Product image of Noradrenaline (Norepinephrine) Laboratoire Aguettant (Noradrenaline Tartrate) supplied by GNH India

Noradrenaline (Norepinephrine) Laboratoire Aguettant

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Noradrenaline (Norepinephrine) Laboratoire Aguettant (Noradrenaline Tartrate)

Norepinephrine, the active ingredient in Noradrenaline (Norepinephrine) Laboratoire Aguettant, is an adrenergic agonist presented as an injection for intravenous use. It treats acute hypotension, shock and cardiac arrest in hospitalized patients.

GNH India supplies Noradrenaline (Norepinephrine) Laboratoire Aguettant as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Laboratoire Aguettant

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Indications & Clinical Uses

  • Noradrenaline (norepinephrine) is used in the management of cardiovascular emergencies that involve severe hypotension.
  • Acute hypotension: restores blood pressure by vasoconstriction.
  • Shock (including septic, cardiogenic, anaphylactic): improves perfusion and supports circulation.
  • Cardiac arrest: provides vasoconstrictive support during resuscitation.

How It Works

  • Noradrenaline acts as a direct agonist at alpha‑1 and beta‑1 adrenergic receptors. Stimulation of alpha‑1 receptors on vascular smooth muscle produces potent vasoconstriction, raising systemic vascular resistance and arterial pressure. Activation of beta‑1 receptors in the heart increases contractility and heart rate, enhancing cardiac output and supporting tissue perfusion during shock states.

Side Effects

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

Common Side Effects

  • Hypertension: excessive increase in blood pressure.
  • Tachycardia: rapid heart rate.
  • Arrhythmia: irregular cardiac rhythm.
  • Peripheral ischemia: reduced blood flow to extremities.
  • Headache: mild to moderate headache.

Serious or Rare Side Effects

  • Myocardial ischemia: reduced blood supply to heart muscle.
  • Severe arrhythmias: life‑threatening rhythm disturbances.
  • Tissue necrosis at injection site: local tissue death.
  • Pulmonary edema: fluid accumulation in the lungs.

Precautions & Warnings

When using Noradrenaline, careful monitoring and specific handling measures are required.

  • Monitor blood pressure: check systolic/diastolic values frequently during infusion.
  • Monitor heart rate: observe for tachyarrhythmias and adjust dose as needed.
  • Adjust infusion rate: titrate to target hemodynamic response, avoiding abrupt changes.
  • Use with caution in coronary artery disease: risk of myocardial ischemia may increase.
  • Avoid rapid bolus administration: give as controlled intravenous infusion.
  • 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 attention to avoid harmful effects.

Major Interactions (Avoid)

  • MAO inhibitors: may cause hypertensive crisis.
  • Tricyclic antidepressants: additive vasoconstrictive effect.
  • Beta‑blockers: may blunt desired cardiac response.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers: may enhance hypotensive effects if dose reduced.
  • Diuretics: may affect intravascular volume and response.
  • Inhaled anesthetics: may potentiate cardiovascular depression.

Frequently Asked Questions

Noradrenaline, also known as norepinephrine, is used as a vasopressor in acute care settings to raise blood pressure in patients with severe hypotension, manage various forms of shock, and provide circulatory support during cardiac arrest. It is administered intravenously by trained healthcare professionals in hospitals and intensive care units.

Norepinephrine works by directly stimulating alpha‑1 adrenergic receptors, causing powerful vasoconstriction that increases systemic vascular resistance and arterial pressure. It also activates beta‑1 receptors in the heart, enhancing contractility and heart rate, which together improve cardiac output and tissue perfusion during shock states.

The dose of Noradrenaline is individualized and set by the prescribing clinician. It is typically prepared as an intravenous infusion and titrated to achieve target blood pressure and perfusion goals, with adjustments made based on the patient’s response and clinical condition.

Safety data for Noradrenaline 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 the decision must be made by a qualified healthcare professional.

To order Noradrenaline, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and import documentation.

Noradrenaline is often preferred for septic and distributive shock because it provides strong alpha‑1 mediated vasoconstriction with modest beta‑1 activity, balancing blood pressure support and cardiac output. Compared with phenylephrine, it has less pure vasoconstriction and more inotropic effect; compared with epinephrine, it causes less tachycardia and metabolic disturbance.

Noradrenaline injection should be stored at 2‑8 °C, protected from light, and never frozen. The vial must be kept in its original packaging, and the solution should be inspected for particulate matter before use. Do not shake vigorously; gently invert if mixing is required.

Noradrenaline is given as an intravenous infusion, usually diluted in a compatible carrier solution such as 5% dextrose or normal saline. Administration is performed by qualified medical staff, with continuous monitoring of blood pressure, heart rate and cardiac rhythm to allow rapid titration to the desired therapeutic effect.

The most serious risks include severe hypertension, myocardial ischemia, life‑threatening arrhythmias, tissue necrosis at the infusion site, and pulmonary edema. Prompt recognition of these events and immediate adjustment or discontinuation of the infusion are essential to prevent irreversible damage.

Noradrenaline should be avoided in patients with known hypersensitivity to the drug or its excipients, uncontrolled hypertension, severe peripheral vascular disease where further vasoconstriction could cause ischemia, and in individuals where alternative therapies are more appropriate based on clinical judgment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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