Product image of Nalbuphine Serb (Nalbuphine Hydrochloride) supplied by GNH India

Nalbuphine Serb

Active Ingredient:
Nalbuphine Hydrochloride
Origin:
EU

Nalbuphine Serb (Nalbuphine Hydrochloride)

Nalbuphine, the active ingredient in Nalbuphine Serb, is an opioid analgesic presented as an injectable solution for intramuscular, intravenous, and subcutaneous use. It provides analgesia for moderate to severe acute pain, postoperative discomfort, and obstetric procedures in adult patients.

GNH India supplies Nalbuphine Serb as a licensed, GDP‑compliant international pharmaceutical product to hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and regulatory requirements to ensure product integrity across global markets.

Manufacturer / TM Owner

Serb

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Nalbuphine is used in the management of pain conditions that involve the opioid pathway.

  • Moderate to severe acute pain: provides effective analgesia when other agents are insufficient.
  • Post‑operative pain: reduces pain intensity after surgical procedures.
  • Obstetric analgesia: offers pain relief during labor while limiting respiratory depression.

How It Works

  • Nalbuphine acts as a kappa opioid receptor agonist and a mu opioid receptor antagonist. Stimulation of kappa receptors produces analgesic effects, whereas antagonism at mu receptors limits typical opioid‑related respiratory depression and dependence. This mixed agonist‑antagonist profile creates a ceiling effect for respiratory depression, allowing effective pain control with a reduced risk of severe respiratory compromise.

Side Effects

Nalbuphine may be associated with a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Dizziness
  • Nausea
  • Vomiting
  • Sedation
  • Headache
  • Sweating

Serious or Rare Side Effects

  • Respiratory depression
  • Hypotension
  • Allergic reactions (rash, urticaria, anaphylaxis)
  • Severe sedation
  • Chest pain
  • Seizures

Precautions & Warnings

When prescribing Nalbuphine, clinicians should consider several safety measures to minimize risk.

  • Assess respiratory function: monitor breathing, especially in patients with pulmonary disease.
  • Evaluate hepatic and renal function: adjust use in impairment.
  • Avoid concurrent central nervous system depressants: increased sedation risk.
  • Use caution in patients with a history of substance abuse: potential for misuse.
  • Pregnancy and lactation: weigh benefits against potential risks; limited data available.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Nalbuphine can interact with other medications, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Concurrent use with other opioid agonists: may reduce analgesic effect and increase risk of respiratory depression.
  • Benzodiazepines or barbiturates: additive CNS depression.
  • MAO inhibitors: risk of severe hypotension and sedation.

Moderate Interactions (Monitor Closely)

  • Anticholinergic agents: may exacerbate urinary retention.
  • Selective serotonin reuptake inhibitors (SSRIs): potential for serotonin syndrome.
  • CYP3A4 inhibitors or inducers: may affect Nalbuphine metabolism.

Frequently Asked Questions

Nalbuphine Serb is indicated for the management of moderate to severe acute pain, postoperative pain, and obstetric analgesia. It is employed when effective pain control is required and when a mixed opioid agonist‑antagonist profile is desired to limit respiratory depression.

Nalbuphine works by activating kappa opioid receptors, which produce analgesia, while simultaneously blocking mu opioid receptors. This dual action provides pain relief and creates a ceiling effect for respiratory depression, reducing the risk of severe respiratory compromise compared with pure mu‑agonists.

The appropriate dose of Nalbuphine Serb is determined by the prescribing clinician based on the patient’s pain severity, clinical condition, route of administration, and individual response. No fixed regimen is provided here; dosing must follow the prescriber’s judgment and local guidelines.

Safety data for Nalbuphine Serb in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision should be made by a qualified healthcare professional.

To order Nalbuphine Serb, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Unlike morphine, which is a pure mu‑opioid receptor agonist, nalbuphine combines kappa agonism with mu antagonism. This results in effective analgesia with a lower ceiling for respiratory depression, making it a useful alternative when respiratory safety is a primary concern.

Nalbuphine Serb should be stored at 2‑8 °C in a refrigerator. Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial to maintain stability and potency.

Nalbuphine Serb is administered by a healthcare professional via intramuscular, intravenous, or subcutaneous injection. The route and rate of injection are selected according to the clinical situation and the prescriber’s instructions.

Serious risks include respiratory depression, severe hypotension, allergic reactions such as anaphylaxis, and profound sedation. Patients should be monitored closely for these events, especially when receiving high doses or when combined with other central nervous system depressants.

Nalbuphine Serb should be avoided in individuals with known hypersensitivity to nalbuphine or any component of the formulation, in patients with uncontrolled severe respiratory disease, and in those for whom opioid antagonism may precipitate withdrawal or interfere with required analgesia.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.