Product image of Noan (Diazepam) supplied by GNH India

Noan

Active Ingredient:
Diazepam
Origin:
EU

Noan (Diazepam)

Diazepam, the active ingredient in Noan, is a benzodiazepine presented as an injectable solution for intramuscular and intravenous use. It treats anxiety disorders, seizure emergencies, muscle spasm, provides procedural sedation and assists in alcohol withdrawal management.

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

Manufacturer / TM Owner

Teofarma S.R.L.

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Indications & Clinical Uses

Diazepam is a benzodiazepine that modulates GABA‑mediated neurotransmission and is used in several acute and chronic conditions.

  • Anxiety disorders: reduces excessive anxiety and tension.
  • Status epilepticus: terminates ongoing seizures.
  • Muscle spasm: relaxes skeletal muscle hyperactivity.
  • Sedation before medical procedures: provides short‑acting sedation for diagnostic or minor surgical procedures.
  • Alcohol withdrawal syndrome: alleviates withdrawal symptoms and prevents complications.

How It Works

  • Diazepam binds to the benzodiazepine site on the GABA‑A receptor complex, increasing the frequency of chloride channel opening when GABA binds. This potentiates inhibitory neurotransmission, leading to hyperpolarization of neuronal membranes, which produces anxiolytic, sedative, muscle‑relaxant and anticonvulsant effects.

Side Effects

Diazepam may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or lethargic.
  • Fatigue: reduced energy and increased tiredness.
  • Dizziness: sensation of light‑headedness or unsteadiness.
  • Muscle weakness: decreased muscle strength, especially in the limbs.
  • Ataxia: impaired coordination and balance.

Serious or Rare Side Effects

  • Respiratory depression: slowed or shallow breathing, potentially life‑threatening.
  • Severe hypotension: marked drop in blood pressure.
  • Paradoxical reactions: increased agitation, aggression or anxiety.
  • Dependence and withdrawal syndrome: risk of physical dependence with abrupt discontinuation.
  • Hepatotoxicity: rare liver injury manifested by elevated enzymes.

Precautions & Warnings

When using Noan, several safety considerations should be observed.

  • Pregnancy: Category D – use only if benefits outweigh potential fetal risks.
  • Elderly patients: increased sensitivity; consider lower initial doses.
  • History of substance abuse: heightened risk of dependence; monitor closely.
  • Concurrent CNS depressants: may enhance sedation and respiratory depression.
  • Renal or hepatic impairment: may require dose adjustment due to altered metabolism.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Diazepam can interact with various medicines, requiring careful management.

Major Interactions (Avoid)

  • Opioids: additive respiratory depression.
  • Barbiturates: increased sedation and risk of coma.
  • Alcohol: profound CNS depression.
  • Antifungals (ketoconazole, itraconazole): increase diazepam plasma levels.
  • CYP3A4 inhibitors (e.g., erythromycin): raise diazepam concentrations.

Moderate Interactions (Monitor Closely)

  • Antidepressants (SSRIs, SNRIs): may increase sedation.
  • Antihistamines: additive drowsiness.
  • CYP2C19 inhibitors (fluoxetine): modest increase in diazepam levels.

Frequently Asked Questions

Noan contains diazepam, an injectable benzodiazepine indicated for the short‑term relief of anxiety, the control of acute seizure activity such as status epilepticus, relief of muscle spasm, procedural sedation before minor surgeries or diagnostic tests, and the management of symptoms associated with alcohol withdrawal syndrome.

Diazepam enhances the effect of the neurotransmitter gamma‑aminobutyric acid (GABA) at the GABA‑A receptor. By binding to a specific benzodiazepine site, it increases the frequency of chloride channel opening, leading to neuronal hyperpolarisation and reduced excitability, which produces anxiolytic, sedative, muscle‑relaxant and anticonvulsant actions.

The dose of Noan is individualized by the prescribing clinician based on the patient’s condition, age, weight, renal and hepatic function, and concomitant therapies. Healthcare professionals determine the appropriate amount, route (intramuscular or intravenous), and frequency according to clinical guidelines and patient response.

Diazepam is classified as Pregnancy Category D, indicating evidence of risk to the fetus. It should be used during pregnancy only when the potential benefit justifies the risk. Diazepam passes into breast milk; therefore, breastfeeding mothers should discuss alternatives with their healthcare provider.

To order Noan, 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 cold‑chain handling if required) and any necessary import documentation.

Noan (diazepam) has a relatively long half‑life compared with agents such as lorazepam or midazolam, providing prolonged anxiolytic and anticonvulsant coverage. Its rapid onset when given intravenously makes it suitable for emergency seizure control, while its longer duration can be advantageous for sustained sedation but may increase the risk of accumulation in elderly or renally impaired patients.

Noan should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the solution from direct light, moisture and extreme temperatures. Do not freeze. Inspect the vial for particulate matter before use and discard any solution that appears discolored or cloudy.

Noan is supplied as a sterile injectable solution for intramuscular or intravenous injection. The vial is reconstituted only if required by the specific formulation, and the dose is drawn into a sterile syringe. Administration should be performed by qualified healthcare personnel following aseptic technique and appropriate dosing guidelines.

Serious risks include respiratory depression, especially when combined with other CNS depressants; profound hypotension; paradoxical reactions such as agitation or aggression; development of physical dependence and withdrawal syndrome after prolonged use; and rare but severe liver injury. Patients should be monitored closely for these events.

Noan is contraindicated in patients with known hypersensitivity to diazepam or any benzodiazepine, those with acute narrow‑angle glaucoma, severe respiratory insufficiency, or severe hepatic impairment. Caution is also advised in individuals with a history of substance use disorder, myasthenia gravis, or severe depression, and it should be avoided in newborns and premature infants.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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