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

Nocutil

Active Ingredient:
Desmopressin Acetate
Origin:
EU

Nocutil (Desmopressin Acetate)

Desmopressin Acetate, the active ingredient in Nocutil, is a vasopressin analog presented as an oral tablet for systemic use. It is employed to treat central diabetes insipidus, reduce nocturnal enuresis in pediatric patients, and to enhance hemostasis in individuals with hemophilia A or von Willebrand disease.

GNH India supplies Nocutil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and research institutions worldwide, ensuring quality‑controlled distribution with robust logistics across regulated markets. Our compliance program aligns with EU GMP standards and supports timely delivery to end‑users.

Manufacturer / TM Owner

Gebro Pharma Gmbh

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Indications & Clinical Uses

Desmopressin acetate is used to manage disorders of water balance and to improve hemostasis in bleeding disorders.

  • Central diabetes insipidus: reduces excessive urine output by increasing renal water reabsorption.
  • Nocturnal enuresis: decreases nighttime bedwetting episodes by concentrating urine.
  • Hemophilia A: raises plasma factor VIII levels to aid clot formation.
  • Von Willebrand disease: promotes release of von Willebrand factor to improve platelet adhesion.

How It Works

  • Desmopressin acetate is a synthetic vasopressin analog that selectively binds V2 receptors on the renal collecting‑duct epithelium, stimulating adenylate cyclase and raising cyclic AMP levels. This promotes insertion of aquaporin‑2 water channels, enhancing water reabsorption. In endothelial cells it triggers release of von Willebrand factor and factor VIII, supporting coagulation.

Side Effects

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

Common Side Effects

  • Hyponatremia: low blood sodium due to water retention.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Abdominal cramps: discomfort in the stomach area.
  • Flushing: transient redness of the skin.
  • Nasal congestion: mild blockage of nasal passages.

Serious or Rare Side Effects

  • Severe hyponatremia with seizures: potentially life‑threatening low sodium levels.
  • Water intoxication: excessive fluid accumulation causing cerebral edema.
  • Thromboembolic events: clot formation leading to vascular blockage.
  • Allergic reactions: rash, itching, or anaphylaxis in susceptible individuals.

Precautions & Warnings

When prescribing desmopressin acetate, clinicians should observe several safety considerations.

  • Assess fluid status: monitor serum sodium and fluid balance before and during therapy.
  • Avoid excessive water intake: advise patients to limit fluid consumption to prevent hyponatremia.
  • Review concomitant antidiuretic agents: discontinue or adjust other drugs that increase water retention.
  • Use caution in renal impairment: adjust dose and monitor renal function closely.
  • Pregnancy and lactation: evaluate risk–benefit, as safety data are limited.
  • Store at ambient temperature: keep tablets in original container, protect from moisture and heat.

Avoid Interactions

Desmopressin acetate can interact with other medicines, affecting its antidiuretic or hemostatic actions.

Major Interactions (Avoid)

  • Thiazide diuretics: may potentiate antidiuretic effect and increase hyponatremia risk.
  • Other vasopressin analogs: additive water retention leading to severe hyponatremia.
  • Carbamazepine: may reduce desmopressin efficacy.

Moderate Interactions (Monitor Closely)

  • NSAIDs: can enhance antidiuretic effect and affect renal handling.
  • Anticoagulants (e.g., factor VIII concentrates): monitor hemostatic response.
  • Alcohol: may increase risk of hyponatremia.
  • SSRIs: potential for additive hyponatremia.

Frequently Asked Questions

Nocutil contains desmopressin acetate, which is prescribed to treat central diabetes insipidus, reduce nighttime bedwetting (nocturnal enuresis) in children, and to support clot formation in patients with hemophilia A or von Willebrand disease by increasing factor VIII and von Willebrand factor levels.

Desmopressin acetate is a synthetic analogue of vasopressin that selectively activates V2 receptors in the kidney’s collecting ducts. This activation raises cyclic AMP, causing aquaporin‑2 channels to move to the cell surface and reabsorb water, concentrating urine. In blood vessels, it stimulates release of von Willebrand factor and factor VIII, enhancing haemostasis.

The dose of Nocutil is individualized by the prescribing clinician based on the specific indication, patient age, weight, renal function, and response to therapy. Dosage adjustments may be required for children, patients with impaired kidney function, or those at risk of hyponatremia. The prescriber sets the exact regimen.

Safety data for desmopressin acetate in pregnancy and lactation are limited. The drug is classified as a prescription medication, and its use should only be considered when the potential benefit justifies any possible risk to the fetus or infant. Clinicians should discuss individual circumstances with the patient.

To order Nocutil, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including any cold‑chain requirements), and assists with import documentation.

Nocutil (desmopressin acetate) is a selective V2‑receptor agonist, offering a longer duration of action and a lower risk of vasoconstriction compared with older antidiuretic agents such as vasopressin. It is generally preferred for central diabetes insipidus and nocturnal enuresis because of its oral formulation and targeted mechanism, while other agents may require injection or have broader receptor activity.

Nocutil tablets should be stored at ambient temperature, below 25 °C, in their original blister pack or container. Protect them from moisture, direct sunlight, and excessive heat. Keep the medication out of reach of children and do not use if the packaging is damaged or the tablets appear discoloured.

Nocutil is taken orally as a tablet. The tablet is swallowed whole with water and should be taken at the time and frequency prescribed by the healthcare professional. Patients are usually advised to follow specific fluid‑restriction guidelines to reduce the risk of hyponatremia, especially when used for antidiuretic purposes.

The most serious risks include severe hyponatremia that can lead to seizures or cerebral edema, water intoxication, and rare thromboembolic events. Patients should be monitored closely for signs of electrolyte imbalance, sudden changes in mental status, or unexpected clotting complications, and treatment should be stopped immediately if these occur.

Nocutil should be avoided in patients with known hypersensitivity to desmopressin or any tablet excipients, uncontrolled hyponatremia, severe renal impairment, or in those taking other potent antidiuretic agents without close monitoring. Caution is also advised for individuals with a history of epilepsy, uncontrolled hypertension, or active thromboembolic disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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