Product image of Nictur (Desmopressin Acetate) supplied by GNH India

Nictur

Active Ingredient:
Desmopressin Acetate
Origin:
EU

Nictur (Desmopressin Acetate)

Desmopressin, the active ingredient in Nictur, is an antidiuretic hormone analog presented as an oral tablet for oral use. It is used to manage central diabetes insipidus, nocturnal enuresis, and mild hemophilia A or von Willebrand disease.

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

Manufacturer / TM Owner

Meditrina Pharmaceuticals Ltd

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Indications & Clinical Uses

Desmopressin acts on the antidiuretic pathway and is indicated for the following conditions:

  • Central diabetes insipidus: reduces excessive urine production and helps maintain water balance.
  • Nocturnal enuresis: decreases nighttime urine output, aiding in bladder control.
  • Mild hemophilia A and von Willebrand disease: raises plasma levels of factor VIII and von Willebrand factor to improve clotting.

How It Works

  • Desmopressin acetate is a synthetic analogue of vasopressin that selectively binds to V2 receptors on the basolateral membrane of renal collecting‑duct cells. Activation of V2 receptors stimulates adenylate cyclase, increasing cyclic AMP, which promotes insertion of aquaporin‑2 water channels into the apical membrane, enhancing water reabsorption and concentrating urine. The same V2‑mediated effect also stimulates release of von Willebrand factor and factor VIII from endothelial cells.

Side Effects

Desmopressin may cause a range of adverse reactions, which are grouped by frequency and severity.

Common Side Effects

  • Headache: mild to moderate pain in the head.
  • Nausea: upset stomach or urge to vomit.
  • Nasal congestion: feeling of a blocked nose.

Serious or Rare Side Effects

  • Severe hyponatremia: can cause seizures, coma, or death.
  • Water intoxication: excessive fluid retention leading to edema and neurological symptoms.
  • Allergic reaction: rash, itching, swelling, or anaphylaxis.

Precautions & Warnings

Before starting Nictur, several precautions should be considered:

  • Dose adjustment: use lower doses in patients with renal impairment.
  • Fluid restriction: limit fluid intake to reduce risk of hyponatremia.
  • Monitor electrolytes: regularly check serum sodium during therapy.
  • Avoid in uncontrolled hypertension: may exacerbate blood pressure.
  • Pregnancy and lactation: use only if clearly needed, as safety data are limited.
  • Store at ambient temperature: keep below 25°C, protect from moisture and light.

Avoid Interactions

Desmopressin can interact with other medicines; interactions are categorized by their clinical significance.

Major Interactions (Avoid)

  • Carbamazepine: reduces desmopressin efficacy.
  • Other antidiuretic agents (e.g., chlorpropamide): increases risk of hyponatremia.
  • High‑dose NSAIDs (e.g., ibuprofen): may potentiate water retention.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: may enhance antidiuretic effect, monitor sodium.
  • Diuretics (thiazides): can alter fluid balance, watch electrolytes.
  • SSRIs (selective serotonin reuptake inhibitors): potential additive effect on serum sodium.

Frequently Asked Questions

Nictur contains desmopressin acetate, a prescription antidiuretic hormone analog. It is employed to treat central diabetes insipidus, reduce nighttime bedwetting (nocturnal enuresis), and to increase clotting factor levels in patients with mild hemophilia A or von Willebrand disease. The medication works by enhancing water reabsorption in the kidneys and stimulating release of specific clotting proteins, helping to manage these distinct clinical conditions.

Desmopressin is a synthetic analogue of the natural hormone vasopressin. It selectively binds to V2 receptors on the cells of the renal collecting ducts, activating adenylate cyclase and raising cyclic AMP levels. This cascade promotes the insertion of aquaporin‑2 water channels into the tubular lumen, increasing water reabsorption and concentrating urine. In endothelial cells, V2 activation also triggers release of von Willebrand factor and factor VIII, improving haemostatic function.

The dosage of Nictur is individualized and must be prescribed by a qualified healthcare professional. The prescriber determines the appropriate strength, frequency, and duration based on the patient’s specific condition, age, renal function, and response to therapy. Patients should follow the exact instructions on the prescription label and consult their clinician before making any changes to the dosing regimen.

Safety data for desmopressin in pregnancy and lactation are limited, and the product is classified with an unknown pregnancy category. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss the risks and alternatives with their healthcare provider before starting Nictur.

To request Nictur, visit the product page on gnhindia.com and submit an enquiry specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will ask for trade or institutional credentials to verify eligibility. After verification, the sales team provides a quotation, confirms availability, outlines shipping terms—including any temperature controls—and assists with the necessary import documentation.

Nictur (desmopressin) is a selective V2‑receptor agonist, offering a more targeted antidiuretic effect compared with non‑selective vasopressin analogues that may stimulate V1 receptors and cause vasoconstriction. This selectivity reduces the risk of cardiovascular side effects while still providing effective water reabsorption. In contrast, other antidiuretic agents such as chlorpropamide have broader systemic actions and a higher propensity for causing hyponatremia, making desmopressin a preferred option for many patients.

Nictur should be stored at ambient temperature, preferably below 25 °C (77 °F). Keep the product in its original packaging to protect it from moisture, light, and excessive heat. Do not store in a refrigerator or freezer unless specifically instructed by the manufacturer. Ensure the container is tightly closed after each use and keep it out of reach of children.

Nictur is administered orally, typically as a tablet or oral melt, depending on the formulation supplied. The tablet should be swallowed whole with a glass of water, unless the prescribing information advises otherwise. Doses are usually taken once or twice daily, and the timing may be adjusted to coincide with bedtime for nocturnal enuresis or as directed for diabetes insipidus management. Always follow the prescriber’s instructions regarding timing and food intake.

The most serious risks of Nictur involve severe hyponatremia and water intoxication, which can lead to seizures, coma, or even death if not recognized promptly. Patients must be monitored for rapid drops in serum sodium, especially when fluid intake is unrestricted or when the drug is combined with other antidiuretic agents. Additionally, rare allergic reactions, including anaphylaxis, may occur and require immediate medical attention.

Nictur is contraindicated in individuals with known hypersensitivity to desmopressin or any of its excipients. It should also be avoided in patients with uncontrolled hypertension, severe renal impairment, or chronic hyponatremia, as the drug can exacerbate fluid retention and electrolyte disturbances. Children under the age recommended by the prescriber, and patients taking certain interacting medications without proper monitoring, should not use Nictur unless a healthcare professional determines it is safe.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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