Product image of Noradrenalina Basi (Noradrenaline Tartrate) supplied by GNH India

Noradrenalina Basi

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Noradrenalina Basi (Noradrenaline Tartrate)

Norepinephrine, the active ingredient in Noradrenalina Basi, is a vasopressor presented as an injectable solution for intravenous use. It is employed to raise blood pressure in patients experiencing severe hypotension, such as those in septic or cardiogenic shock, by stimulating adrenergic receptors.

GNH India supplies Noradrenalina Basi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, intensive care units and transplant centres worldwide. Our product meets EU quality standards and our supply chain ensures consistent availability and regulatory compliance for critical care settings.

Manufacturer / TM Owner

Laboratórios Basi – Indústria Farmacêutica, S.A.

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Indications & Clinical Uses

Noradrenaline is used as a potent vasopressor in acute circulatory failure and shock states.

  • Septic shock: restores vascular tone and improves mean arterial pressure in patients with sepsis‑induced hypotension.
  • Cardiogenic shock: supports cardiac output by increasing systemic vascular resistance in heart‑failure‑related shock.
  • Acute hypotension: rapidly elevates blood pressure during anesthesia or severe blood loss.

How It Works

  • Norepinephrine acts as a direct agonist at alpha‑1 adrenergic receptors, producing vasoconstriction and raising systemic vascular resistance. It also stimulates beta‑1 receptors in the myocardium, modestly increasing heart rate and contractility. The combined alpha and beta activity elevates mean arterial pressure, helping maintain organ perfusion during profound hypotensive states.

Side Effects

Administration of norepinephrine may be associated with several adverse reactions, ranging from frequent to rare but serious.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Tachycardia: increased heart rate.
  • Arrhythmia: irregular heart rhythm.
  • Peripheral ischemia: reduced blood flow to extremities.
  • Nausea: occasional gastrointestinal upset.

Serious or Rare Side Effects

  • Severe hypertension: dangerously high blood pressure.
  • Cardiac ischemia: reduced blood supply to heart muscle.
  • Tissue necrosis: local tissue death at infusion site.
  • Pulmonary edema: fluid accumulation in lungs.

Precautions & Warnings

Careful monitoring and specific precautions are required when using norepinephrine intravenously.

  • Blood pressure monitoring: continuously assess arterial pressure to avoid overshoot.
  • Cardiac function assessment: evaluate heart rate and rhythm before and during infusion.
  • Peripheral perfusion checks: inspect infusion sites for signs of ischemia.
  • Dosage titration: adjust infusion rate gradually based on response.
  • Contraindications review: avoid use in patients with uncorrected pheochromocytoma or hypersensitivity.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Norepinephrine can interact with other agents, influencing its efficacy or safety profile.

Major Interactions (Avoid)

  • MAO inhibitors: may cause excessive hypertensive response.
  • Tricyclic antidepressants: potentiate vasoconstrictive effects.
  • Beta‑blockers: may blunt desired increase in cardiac output.

Moderate Interactions (Monitor Closely)

  • Vasodilators (e.g., nitroglycerin): may require higher norepinephrine doses.
  • Calcium channel blockers: can affect vascular tone.
  • Diuretics: may influence intravascular volume and response.

Frequently Asked Questions

Noradrenalina Basi, containing norepinephrine, is employed as a vasopressor in critical care to treat severe hypotension associated with septic shock, cardiogenic shock, and acute hypotensive episodes such as those occurring during anesthesia or massive blood loss.

Norepinephrine binds directly to alpha‑1 adrenergic receptors on vascular smooth muscle, causing vasoconstriction and increasing systemic vascular resistance. It also activates beta‑1 receptors in the heart, modestly enhancing cardiac contractility and rate, together resulting in an overall rise in mean arterial pressure.

The dose of Noradrenalina Basi is individualized by the prescribing clinician based on the patient’s hemodynamic status, target blood pressure, and response to therapy. Dosing is typically titrated intravenously under continuous monitoring in an intensive‑care setting.

Safety data for norepinephrine in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

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 cold‑chain where applicable) and necessary import documentation.

Norepinephrine is considered the first‑line vasopressor for most forms of shock because of its balanced alpha‑ and beta‑adrenergic activity, providing potent vasoconstriction with modest cardiac stimulation. Alternatives such as phenylephrine lack beta‑1 activity, while dopamine has a broader dose‑dependent profile, which can lead to more tachyarrhythmias.

Noradrenalina Basi should be stored at 2‑8 °C, protected from light, and must not be frozen or shaken. Keep the product in its original packaging to maintain stability until it is prepared for intravenous administration.

The product is supplied as a sterile injectable solution for intravenous infusion. It is typically administered via a controlled infusion pump, allowing precise titration of the infusion rate based on real‑time blood pressure and hemodynamic monitoring.

Serious risks include severe hypertension, cardiac ischemia, tissue necrosis at the infusion site, and pulmonary edema. Continuous hemodynamic monitoring and careful titration are essential to detect and mitigate these potentially life‑threatening complications.

Patients with known hypersensitivity to norepinephrine or its excipients, uncorrected pheochromocytoma, or those in whom excessive vasoconstriction could be harmful should not receive the product. Contra‑indications must be confirmed by the treating physician before initiation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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