Product image of Noradrenalin (Norepinephrin) Aguettant (Noradrenaline Tartrate) supplied by GNH India

Noradrenalin (Norepinephrin) Aguettant

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Noradrenalin (Norepinephrin) Aguettant (Noradrenaline Tartrate)

Noradrenaline, the active ingredient in Noradrenalin (Norepinephrin) Aguettant, is a catecholamine vasopressor presented as an injection solution for intravenous use. It is used to treat acute hypotension, septic shock, cardiogenic shock and cardiac arrest in hospitalized patients.

GNH India supplies Noradrenalin (Norepinephrin) Aguettant as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, intensive‑care units and emergency departments worldwide.

Manufacturer / TM Owner

Laboratoire Aguettant

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Indications & Clinical Uses

  • Noradrenaline is a catecholamine vasopressor used in critical‑care settings to support circulatory function.
  • Acute hypotension: restores blood pressure and organ perfusion.
  • Septic shock: improves vascular tone and cardiac output.
  • Cardiogenic shock: enhances myocardial contractility and systemic vascular resistance.
  • Cardiac arrest: provides immediate pressor support during resuscitation.

How It Works

  • Noradrenaline acts as an agonist at alpha‑1, alpha‑2 and beta‑1 adrenergic receptors. Stimulation of alpha‑1 receptors causes peripheral vasoconstriction, raising systemic vascular resistance. Alpha‑2 activation reduces norepinephrine release, modulating sympathetic tone. Beta‑1 stimulation increases heart rate and myocardial contractility, together improving cardiac output and arterial pressure in acute circulatory failure.

Side Effects

Common Side Effects

  • Tachycardia: increased heart rate.
  • Hypertension: elevated blood pressure.
  • Arrhythmia: irregular cardiac rhythm.
  • Peripheral ischemia: reduced blood flow to extremities.
  • Headache: mild to moderate pain.
  • Nausea: gastrointestinal discomfort.

Serious or Rare Side Effects

  • Myocardial ischemia: reduced heart muscle blood supply.
  • Severe hypertension: dangerously high blood pressure.
  • Tissue necrosis at infusion site: local tissue death.
  • Pulmonary edema: fluid accumulation in lungs.
  • Severe arrhythmias: life‑threatening rhythm disturbances.
  • Anaphylaxis: acute allergic reaction.

Precautions & Warnings

  • Noradrenaline requires careful monitoring and specific handling precautions in critical care environments.
  • Cardiovascular monitoring: continuously observe blood pressure and heart rate.
  • Dose titration: adjust infusion rate to target hemodynamic goals.
  • Contraindication in pheochromocytoma: avoid use due to risk of hypertensive crisis.
  • Caution in myocardial ischemia: monitor for chest pain or ECG changes.
  • Avoid extravasation: ensure secure intravenous access.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Noradrenaline may interact with several drug classes, requiring vigilance.

Major Interactions (Avoid)

  • MAO inhibitors: risk of severe hypertension.
  • Tricyclic antidepressants: additive pressor effect.
  • Sympathomimetic agents: excessive vasoconstriction.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt heart‑rate response.
  • Diuretics: may enhance hypotensive episodes.

Frequently Asked Questions

Noradrenalin (Norepinephrin) Aguettant is an intravenous catecholamine vasopressor employed in intensive‑care settings to raise blood pressure and improve cardiac output in patients with acute hypotension, septic shock, cardiogenic shock, or during cardiac arrest resuscitation.

Noradrenaline activates alpha‑1, alpha‑2 and beta‑1 adrenergic receptors. Alpha‑1 stimulation causes peripheral vasoconstriction, raising systemic vascular resistance; alpha‑2 reduces sympathetic release, modulating tone; beta‑1 increases heart rate and contractility, together supporting circulation in shock states.

The dose of Noradrenalin is individualized. A qualified prescriber determines the infusion rate based on the patient’s hemodynamic status, target blood‑pressure goals and response to therapy, adjusting continuously during treatment.

Safety data for Noradrenalin in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and under close medical supervision.

To 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 cold‑chain where needed) and required import documentation.

Noradrenalin is the preferred first‑line vasopressor for most forms of shock because it provides potent alpha‑mediated vasoconstriction with modest beta‑1 activity. Dopamine has dose‑dependent effects and may cause more tachyarrhythmias, while epinephrine adds strong beta‑2 stimulation, which can increase lactate production and myocardial oxygen demand.

Noradrenalin injection must be stored at 2‑8 °C, protected from light, and must not be frozen or shaken. Keep the vial in its original packaging until use and inspect for particulate matter before administration.

The drug is given intravenously, usually via a calibrated infusion pump. It is administered through a central venous catheter or a well‑secured peripheral line, with continuous hemodynamic monitoring to titrate the infusion to the desired blood‑pressure target.

Serious risks include severe hypertension, myocardial ischemia, arrhythmias, tissue necrosis from extravasation, and rare anaphylactic reactions. Prompt recognition and management of these events are essential, and infusion sites should be inspected regularly.

Noradrenalin is contraindicated in patients with known hypersensitivity to the product, those with untreated pheochromocytoma, and individuals with uncorrected hypovolemia where vasoconstriction could worsen tissue perfusion.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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