid redistribution.

Side Effects

Mannitol may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Nausea or vomiting: transient gastrointestinal upset.
  • Electrolyte imbalance: especially hyponatremia or hypokalemia.
  • Hypotension: due to rapid plasma volume expansion.
  • Tachycardia: secondary to volume shifts.

Serious or Rare Side Effects

  • Pulmonary edema: fluid overload in susceptible patients.
  • Severe electrolyte disturbances: can precipitate cardiac arrhythmias.
  • Anaphylactic reaction: rare but potentially life‑threatening.
  • Acute renal failure: paradoxical worsening in patients with pre‑existing kidney disease.

Precautions & Warnings

  • Mannitol administration requires careful clinical monitoring.
  • Monitor serum electrolytes: check sodium, potassium, and osmolality regularly.
  • Assess intracranial pressure: ensure appropriate indication and response.
  • Use caution in renal impairment: adjust infusion rate or avoid if severe.
  • Avoid rapid infusion: infuse over recommended time to prevent hemodynamic shifts.
  • Adjust dose in heart failure: consider reduced volume tolerance.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mannitol can alter the pharmacodynamics of several drugs.

Major Interactions (Avoid)

  • Lithium: increased risk of lithium toxicity due to altered renal clearance.
  • Digoxin: electrolyte shifts may predispose to digoxin toxicity.
  • Loop diuretics: additive diuretic effect may cause severe volume depletion.

Moderate Interactions (Monitor Closely)

  • Insulin: rapid shifts in plasma volume can affect glucose control.
  • NSAIDs: may blunt the diuretic response of mannitol.
  • Antihypertensives: additive hypotensive effect requires blood pressure monitoring.

Frequently Asked Questions

Mannitolo Fresenius Kabi Italia is a sterile mannitol solution for injection used primarily to lower intracranial pressure, promote diuresis in acute renal failure, and act as an isotonic solvent for the preparation of other intravenous medications.

Mannitol works by increasing plasma osmolarity, which draws water from cells and interstitial spaces into the bloodstream. This osmotic shift reduces swelling in the brain and eyes, expands intravascular volume, and creates an osmotic diuretic effect that enhances urine output.

The dose of Mannitolo Fresenius Kabi Italia is determined by the prescribing clinician based on the specific indication, patient weight, renal function, and clinical response. No fixed regimen is provided here; the prescriber sets the appropriate infusion rate and total amount.

Safety data for mannitol in pregnancy and lactation are limited. 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 the treating physician.

To 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 cold‑chain if needed), and import documentation.

Mannitol is the most widely used osmotic diuretic due to its rapid onset, predictable pharmacokinetics, and dual ability to lower intracranial pressure and increase urine output. Other agents, such as hypertonic saline, may be used in specific scenarios but generally lack the same versatility and extensive safety profile of mannitol.

Mannitolo should be stored refrigerated at 2‑8 °C, protected from light, and never frozen. The vial must be kept in its original packaging to maintain sterility and should be gently inverted to mix if any sediment is observed; shaking is not recommended.

Mannitolo is administered intravenously, typically as a slow infusion. The exact rate and total volume are prescribed by the clinician, who may adjust based on the patient’s hemodynamic status, renal function, and therapeutic response.

Serious risks include pulmonary edema from fluid overload, severe electrolyte disturbances (especially hyponatremia or hypokalemia), acute renal failure in susceptible individuals, and rare anaphylactic reactions. Continuous monitoring of fluid balance and electrolytes is essential during therapy.

Mannitolo is contraindicated in patients with known hypersensitivity to mannitol, severe renal insufficiency where diuresis is ineffective, active pulmonary edema, and uncontrolled heart failure where rapid volume expansion could be harmful.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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