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 vasodilator presented as a medical gas for inhalation use. It acts on the pulmonary vasculature to reduce pressure and improve oxygenation, and is employed in clinical settings for conditions such as persistent pulmonary hypertension of the newborn, acute respiratory distress syndrome, and other forms of pulmonary hypertension.

GNH India supplies Neophyr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, and specialty clinics worldwide, with a focus on quality assurance and regulatory compliance.

Manufacturer / TM Owner

Sol Spa

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Indications & Clinical Uses

Neophyr (inhaled nitric oxide) is used in the management of pulmonary vascular disorders and related respiratory conditions.

  • Persistent Pulmonary Hypertension of the Newborn (PPHN): improves oxygenation by selectively dilating pulmonary vessels.
  • Acute Respiratory Distress Syndrome (ARDS): reduces pulmonary arterial pressure and enhances gas exchange.
  • Pulmonary Hypertension in adults: serves as a short‑term adjunct to lower pulmonary artery pressure during critical care.

How It Works

  • Inhaled nitric oxide diffuses into pulmonary smooth muscle cells where it activates soluble guanylate cyclase, increasing cyclic GMP levels. Elevated cGMP leads to relaxation of vascular smooth muscle, resulting in selective pulmonary vasodilation and reduced pulmonary arterial pressure without significant systemic effects.

Side Effects

Inhaled nitric oxide may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Headache: mild, transient.
  • Flushing: skin warmth and redness.
  • Cough: irritation of airway.

Serious or Rare Side Effects

  • Severe methemoglobinemia: high methemoglobin causing hypoxia.
  • Rebound pulmonary hypertension: worsening pressure after abrupt discontinuation.
  • Bleeding: due to platelet inhibition.

Precautions & Warnings

When using Neophyr, careful monitoring and specific safety measures are essential.

  • Patient selection: use only in settings with appropriate monitoring of oxygenation and hemodynamics.
  • Methemoglobin monitoring: regularly assess methemoglobin levels during therapy.
  • Dose titration: adjust concentration based on clinical response and arterial blood gases.
  • Interaction with hemoglobin: avoid in patients with G6PD deficiency or significant anemia.
  • Discontinuation: taper gradually to prevent rebound pulmonary hypertension.
  • Store at ambient temperature: keep cylinders in original packaging, protect from heat and direct sunlight.

Avoid Interactions

Inhaled nitric oxide can interact with several drug classes, requiring vigilance.

Major Interactions (Avoid)

  • Phosphodiesterase inhibitors (e.g., sildenafil): additive pulmonary vasodilation may cause severe hypotension.
  • Inhaled anesthetics (e.g., nitrous oxide): can potentiate methemoglobinemia.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., heparin): increased risk of bleeding.
  • Other vasodilators (e.g., prostacyclin analogues): may enhance hypotensive effects.
  • Hemoglobin modifiers (e.g., methylene blue): may interfere with methemoglobin reduction.

Frequently Asked Questions

Neophyr is an inhaled nitric oxide medical gas used primarily to manage pulmonary hypertension, including persistent pulmonary hypertension of the newborn, acute respiratory distress syndrome, and other critical care situations where selective pulmonary vasodilation can improve oxygenation.

Nitric oxide activates soluble guanylate cyclase in pulmonary smooth muscle cells, raising cyclic GMP levels. The increased cGMP causes relaxation of the smooth muscle, leading to selective dilation of pulmonary vessels and a reduction in pulmonary arterial pressure.

The prescribed dose of Neophyr is determined by the treating physician based on the patient’s condition, response, and monitoring results. Dosage is individualized and adjusted during therapy to achieve the desired clinical effect.

Safety of inhaled nitric oxide in pregnancy or while breastfeeding has not been fully established. Use should be considered only if the potential benefit justifies any potential risk, and decisions are made by the healthcare provider.

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 import documentation.

Neophyr delivers nitric oxide directly to the lungs, providing rapid and selective pulmonary vasodilation with minimal systemic effects. Compared with intravenous agents such as prostacyclin analogues, inhaled nitric oxide offers a faster onset and easier titration but requires specialized delivery equipment and monitoring.

Neophyr cylinders should be stored at ambient temperature, kept in their original packaging, protected from heat sources and direct sunlight, and secured to prevent movement. Follow all local regulations for medical gas storage and handling.

Neophyr is administered via a calibrated inhalation system that delivers a controlled concentration of nitric oxide gas mixed with oxygen or air. Administration is performed by trained healthcare professionals in a setting equipped for continuous monitoring of oxygenation, blood pressure, and methemoglobin levels.

The most serious risks include severe methemoglobinemia, which can impair oxygen delivery, and rebound pulmonary hypertension that may occur if the gas is stopped abruptly. Both conditions require prompt recognition and appropriate medical intervention.

Neophyr should be avoided in patients with known hypersensitivity to nitric oxide, those with significant anemia or G6PD deficiency, and individuals in whom rapid changes in pulmonary vascular tone could be hazardous without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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