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 pulmonary vasodilator presented as a medical gas for inhalation use. It treats pulmonary hypertension and related conditions such as persistent pulmonary hypertension of the newborn and acute respiratory distress syndrome.
GNH India supplies Neophyr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Sol Spa

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Indications & Clinical Uses

Neophyr acts on the pulmonary vasculature to lower vascular resistance in several serious respiratory conditions.

  • Persistent pulmonary hypertension of the newborn (PPHN): improves oxygenation by reducing pulmonary vascular resistance.
  • Acute respiratory distress syndrome (ARDS): facilitates pulmonary vasodilation to support gas exchange.
  • Pulmonary hypertension: lowers pulmonary arterial pressure and alleviates right‑ventricular strain.

How It Works

  • Nitric Oxide selectively activates soluble guanylate cyclase in pulmonary smooth muscle cells, increasing intracellular cyclic GMP levels. Elevated cGMP leads to relaxation of pulmonary vascular smooth muscle, producing vasodilation confined to the lung circulation without systemic hypotension.

Side Effects

Adverse reactions may occur with inhaled nitric oxide therapy.

Common Side Effects

  • Cough or throat irritation
  • Headache
  • Dizziness
  • Flushing
  • Mild hypotension
  • Nausea

Serious or Rare Side Effects

  • Methemoglobinemia
  • Severe hypotension
  • Pulmonary edema
  • Allergic reaction (anaphylaxis)
  • Respiratory failure
  • Hemorrhage

Precautions & Warnings

Use of Neophyr requires careful monitoring and specific safety measures.

  • Blood pressure monitoring: watch for sudden drops in systemic pressure.
  • Oxygenation assessment: ensure adequate arterial oxygen levels during therapy.
  • Cardiovascular stability: avoid in patients with unstable heart conditions.
  • Hypersensitivity: discontinue if signs of allergic reaction appear.
  • Interaction with other vasodilators: adjust therapy as needed.
  • Store at ambient temperature: keep cylinder upright, protect from heat and direct sunlight.

Avoid Interactions

Nitric Oxide can interact with several agents that affect vascular tone or nitric oxide pathways.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): risk of profound hypotension.
  • Inhaled anesthetics (e.g., nitrous oxide): additive vasodilatory effect.
  • Methylene blue: reduces nitric oxide efficacy.

Moderate Interactions (Monitor Closely)

  • Other pulmonary vasodilators (e.g., prostacyclin analogues): may enhance vasodilation.
  • Systemic vasodilators (e.g., nitroglycerin): monitor blood pressure.
  • Certain antibiotics (e.g., aminoglycosides): may affect nitric oxide metabolism.

Frequently Asked Questions

Neophyr is prescribed for persistent pulmonary hypertension of the newborn (PPHN), acute respiratory distress syndrome (ARDS), and chronic pulmonary hypertension. In each case, inhaled nitric oxide helps lower pulmonary vascular resistance, improving oxygen delivery and reducing strain on the heart.

Nitric oxide released from Neophyr activates soluble guanylate cyclase in the smooth muscle of pulmonary arteries. This raises cyclic GMP levels, causing muscle relaxation and selective dilation of the lung vessels, which lowers pulmonary arterial pressure without causing systemic vasodilation.

The dosage of Neophyr is determined by the prescribing clinician based on the patient’s age, weight, severity of disease, and response to therapy. The prescriber sets the inhaled concentration and duration according to established clinical protocols.

Safety data for inhaled nitric oxide in pregnancy and lactation are limited. The product should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To request 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 needs), and import documentation.

Neophyr delivers nitric oxide directly to the lungs, providing rapid and selective pulmonary vasodilation. Compared with systemic agents such as phosphodiesterase‑5 inhibitors, it has a quicker onset and fewer systemic effects, but requires specialized delivery equipment and careful monitoring.

Neophyr cylinders should be stored at ambient temperature, kept upright, and protected from heat, direct sunlight, and physical damage. Ensure the cylinder valve is closed when not in use and follow local regulations for medical gas storage.

Neophyr is administered via a calibrated inhalation system that delivers a controlled concentration of nitric oxide gas to the patient’s airway. The device is connected to the patient’s ventilator or breathing circuit, and the clinician adjusts the flow to achieve the prescribed dose.

Serious risks include methemoglobinemia, severe hypotension, pulmonary edema, and allergic reactions such as anaphylaxis. Continuous monitoring of blood pressure, oxygen saturation, and methemoglobin levels is essential to detect and manage these complications promptly.

Neophyr should be avoided in patients with known hypersensitivity to nitric oxide, those with severe cardiovascular instability, or individuals receiving contraindicated medications such as phosphodiesterase‑5 inhibitors without careful supervision. Clinical judgment is required for each case.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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