Product image of Monoxyde D’azote Sol France (Nitric Oxide) supplied by GNH India

Monoxyde D’azote Sol France

Active Ingredient:
Nitric Oxide
Origin:
EU

Monoxyde D’azote Sol France (Nitric Oxide)

Nitric Oxide, the active ingredient in Monoxyde D’azote Sol France, is an inhaled nitric oxide presented as a gas for inhalation use. It treats pulmonary hypertension, neonatal respiratory distress syndrome, and acute respiratory distress syndrome by selectively dilating pulmonary vessels.

GNH India supplies Monoxyde D’azote Sol France as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and clinics worldwide.

Manufacturer / TM Owner

Sol France

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Indications & Clinical Uses

  • Nitric oxide is used as a selective pulmonary vasodilator in disorders of the pulmonary circulation.
  • Pulmonary hypertension: reduces pulmonary arterial pressure and improves oxygenation.
  • Neonatal respiratory distress syndrome: enhances oxygenation and decreases need for extracorporeal support.
  • Acute respiratory distress syndrome: improves ventilation‑perfusion matching and lowers pulmonary vascular resistance.

How It Works

  • Inhaled nitric oxide diffuses into pulmonary vascular smooth muscle where it activates soluble guanylate cyclase, increasing cyclic GMP levels. Elevated cGMP leads to relaxation of smooth muscle cells, producing selective vasodilation of the pulmonary circulation without systemic effects.

Side Effects

Adverse reactions may occur with inhaled nitric oxide therapy.

Common Side Effects

  • Methemoglobinemia: elevation of methemoglobin levels causing reduced oxygen delivery.
  • Nitrogen dioxide formation: irritant gas that can damage airway epithelium.
  • Systemic hypotension: mild drop in systemic blood pressure.
  • Cough or throat irritation during inhalation.

Serious or Rare Side Effects

  • Severe hypotension leading to hemodynamic instability.
  • Rebound pulmonary hypertension after abrupt discontinuation.
  • Bleeding complications in patients with coagulopathy.
  • Neurotoxicity manifested as seizures in rare cases.

Precautions & Warnings

Key safety considerations should be observed when using inhaled nitric oxide.

  • Methemoglobin monitoring: regularly assess levels to avoid toxicity.
  • Dose adjustment in neonates: use the lowest effective concentration.
  • Avoid concurrent use with other potent pulmonary vasodilators without supervision.
  • Ensure proper ventilation to limit nitrogen dioxide accumulation.
  • Store at ambient temperature: keep cylinders in original packaging, protect from heat and direct sunlight.

Avoid Interactions

Potential drug interactions require careful management.

Major Interactions (Avoid)

  • Concurrent pulmonary vasodilators (e.g., sildenafil, bosentan): may cause profound hypotension.
  • Other nitric oxide donors: additive vasodilatory effect can precipitate severe hypotension.

Moderate Interactions (Monitor Closely)

  • Inhaled anesthetics (e.g., sevoflurane): may enhance vasodilatory response.
  • Phosphodiesterase‑5 inhibitors: may increase cGMP levels, requiring dose titration.
  • Anticoagulants: monitor for bleeding if pulmonary pressures change rapidly.

Frequently Asked Questions

Monoxyde D’azote Sol France is an inhaled nitric oxide gas prescribed for pulmonary hypertension, neonatal respiratory distress syndrome, and acute respiratory distress syndrome. In each case it acts as a selective pulmonary vasodilator to improve oxygenation and reduce pulmonary vascular resistance.

Nitric oxide diffuses into the smooth muscle of pulmonary vessels and activates soluble guanylate cyclase. This raises cyclic GMP levels, which relaxes the muscle fibers, leading to selective dilation of the pulmonary arteries without significant systemic vasodilation.

The prescribed dose of inhaled nitric oxide is individualized by the treating physician based on the patient’s age, weight, severity of disease, and response to therapy. Clinicians set the concentration and duration according to clinical guidelines and monitoring results.

The safety of inhaled nitric oxide in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and decisions are made by the prescribing clinician.

To place an order, 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.

Inhaled nitric oxide offers rapid, selective pulmonary vasodilation with minimal systemic effects, unlike intravenous agents such as prostacyclin analogues that affect the whole circulatory system. Its short half‑life allows precise titration, but it requires specialized delivery equipment and monitoring.

Monoxyde D’azote Sol France should be stored at ambient temperature, below 25 °C, in its original cylinder packaging. Keep the container away from heat sources, direct sunlight and moisture. Ensure cylinders are secured upright to prevent damage.

The product is supplied as a medical‑grade gas cylinder. It is delivered to the patient through a calibrated inhalation system that mixes the gas with the ventilator circuit or breathing apparatus, allowing precise control of the inhaled concentration.

Serious risks include severe systemic hypotension, rebound pulmonary hypertension after abrupt discontinuation, significant methemoglobinemia, and rare neurotoxic events such as seizures. Continuous monitoring of blood pressure, methemoglobin levels and respiratory parameters is essential.

Patients with known hypersensitivity to nitric oxide, those with severe left‑heart dysfunction, uncontrolled systemic hypotension, or who are receiving other potent pulmonary vasodilators without close supervision should not be treated with inhaled nitric oxide.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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