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

Norepine

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Norepine (Noradrenaline Tartrate)

Norepinephrine tartrate, the active ingredient in Norepine, is an alpha‑adrenergic agonist presented as an injection for intravenous use. It is employed to increase vascular tone and cardiac output in patients experiencing hypotension, septic shock, or cardiogenic shock, often in intensive care settings to rapidly restore blood pressure.

GNH India supplies Norepine as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, intensive care units and emergency departments worldwide. The product meets European Union quality standards and is manufactured under strict GMP conditions.

Manufacturer / TM Owner

Laboratoires Sterop

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Indications & Clinical Uses

Norepine is used as a vasopressor to manage acute circulatory failure in several critical conditions.

  • Hypotension: raises systemic blood pressure to maintain organ perfusion.
  • Septic shock: counteracts vasodilatory hypotension to improve hemodynamics.
  • Cardiogenic shock: supports cardiac output by increasing vascular resistance and contractility.

How It Works

  • Norepinephrine tartrate acts as a direct agonist at α1‑adrenergic receptors, causing peripheral vasoconstriction, and at β1‑adrenergic receptors, enhancing myocardial contractility and heart rate. The combined α‑ and β‑stimulating effects increase systemic vascular resistance and cardiac output, leading to rapid elevation of arterial blood pressure in patients with shock states. Additionally, its modest β2 activity may produce slight bronchodilation.

Side Effects

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

Common Side Effects

  • Headache
  • Tachycardia
  • Palpitations
  • Anxiety

Serious or Rare Side Effects

  • Severe hypertension
  • Cardiac arrhythmias
  • Peripheral ischemia

Precautions & Warnings

When using Norepine, clinicians should observe several safety considerations to minimize risk.

  • Monitor blood pressure: adjust infusion to avoid excessive hypertension.
  • Observe cardiac rhythm: watch for arrhythmias, especially in patients with pre‑existing heart disease.
  • Assess peripheral perfusion: discontinue if signs of ischemia develop.
  • Use caution in patients with pheochromocytoma: risk of hypertensive crisis.
  • Avoid abrupt discontinuation: taper infusion to prevent rebound hypotension.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Norepine can interact with other agents that influence cardiovascular tone or catecholamine metabolism.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • Tricyclic antidepressants: additive pressor effects.
  • β‑blockers: may blunt β‑adrenergic response, requiring higher norepinephrine doses.

Moderate Interactions (Monitor Closely)

  • Vasodilators (nitroglycerin, nitroprusside): may counteract pressor effect.
  • Calcium channel blockers: can enhance hypotensive risk.
  • Diuretics: may exacerbate volume depletion and affect response.

Frequently Asked Questions

Norepine is an intravenous vasopressor indicated for the rapid correction of low blood pressure in acute settings such as hypotension, septic shock, and cardiogenic shock. It helps restore adequate organ perfusion by increasing vascular tone and cardiac output under close medical supervision.

Norepinephrine tartrate stimulates α1‑adrenergic receptors, causing peripheral blood‑vessel constriction, and β1‑adrenergic receptors, enhancing heart‑muscle contractility and rate. The combined effect raises systemic vascular resistance and cardiac output, leading to a prompt increase in arterial pressure during shock states.

The dose of Norepine is individualized and set by the treating physician based on the patient’s hemodynamic status, response to therapy, and clinical condition. Dosing is typically titrated intravenously to achieve target blood‑pressure goals while monitoring for adverse effects.

Safety data for norepinephrine in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should only be used when the potential benefit justifies the possible risk to the fetus or infant, and under specialist guidance.

To order Norepine, 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 required) and any necessary import documentation.

Norepinephrine is often preferred over dopamine because it provides stronger α‑adrenergic vasoconstriction with less tachyarrhythmia risk. Compared with phenylephrine, it also offers β1‑mediated cardiac support, making it suitable for patients who need both blood‑pressure elevation and modest inotropic effect.

Norepine should be stored at 2‑8 °C, protected from light, and kept in its original packaging. Do not freeze or shake the solution. Before use, inspect for particulate matter or discoloration and follow aseptic techniques for preparation and intravenous administration.

Norepine is given as an intravenous infusion, usually via a central line or a well‑secured peripheral catheter. The infusion rate is titrated by the clinician to achieve the desired blood‑pressure response, with continuous hemodynamic monitoring throughout the treatment.

Serious risks include severe hypertension, life‑threatening cardiac arrhythmias, and peripheral ischemia that can lead to tissue necrosis. Prompt recognition of excessive blood‑pressure rise, abnormal heart rhythms, or signs of compromised limb perfusion is essential for patient safety.

Norepine is contraindicated in patients with known hypersensitivity to norepinephrine or its excipients, and it should be used with extreme caution in individuals with uncontrolled hypertension, pheochromocytoma, or severe peripheral vascular disease where further vasoconstriction could be harmful.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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