Product image of Nalador (Sulprostone) supplied by GNH India

Nalador

Active Ingredient:
Sulprostone
Origin:
EU

Nalador (Sulprostone)

Sulprostone, the active ingredient in Nalador, is a prostaglandin analog presented as an intravenous solution for intravenous use. It is employed to stimulate uterine contractions during labor induction, manage postpartum hemorrhage, and provide gastro‑protective effects in peptic ulcer disease.

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

Manufacturer / TM Owner

Teofarma S.R.L.

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Indications & Clinical Uses

  • Nalador (sulprostone) acts as a prostaglandin analog influencing uterine smooth‑muscle tone and gastric mucosal protection.
  • Induction of labor: facilitates cervical ripening and uterine contractions to initiate delivery.
  • Postpartum hemorrhage: enhances uterine contractility to reduce bleeding after delivery.
  • Peptic ulcer disease: promotes gastric mucosal defense and reduces ulcer recurrence.

How It Works

  • Sulprostone is a synthetic prostaglandin E2 analog that binds to EP receptors (EP1‑EP4) on smooth‑muscle cells and gastric epithelium. Activation of EP receptors increases intracellular calcium, leading to heightened uterine smooth‑muscle contraction and stimulation of protective mucus and bicarbonate secretion in the stomach, thereby supporting hemostasis and mucosal integrity.

Side Effects

Adverse reactions may occur with sulprostone administration.

Common Side Effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Abdominal pain
  • Flushing
  • Headache

Serious or Rare Side Effects

  • Uterine hyperstimulation
  • Severe hypotension
  • Bronchospasm
  • Allergic reactions (rash, anaphylaxis)
  • Myocardial ischemia
  • Pulmonary edema

Precautions & Warnings

  • Use of sulprostone requires careful clinical monitoring.
  • Monitor uterine activity: observe for excessive contractions.
  • Assess maternal hemodynamics: watch blood pressure and heart rate.
  • Use with caution in cardiovascular disease: risk of hypotension.
  • Avoid in known hypersensitivity to prostaglandins.
  • Adjust in renal or hepatic impairment: consider reduced clearance.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Sulprostone may interact with several drug classes.

Major Interactions (Avoid)

  • NSAIDs: may diminish uterotonic effect.
  • Anticoagulants: increased risk of bleeding.
  • Oxytocin: additive uterine stimulation leading to hyperstimulation.

Moderate Interactions (Monitor Closely)

  • Beta‑agonists: may counteract uterine contraction.
  • Calcium channel blockers: may reduce efficacy.
  • ACE inhibitors: potential additive hypotensive effect.
  • Diuretics: may exacerbate fluid loss.
  • Antihypertensives: monitor blood pressure closely.

Frequently Asked Questions

Nalador contains sulprostone, a prostaglandin analog used to induce labor, control postpartum hemorrhage by promoting uterine contraction, and protect the gastric lining in peptic ulcer disease. It is administered intravenously under medical supervision.

Sulprostone mimics prostaglandin E2 and activates EP receptors on uterine smooth‑muscle and gastric cells. This triggers calcium‑mediated contraction of the uterus and stimulates mucus and bicarbonate secretion in the stomach, supporting hemostasis and mucosal protection.

The dose of Nalador is determined by the prescribing clinician based on the specific indication, patient condition, and local guidelines. Healthcare professionals calculate the appropriate infusion rate and duration for each individual case.

Nalador is intended for use during labor and the immediate postpartum period, so its safety profile is evaluated for those specific situations. It is not recommended for routine use in pregnancy before labor onset, and limited data are available for breastfeeding; clinicians should weigh benefits against potential risks.

To order Nalador, 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.

Nalador (sulprostone) is a prostaglandin E2 analog, offering a rapid onset of uterine contraction similar to oxytocin but with a distinct receptor profile. Compared with oxytocin, it may be effective when oxytocin resistance occurs, though it carries a higher risk of uterine hyperstimulation and systemic side effects.

Nalador should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Keep the vial in its original packaging until use to maintain stability and potency.

Nalador is supplied as an intravenous solution and is administered by slow infusion through a peripheral or central venous line. The infusion rate and total dose are set by the treating physician according to the clinical indication and patient response.

Serious risks include uterine hyperstimulation leading to fetal distress, severe hypotension, bronchospasm, allergic reactions such as anaphylaxis, myocardial ischemia, and pulmonary edema. Immediate medical attention is required if any of these events occur.

Nalador is contraindicated in patients with known hypersensitivity to sulprostone or other prostaglandins, in those with uncontrolled cardiovascular disease, severe hypotension, or active severe asthma. It should also be avoided in patients where uterine hyperstimulation would pose a significant risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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