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 injectable solution for intravenous use. It is employed to induce labor and to prevent or treat gastric ulcer disease by enhancing gastric mucus production and stimulating uterine smooth‑muscle contraction.

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, a prostaglandin analog, is used in clinical situations that require uterine stimulation or gastric mucosal protection.

  • Induction of labor: stimulates uterine contractions to facilitate vaginal delivery.
  • Prevention and treatment of gastric ulcer: increases gastric mucus secretion to protect the stomach lining.
  • Management of uterine atony: promotes uterine contraction to reduce postpartum bleeding.

How It Works

  • Sulprostone is a synthetic prostaglandin E2 analog that binds to prostaglandin E2 (EP) receptors on smooth‑muscle cells and gastric mucosal cells. Activation of EP receptors triggers intracellular signaling that enhances uterine smooth‑muscle contractility and stimulates gastric mucus and bicarbonate secretion, providing uterotonic and gastroprotective effects.

Side Effects

Adverse reactions may occur with Nalador administration.

Common Side Effects

  • Nausea
  • Vomiting
  • Abdominal pain
  • Flushing

Serious or Rare Side Effects

  • Uterine hyperstimulation leading to fetal distress
  • Severe hypotension
  • Anaphylactic or severe allergic reactions

Precautions & Warnings

Nalador should be used with careful clinical monitoring.

  • Monitor uterine activity: watch for excessive contractions.
  • Assess cardiovascular status: watch for hypotension.
  • Use cautiously in patients with asthma: risk of bronchospasm.
  • Avoid in individuals with known hypersensitivity to sulprostone or prostaglandin analogs.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Potential drug interactions require attention.

Major Interactions (Avoid)

  • Oxytocin or other uterotonic agents: may cause uterine hyperstimulation.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): can diminish gastric mucosal protection.

Moderate Interactions (Monitor Closely)

  • Antihypertensive drugs: additive hypotensive effect.
  • Bronchodilators for asthma: possible bronchospasm.
  • Anticoagulants: monitor bleeding risk if uterine hyperstimulation occurs.

Frequently Asked Questions

Nalador is an injectable formulation of sulprostone used primarily to induce labor by stimulating uterine contractions and to prevent or treat gastric ulcers by increasing protective mucus secretion in the stomach lining.

Sulprostone mimics prostaglandin E2 and activates EP receptors on smooth‑muscle and gastric cells. This activation leads to stronger uterine contractions and enhanced secretion of gastric mucus and bicarbonate, providing both uterotonic and gastroprotective actions.

The specific dose of Nalador is determined by the prescribing clinician based on the indication, patient condition, and clinical response. Healthcare professionals adjust the regimen to achieve the desired therapeutic effect while monitoring safety.

Nalador is used during labor to facilitate delivery, so it is administered to pregnant women under medical supervision. Its safety profile for breastfeeding is not well defined; clinicians weigh potential benefits against risks before use.

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 cold‑chain where needed) and required import documentation.

The main alternatives for uterine stimulation are oxytocin and misoprostol. Compared with oxytocin, sulprostone has a direct prostaglandin‑mediated mechanism and may produce stronger uterine contractions. Compared with misoprostol, sulprostone is administered intravenously, allowing rapid titration, whereas misoprostol is given orally or vaginally.

Nalador must be stored at 2‑8 °C in a refrigerator, protected from light. The vial should remain in its original packaging, must not be frozen, and should be gently inverted if mixing is required. Once removed from refrigeration, use within the time frame specified by the manufacturer.

Nalador is supplied as a sterile injectable solution for intravenous (IV) administration. The medication is drawn into a syringe and infused slowly under continuous clinical observation, allowing the prescriber to adjust the rate based on uterine response or gastric protection needs.

Serious risks include uterine hyperstimulation that can cause fetal distress, severe hypotension, and rare but life‑threatening allergic reactions such as anaphylaxis. Prompt recognition and immediate medical intervention are essential if any of these events occur.

Nalador should be avoided in patients with known hypersensitivity to sulprostone or other prostaglandin analogs, in those with uncontrolled cardiovascular disease, severe asthma, or conditions where excessive uterine contraction could be harmful. Contra‑indications are determined by the treating physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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