Product image of Noradrenalin Fresenius Kabi (Noradrenaline Tartrate) supplied by GNH India

Noradrenalin Fresenius Kabi

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Noradrenalin Fresenius Kabi (Noradrenaline Tartrate)

Noradrenaline, the active ingredient in Noradrenalin Fresenius Kabi, is a sympathomimetic agent presented as a solution for injection for intravenous use. It treats acute hypotension, septic shock and cardiac arrest in critical care settings.\n\nGNH India supplies Noradrenalin Fresenius Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Fresenius Kabi Norge As

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Indications & Clinical Uses

  • Noradrenalin Fresenius Kabi, a vasopressor acting on the sympathetic nervous system, is indicated for the following clinical situations:\n\n- Hypotension: raises systemic blood pressure in patients with acute low blood pressure.\n- Septic shock: improves hemodynamic stability in patients with severe infection‑induced circulatory failure.\n- Cardiac arrest: supports circulation during resuscitation efforts by increasing vascular tone and cardiac output.

How It Works

  • Noradrenaline acts as a direct agonist at alpha‑1 adrenergic receptors, causing peripheral vasoconstriction and an increase in systemic vascular resistance. It also stimulates beta‑1 receptors in the heart, enhancing myocardial contractility and heart rate, thereby improving overall cardiac output and blood pressure in acute shock states.

Side Effects

  • Adverse reactions may occur with intravenous norepinephrine therapy.\n\nCommon Side Effects:\n- Tachycardia: increased heart rate.\n- Arrhythmias: irregular cardiac rhythm.\n- Headache: mild to moderate intensity.\n- Peripheral ischemia: reduced blood flow to extremities.\n\nSerious or Rare Side Effects:\n- Severe hypertension: dangerously high blood pressure.\n- Myocardial ischemia: reduced oxygen supply to heart muscle.\n- Tissue necrosis: injury at the injection site if extravasation occurs.

Precautions & Warnings

  • Use of Noradrenalin Fresenius Kabi requires careful clinical monitoring.\n\n- Monitor blood pressure: adjust infusion to maintain target pressures.\n- Monitor heart rate: watch for tachyarrhythmias.\n- Adjust infusion rate cautiously: titrate based on hemodynamic response.\n- Use central venous access for prolonged infusions: reduces risk of extravasation.\n- Contraindicated in patients with known hypersensitivity to noradrenaline.\n- Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

  • Noradrenalin Fresenius Kabi can interact with several drug classes.\n\nMajor Interactions (Avoid):\n- MAO inhibitors: may precipitate hypertensive crisis.\n- Beta‑blockers: can blunt the desired increase in heart rate.\n- Other vasopressors: additive pressor effect may cause severe hypertension.\n\nModerate Interactions (Monitor Closely):\n- ACE inhibitors: may enhance hypotensive episodes after infusion stops.\n- Diuretics: can affect intravascular volume and response to norepinephrine.\n- Calcium channel blockers: may influence vascular tone and heart rate.

Frequently Asked Questions

Noradrenalin Fresenius Kabi is a norepinephrine‑based vasopressor used in acute care to raise blood pressure in patients with severe hypotension, support circulation during septic shock, and provide hemodynamic support in cardiac arrest situations.

Noradrenaline binds directly to alpha‑1 adrenergic receptors causing peripheral vasoconstriction, and to beta‑1 receptors in the heart, which increases myocardial contractility and heart rate. This dual action raises systemic vascular resistance and cardiac output, improving blood pressure in shock states.

The dose is individualized. A prescriber determines the starting infusion rate and titrates it based on the patient’s blood pressure and clinical response, following institutional protocols and continuous monitoring.

Safety data are limited. The product should be used during pregnancy or lactation only if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and under strict medical supervision.

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 where required) and necessary import documentation.

The primary alternative is dopamine, which has dose‑dependent effects on dopaminergic, beta‑ and alpha‑receptors. Noradrenaline provides more predictable vasoconstriction with less tachycardia, making it the preferred first‑line agent for most forms of septic shock and severe hypotension.

The solution should be stored refrigerated at 2‑8 °C, protected from light, and must never be frozen or shaken. Before use, allow the product to reach room temperature if required, and inspect for particulate matter or discoloration.

It is given as an intravenous infusion, typically through a central venous catheter for prolonged use. The infusion is started at a low rate and titrated to achieve target blood pressure, with continuous hemodynamic monitoring.

Serious risks include severe hypertension, myocardial ischemia, and tissue necrosis at the infusion site if extravasation occurs. Prompt recognition and immediate intervention are essential to prevent irreversible damage.

Patients with known hypersensitivity to norepinephrine or any component of the formulation should not receive the product. Caution is also advised in individuals with pheochromocytoma, uncorrected hypovolemia, or severe peripheral vascular disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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