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

Noradrenalina Noridem

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Noradrenalina Noridem (Noradrenaline Tartrate)

Noradrenaline, the active ingredient in Noradrenalina Noridem, is a vasopressor presented as an injection for intravenous use. It raises blood pressure by vasoconstriction and is used in patients with acute hypotension or various forms of shock.

GNH India supplies Noradrenalina Noridem as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and clinics worldwide, ensuring consistent quality and regulatory compliance.

Manufacturer / TM Owner

Noridem Enterprises Ltd

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Indications & Clinical Uses

Noradrenaline is a vasopressor employed in the management of acute circulatory failure and shock states.

  • Hypotension: restores arterial pressure in patients with sudden low blood pressure.
  • Cardiogenic shock: improves perfusion by increasing systemic vascular resistance and supporting cardiac output.
  • Septic shock: counteracts vasodilatory failure to maintain mean arterial pressure.
  • General shock: stabilises haemodynamics during various types of distributive or hypovolaemic shock.

How It Works

  • Noradrenaline acts as a direct agonist at alpha‑adrenergic receptors, causing potent vasoconstriction and an increase in systemic vascular resistance, which elevates arterial blood pressure. It also stimulates beta‑1 receptors modestly, enhancing myocardial contractility and cardiac output, thereby supporting circulation in shock states.

Side Effects

Noradrenaline may produce a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Tachycardia: rapid heart rate due to beta‑1 stimulation.
  • Headache: result of sudden vascular changes.
  • Nausea: gastrointestinal discomfort.
  • Extravasation injury: local tissue damage if the drug leaks from the vein.

Serious or Rare Side Effects

  • Severe hypertension: excessive rise in blood pressure.
  • Cardiac arrhythmias: irregular heart rhythms, potentially life‑threatening.
  • Ischemic myocardial injury: reduced blood flow to heart muscle.
  • Peripheral tissue necrosis: loss of tissue due to prolonged vasoconstriction.

Precautions & Warnings

Noradrenaline requires careful monitoring and specific safety measures.

  • Monitor blood pressure: continuous arterial line monitoring is recommended.
  • Adjust infusion rate: titrate to achieve target mean arterial pressure.
  • Assess cardiac function: use echocardiography when indicated.
  • Avoid in uncorrected tachyarrhythmias: consider alternative agents.
  • Use with caution in peripheral vascular disease: risk of ischemia.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Noradrenaline can interact with several drug classes, requiring vigilance.

Major Interactions (Avoid)

  • MAO inhibitors: may precipitate hypertensive crisis.
  • Tricyclic antidepressants: additive vasoconstrictive effect.
  • Beta‑blockers: can blunt cardiac response to noradrenaline.

Moderate Interactions (Monitor Closely)

  • General anesthetics: may enhance post‑operative hypotension after discontinuation.
  • Diuretics: can exacerbate volume depletion, affecting response.
  • Calcium channel blockers: additive cardiovascular effects may increase risk of arrhythmia.

Frequently Asked Questions

Noradrenalina Noridem is an intravenous formulation of noradrenaline tartrate used as a vasopressor to raise blood pressure in patients experiencing acute hypotension, cardiogenic shock, septic shock, or other forms of circulatory failure where rapid haemodynamic support is required.

Noradrenaline binds directly to alpha‑adrenergic receptors on vascular smooth muscle, causing strong vasoconstriction and increasing systemic vascular resistance. It also stimulates beta‑1 receptors in the heart, modestly enhancing contractility and cardiac output, together supporting blood pressure and organ perfusion during shock.

The specific dose is determined by the prescribing clinician based on the patient’s haemodynamic status. Typically, the drug is administered as a continuous intravenous infusion that is titrated to achieve a target mean arterial pressure, with dosing adjustments made according to continuous monitoring.

Safety data for noradrenaline in pregnancy and lactation are limited. It should only be used when the potential maternal benefit 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 if needed) and any required import documentation.

Noradrenaline is often preferred over agents such as dopamine or phenylephrine because it provides balanced alpha‑mediated vasoconstriction with modest beta‑1 activity, leading to more predictable blood pressure control and less tachyarrhythmia risk. Choice of vasopressor depends on the clinical scenario and physician judgment.

The product must be stored at 2‑8 °C, kept refrigerated, protected from light, and must not be frozen or shaken. Prior to use, allow the vial to reach room temperature if required, and inspect for particulate matter before administration.

Noradrenalina Noridem is given by intravenous infusion, usually through a central or large peripheral vein. The infusion is started at a low rate and titrated based on continuous blood pressure monitoring to achieve the desired haemodynamic target.

Serious risks include severe hypertension, life‑threatening cardiac arrhythmias, myocardial ischemia, and peripheral tissue necrosis due to intense vasoconstriction. Prompt recognition and immediate adjustment of the infusion rate are essential to mitigate these complications.

Contraindications include patients with known hypersensitivity to noradrenaline or its excipients, uncorrected tachyarrhythmias, and severe peripheral vascular disease where further vasoconstriction could cause tissue loss. Use in these populations should be avoided or undertaken with extreme caution.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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