Product image of Neophyr (Nitric Oxide) supplied by GNH India

Neophyr

Active Ingredient:
Nitric Oxide
Origin:
EU

Neophyr (Nitric Oxide)

Nitric Oxide, the active ingredient in Neophyr, is a medical gas presented as an inhalation gas for inhalation use. It acts as a vasodilator to improve pulmonary blood flow in conditions such as pulmonary hypertension and acute respiratory distress.
GNH India supplies Neophyr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Sol Spa

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Indications & Clinical Uses

Neophyr is used as an inhaled vasodilator in several pulmonary conditions.

  • Neonatal pulmonary hypertension: improves oxygenation and reduces right‑ventricular strain.
  • Acute respiratory distress syndrome (ARDS): lowers pulmonary artery pressure and enhances gas exchange.
  • Cardiopulmonary bypass surgery: prevents intra‑operative pulmonary hypertension and supports postoperative recovery.

How It Works

  • Nitric Oxide activates soluble guanylate cyclase in vascular smooth muscle, increasing cyclic GMP levels. Elevated cGMP leads to smooth‑muscle relaxation, resulting in selective pulmonary vasodilation without systemic hypotension, thereby improving ventilation‑perfusion matching and oxygenation.

Side Effects

Inhaled nitric oxide can produce a range of adverse reactions, most of which are dose‑related and reversible.

Common Side Effects

  • Hypotension: transient drop in systemic blood pressure.
  • Methemoglobinemia: elevated methemoglobin levels reducing oxygen delivery.
  • Rebound pulmonary hypertension: occurs upon abrupt discontinuation.
  • Nitrogen dioxide formation: irritant gas if concentrations are high.
  • Headache: mild and self‑limiting.
  • Nausea: occasional gastrointestinal discomfort.

Serious or Rare Side Effects

  • Severe hypotension: may require vasopressor support.
  • Severe methemoglobinemia: can cause cyanosis and requires treatment.
  • Toxic nitrogen dioxide exposure: leads to airway irritation.
  • Bleeding complications: especially in patients on anticoagulants.
  • Infection risk: if delivery system becomes contaminated.
  • Pulmonary edema: rare but serious respiratory compromise.

Precautions & Warnings

When using Neophyr, clinicians should follow established safety protocols.

  • Dose titration: adjust based on oxygenation response and blood pressure.
  • Monitoring: continuous pulse oximetry and methemoglobin measurement are essential.
  • Contraindications: avoid in patients with severe anemia or known hypersensitivity to nitric oxide.
  • Pregnancy: use only if potential benefit outweighs risk to the fetus.
  • Drug interactions: be cautious when co‑administered with other vasodilators.
  • Store at ambient temperature: keep cylinder in original container, protect from heat and direct sunlight.

Avoid Interactions

Nitric Oxide may interact with several agents that affect vascular tone or oxidative pathways.

Major Interactions (Avoid)

  • Other inhaled nitric oxide sources: risk of cumulative overdose.
  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): additive pulmonary vasodilation.
  • Nitroglycerin: may cause excessive hypotension.

Moderate Interactions (Monitor Closely)

  • Inhaled anesthetics: potential potentiation of blood pressure lowering.
  • Bronchodilators: may alter pulmonary response to nitric oxide.
  • Anticoagulants: monitor for increased bleeding tendency.

Frequently Asked Questions

Neophyr is an inhaled nitric oxide gas used to treat pulmonary hypertension and improve oxygenation in conditions such as neonatal respiratory failure, acute respiratory distress syndrome, and during cardiopulmonary bypass surgery. It works by selectively dilating the pulmonary vessels, enhancing blood flow and gas exchange.

Nitric oxide activates soluble guanylate cyclase in the smooth muscle of pulmonary vessels, raising cyclic GMP levels. The increased cGMP causes smooth‑muscle relaxation, leading to selective vasodilation of the lungs without significant systemic blood pressure changes, thereby improving ventilation‑perfusion matching.

The prescribed dose of Neophyr is determined by the treating physician based on the patient’s clinical status, oxygenation targets, and response to therapy. Dosing is individualized and typically titrated using continuous monitoring of oxygen saturation and hemodynamic parameters.

Safety data for inhaled nitric oxide in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Neophyr, 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.

Neophyr delivers nitric oxide directly to the lungs, providing rapid and selective pulmonary vasodilation, whereas systemic vasodilators affect both pulmonary and systemic circulation, potentially causing broader hypotension. Inhaled nitric oxide offers precise control of pulmonary pressure with fewer systemic side effects.

Neophyr cylinders should be stored at ambient temperature, away from direct sunlight and heat sources. Keep the cylinder in its original packaging, ensure the valve is closed when not in use, and follow local regulations for medical gas storage and transport.

Neophyr is administered via a calibrated inhalation system that mixes the gas with the patient’s ventilatory circuit. The delivery device allows precise control of concentration, typically expressed in parts per million (ppm), and continuous monitoring is required throughout therapy.

The most serious risks include severe hypotension, significant methemoglobinemia that impairs oxygen delivery, and toxic nitrogen dioxide formation if concentrations are not properly controlled. Prompt recognition and management of these events are essential to ensure patient safety.

Neophyr should be avoided in patients with known hypersensitivity to nitric oxide, severe anemia, or those who cannot be closely monitored for methemoglobin levels and blood pressure. Contraindications are determined by the prescribing clinician based on individual patient factors.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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