Product image of Naos (Salbutamol Sulfate, Ipratropium Bromide) supplied by GNH India

Naos

Active Ingredient:
Salbutamol Sulfate, Ipratropium Bromide
Origin:
EU

Naos (Salbutamol Sulfate, Ipratropium Bromide)

Salbutamol sulfate / ipratropium bromide, the active ingredient in Naos, is a short‑acting β2‑agonist / anticholinergic combination presented as an inhalation solution for inhalation use. It provides bronchodilation for patients with asthma and chronic obstructive pulmonary disease.

GNH India supplies Naos as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Neopharmed Gentili Spa

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Indications & Clinical Uses

Naos is a bronchodilator inhalation therapy used in respiratory disorders where airway constriction occurs.

  • Asthma: rapidly relieves acute bronchospasm and improves airflow.
  • Chronic obstructive pulmonary disease (COPD) – maintenance: helps maintain open airways and reduces symptom frequency.
  • COPD – acute relief: provides quick bronchodilation during exacerbations.

How It Works

  • The salbutamol component activates β2‑adrenergic receptors on airway smooth muscle, causing relaxation, while ipratropium blocks muscarinic receptors, preventing acetylcholine‑mediated bronchoconstriction. The combined actions result in synergistic bronchodilation and improved ventilation.

Side Effects

Adverse reactions may occur with inhalation of Naos.

Common Side Effects

  • Tremor: mild shaking of hands or limbs.
  • Headache: transient cranial discomfort.
  • Throat irritation: dryness or soreness in the throat.
  • Cough: brief irritation‑induced coughing.
  • Dry mouth: reduced salivation.
  • Palpitations: awareness of heartbeat.

Serious or Rare Side Effects

  • Paradoxical bronchospasm: worsening airway narrowing.
  • Angioedema: swelling of face, lips, or tongue.
  • Tachycardia: abnormally fast heart rate.
  • Arrhythmia: irregular cardiac rhythm.
  • Hypokalemia: low blood potassium levels.
  • Severe allergic reaction: anaphylaxis requiring emergency care.

Precautions & Warnings

Before prescribing Naos, consider patient‑specific factors and safety measures.

  • Cardiovascular disease: monitor for tachycardia or arrhythmias.
  • Thyroid disorders: use with caution in hyperthyroidism.
  • Diabetes: observe possible glucose fluctuations.
  • Elderly patients: start with the lowest effective dose.
  • Concomitant β‑agonists: avoid excessive β2‑stimulation.
  • Store at below 25°C: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Naos may interact with other medications; assess risk before co‑administration.

Major Interactions (Avoid)

  • Non‑selective β‑blockers: can diminish bronchodilator effect and precipitate bronchospasm.
  • Monoamine oxidase inhibitors (MAOIs): may increase risk of cardiovascular side effects.

Moderate Interactions (Monitor Closely)

  • Other β2‑agonists: risk of additive tachycardia.
  • Diuretics: monitor serum potassium levels.
  • Anticholinergic drugs: may enhance dry‑mouth or urinary retention.
  • Theophylline: observe for increased theophylline toxicity.

Frequently Asked Questions

Naos is prescribed for patients with asthma to relieve acute bronchospasm and for those with chronic obstructive pulmonary disease (COPD) both as a maintenance therapy and for rapid relief during exacerbations. It helps open narrowed airways, improving breathing and reducing symptoms such as wheezing and shortness of breath.

Salbutamol activates β2‑adrenergic receptors on airway smooth muscle, causing relaxation, while ipratropium blocks muscarinic receptors, preventing acetylcholine‑induced constriction. Together they provide a synergistic bronchodilatory effect, quickly widening the airways and enhancing airflow in obstructive lung conditions.

The specific dose and frequency of Naos are determined by the prescribing clinician based on the patient’s age, severity of disease, and response to therapy. Healthcare professionals tailor the regimen to achieve optimal bronchodilation while minimizing potential side effects.

Safety data for Naos in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Clinicians should discuss individual circumstances and consider alternative therapies when appropriate.

To request Naos, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Naos combines a short‑acting β2‑agonist (salbutamol) with an anticholinergic (ipratropium), offering dual mechanisms that can be more effective than single‑agent inhalers for certain patients. Compared with monotherapy β2‑agonists, the combination may provide faster relief and reduce the need for higher doses, while having a safety profile similar to other inhaled bronchodilators.

Naos should be stored at temperatures below 25 °C, in its original packaging, protected from moisture and direct sunlight. Keep the inhalation device upright and ensure the mouthpiece is clean before each use. Do not freeze the solution, and discard any product that appears discolored or contaminated.

Naos is delivered via a metered‑dose inhaler or nebulizer, depending on the formulation supplied. The patient inhales the prescribed number of puffs or nebulized doses, typically through a mouthpiece, following the device’s instructions. Proper inhalation technique—slow, deep breaths and holding the breath briefly—maximizes drug deposition in the lungs.

Serious adverse events, although rare, include paradoxical bronchospasm, severe allergic reactions such as angioedema or anaphylaxis, significant tachycardia or arrhythmias, and marked drops in blood potassium (hypokalemia). Patients should seek immediate medical attention if they experience sudden worsening of breathing, swelling of the face or throat, or rapid, irregular heartbeats.

Naos is contraindicated in individuals with known hypersensitivity to salbutamol, ipratropium, or any excipients in the formulation. It should also be avoided in patients with a history of severe paradoxical bronchospasm after inhaled bronchodilator use. Clinicians must assess each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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