Product image of Noradrenaline (Tartrate) (Sulfites Free) Aguettant (Noradrenaline Tartrate) supplied by GNH India

Noradrenaline (Tartrate) (Sulfites Free) Aguettant

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Noradrenaline (Tartrate) (Sulfites Free) Aguettant (Noradrenaline Tartrate)

Noradrenaline, the active ingredient in Noradrenaline (Tartrate) (Sulfites Free) Aguettant, is a sympathomimetic (vasopressor) presented as an injectable solution for intravenous use. It treats acute hypotension, septic shock, cardiogenic shock and cardiac arrest in hospitalized patients.

GNH India supplies Noradrenaline (Tartrate) (Sulfites Free) 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 is a sympathomimetic vasopressor used in critical care to support circulatory function.
  • Acute hypotension: restores blood pressure by increasing vascular tone.
  • Septic shock: improves perfusion pressure when fluids are insufficient.
  • Cardiogenic shock: enhances cardiac output and systemic vascular resistance.
  • Cardiac arrest: provides rapid vasoconstriction during resuscitation.

How It Works

  • Noradrenaline acts as a direct agonist at α1, α2 and β1 adrenergic receptors. Stimulation of α1 receptors causes peripheral vasoconstriction, raising systemic vascular resistance. Activation of β1 receptors increases myocardial contractility and heart rate, while α2 activation modulates norepinephrine release. The combined effect produces rapid elevation of arterial pressure and improved organ perfusion in shock states.

Side Effects

Noradrenaline may be associated with a range of adverse reactions, varying from frequent to rare.

Common Side Effects

  • Headache: transient headache during infusion.
  • Tachycardia: increased heart rate.
  • Hypertension: elevated blood pressure.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Myocardial ischemia: chest pain due to reduced coronary perfusion.
  • Tissue necrosis: extravasation injury at infusion site.
  • Pulmonary edema: fluid accumulation in lungs.
  • Severe hypertension: dangerously high blood pressure.

Precautions & Warnings

  • Noradrenaline requires careful monitoring and specific handling to minimise risks.
  • Monitor blood pressure: adjust infusion rate to avoid excessive hypertension.
  • Cardiac monitoring: continuous ECG to detect arrhythmias.
  • Dose titration: titrate to the lowest effective dose under physician supervision.
  • Avoid extravasation: ensure secure intravenous access and inspect site regularly.
  • Pregnancy and lactation: use only if benefits outweigh risks, as safety data are limited.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Noradrenaline can interact with several drug classes, necessitating vigilance.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • Tricyclic antidepressants: additive pressor effects.
  • β‑blockers: may blunt β1‑mediated cardiac response.

Moderate Interactions (Monitor Closely)

  • Vasodilators (e.g., nitroglycerin): may require higher noradrenaline doses.
  • Calcium channel blockers: potential for enhanced hypotensive episodes.
  • Diuretics: may affect intravascular volume and response.

Frequently Asked Questions

Noradrenaline (Tartrate) (Sulfites Free) Aguettant is used in hospital settings to treat severe circulatory failure. It is indicated for acute hypotension, septic shock, cardiogenic shock and as a vasopressor during cardiac arrest, helping to raise blood pressure and improve organ perfusion.

Noradrenaline works by directly stimulating α1, α2 and β1 adrenergic receptors. α1 activation causes peripheral vasoconstriction, raising systemic vascular resistance; β1 activation increases heart contractility and rate; α2 activation modulates endogenous norepinephrine release. Together these actions rapidly elevate arterial pressure.

The dose of noradrenaline is individualized. A qualified prescriber determines the infusion rate based on the patient’s hemodynamic response, target blood pressure and clinical condition. Dosing is typically expressed in micrograms per kilogram per minute and adjusted continuously during therapy.

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 the treating physician.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials before providing pricing, availability, shipping details (including any cold‑chain requirements) and import documentation.

The primary alternative vasopressor is dopamine, which has dose‑dependent effects on dopaminergic, β‑ and α‑receptors. Noradrenaline provides more predictable α‑mediated vasoconstriction with less tachycardia, making it the preferred first‑line agent for most forms of shock, while dopamine may be chosen when renal perfusion is a specific goal.

Noradrenaline (Tartrate) (Sulfites Free) Aguettant must be stored refrigerated at 2‑8 °C. The vial should be kept in its original packaging, protected from light, and must not be frozen or shaken. Once removed from refrigeration, use within the time frame specified by the manufacturer.

The medication is given as an intravenous infusion, usually through a central venous catheter or a well‑secured peripheral line. It is administered continuously, with the infusion rate titrated to achieve the desired blood pressure and hemodynamic targets under close clinical monitoring.

Serious risks include severe hypertension, myocardial ischemia, tissue necrosis from extravasation, and pulmonary edema. Continuous blood pressure and cardiac monitoring are essential to detect these complications early and adjust therapy accordingly.

Noradrenaline is contraindicated in patients with known hypersensitivity to the product, uncorrected tachyarrhythmias, pheochromocytoma, or severe peripheral vascular disease where further vasoconstriction could cause tissue loss. Use should be avoided or used with extreme caution in these populations.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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