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

Noradrenaline Kabi

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Noradrenaline Kabi (Noradrenaline Tartrate)

Noradrenaline, the active ingredient in Noradrenaline Kabi, is a sympathomimetic presented as a solution for injection for intravenous use. It is used to raise blood pressure in patients with hypotension, septic shock, or cardiac arrest.

GNH India supplies Noradrenaline Kabi as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Fresenius Kabi Nederland B.V.

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Indications & Clinical Uses

Noradrenaline Kabi is a sympathomimetic agent used in cardiovascular emergencies.

  • Hypotension: restores systemic vascular resistance and improves arterial pressure in acute low‑pressure states.
  • Septic shock: counteracts vasodilatory failure to maintain perfusion pressure during severe infection.
  • Cardiac arrest: supports coronary and cerebral perfusion during resuscitation efforts.

How It Works

  • Noradrenaline (norepinephrine) acts as a direct agonist at alpha‑1 adrenergic receptors, causing vasoconstriction and raising systemic vascular resistance. It also stimulates beta‑1 receptors in the myocardium, enhancing contractility and cardiac output. The combined alpha and beta activity increases arterial pressure and improves organ perfusion, which is essential in shock states and cardiac resuscitation.

Side Effects

Noradrenaline Kabi may cause a range of adverse reactions, varying from frequent to rare.

Common Side Effects

  • Headache: mild to moderate headache during infusion.
  • Tachycardia: increased heart rate, especially at higher infusion rates.
  • Arrhythmia: irregular heart rhythm such as premature beats.
  • Peripheral ischemia: reduced blood flow to extremities causing coldness or pain.

Serious or Rare Side Effects

  • Severe hypertension: abrupt rise in blood pressure that may lead to stroke.
  • Myocardial ischemia: reduced coronary blood flow causing chest pain or infarction.
  • Extravasation injury: tissue necrosis if the solution leaks into surrounding tissue.

Precautions & Warnings

When using Noradrenaline Kabi, careful monitoring and specific precautions are required.

  • Dose titration: adjust infusion rate based on continuous blood pressure monitoring.
  • Cardiac monitoring: observe for arrhythmias and ischemic changes during therapy.
  • Fluid status: ensure adequate intravascular volume before initiating infusion.
  • Contraindications: avoid use in patients with uncorrected pheochromocytoma or severe peripheral vascular disease.
  • Drug compatibility: administer through a dedicated line; avoid mixing with solutions that may precipitate.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Noradrenaline Kabi can interact with several drug classes; awareness of major and moderate interactions helps prevent adverse events.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis when combined with norepinephrine.
  • Tricyclic antidepressants: additive sympathomimetic effect may cause severe hypertension.
  • Beta‑blockers: may blunt beta‑1 mediated increase in cardiac output.

Moderate Interactions (Monitor Closely)

  • Vasopressin: combined vasoconstriction may lead to excessive vascular tone.
  • Calcium channel blockers: may affect vascular response to norepinephrine.
  • Inhaled anesthetics (e.g., halothane): can potentiate arrhythmogenic potential.

Frequently Asked Questions

Noradrenaline Kabi is a prescription‑only sympathomimetic solution for injection that is used in critical care to treat severe hypotension, septic shock, and cardiac arrest. It works by increasing vascular tone and cardiac output, helping to restore adequate blood pressure and organ perfusion in life‑threatening situations.

Norepinephrine (noradrenaline) binds directly to alpha‑1 adrenergic receptors on vascular smooth muscle, causing vasoconstriction and raising systemic vascular resistance. It also stimulates beta‑1 receptors in the heart, which enhances myocardial contractility and cardiac output. The combined effect elevates arterial pressure and improves tissue perfusion.

The dose of Noradrenaline Kabi is individualized. A qualified prescriber determines the initial infusion rate and subsequent titration based on the patient’s blood pressure, cardiac output, and overall clinical response. Continuous hemodynamic monitoring is essential to adjust the dose safely.

Safety data for Noradrenaline Kabi in pregnancy and lactation are limited. It should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. The decision must be made by the treating physician in consultation with obstetric specialists.

To order Noradrenaline Kabi, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After verification of trade or institutional credentials, the sales team will provide pricing, availability, shipping details (including cold‑chain if needed), and import documentation.

Noradrenaline is often preferred over dopamine because it provides potent alpha‑mediated vasoconstriction with less tachyarrhythmia risk. Compared with phenylephrine, it also offers beta‑1 stimulation, which can improve cardiac output. Choice of vasopressor depends on the clinical scenario, patient comorbidities, and physician preference.

Noradrenaline Kabi must be stored refrigerated at 2‑8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing. Do not shake the solution; gently invert if mixing is required. Inspect the product before use for any particulate matter or discoloration.

The product is supplied as a sterile solution for injection and is administered intravenously, usually via a dedicated infusion line. It is given as a continuous infusion that is titrated to the desired blood pressure response. Compatibility with other IV drugs should be checked before co‑administration.

The most serious adverse events include severe hypertension, myocardial ischemia or infarction, and extravasation injury leading to tissue necrosis. Prompt recognition and management of these complications are essential, and infusion rates should be adjusted or stopped if they occur.

Noradrenaline Kabi is contraindicated in patients with uncorrected pheochromocytoma, severe peripheral vascular disease, or known hypersensitivity to the product. Caution is also advised in patients with acute myocardial infarction, severe arrhythmias, or uncontrolled hypertension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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