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

Norepinephrine Kabi

Active Ingredient:
Noradrenaline Tartrate
Origin:
EU

Norepinephrine Kabi (Noradrenaline Tartrate)

Norepinephrine, the active ingredient in Norepinephrine Kabi, is a sympathomimetic presented as a sterile solution for injection for intravenous use. It acts as a potent vasopressor and inotropic agent, used to raise blood pressure and improve cardiac output in patients with severe hypotension, septic shock, or cardiac arrest. The product conforms to EU market standards and is manufactured under strict quality controls.

GNH India supplies Norepinephrine Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Fresenius Kabi S.R.O.

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Indications & Clinical Uses

Norepinephrine is a sympathomimetic vasopressor used in critical care to support cardiovascular function.

  • Hypotension: restores systemic vascular resistance and raises arterial pressure.
  • Septic shock: improves perfusion pressure and organ blood flow during severe infection‑induced vasodilation.
  • Cardiac arrest: provides immediate vasoconstriction to facilitate coronary and cerebral perfusion during resuscitation.

How It Works

  • Norepinephrine acts as a direct agonist at α1‑adrenergic receptors causing peripheral vasoconstriction and at β1‑adrenergic receptors in the heart increasing contractility and heart rate. The combined α‑ and β‑stimulating effects raise systemic vascular resistance and cardiac output, thereby elevating mean arterial pressure in acute circulatory failure. Its rapid onset after intravenous administration makes it suitable for emergent hemodynamic support.

Side Effects

Adverse reactions to Norepinephrine may vary in frequency and severity.

Common Side Effects

  • Headache: mild to moderate headache during infusion.
  • Tachycardia: increased heart rate from β1 activation.
  • Nausea: occasional nausea or vomiting.

Serious or Rare Side Effects

  • Cardiac arrhythmias: potentially life‑threatening rhythm disturbances.
  • Severe hypertension: abrupt, excessive rise in blood pressure.
  • Peripheral ischemia: reduced blood flow that can lead to tissue injury.

Precautions & Warnings

When using Norepinephrine, clinicians should observe specific precautions to minimize risks.

  • Dose titration: adjust infusion rate to achieve target blood pressure while monitoring hemodynamics.
  • Cardiac monitoring: continuous ECG and arterial pressure monitoring is required.
  • Extravasation risk: avoid peripheral veins; use central venous access when possible.
  • Concomitant MAO inhibitors: may potentiate hypertensive response; use with caution.
  • Pregnancy and lactation: safety not established; weigh benefits against potential risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Norepinephrine may interact with other medications, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • MAO inhibitors: can cause exaggerated hypertensive response.
  • Tricyclic antidepressants: synergistic increase in blood pressure.
  • β‑blockers: may blunt β1‑mediated cardiac effects.

Moderate Interactions (Monitor Closely)

  • Vasodilators (e.g., nitroglycerin): may reduce pressor effect, requiring dose adjustments.
  • Calcium channel blockers: can affect vascular tone and heart rate.
  • Diuretics: may influence intravascular volume and response to norepinephrine.

Frequently Asked Questions

Norepinephrine Kabi is a sterile intravenous solution of norepinephrine tartrate used as a vasopressor and inotropic agent in acute care. It is indicated for the rapid correction of severe hypotension, management of septic shock, and support of circulation during cardiac arrest.

Norepinephrine works by directly stimulating α1‑adrenergic receptors, causing peripheral vasoconstriction, and β1‑adrenergic receptors in the heart, increasing contractility and heart rate. This dual action raises systemic vascular resistance and cardiac output, leading to an increase in mean arterial pressure.

The dose of Norepinephrine Kabi is individualized. A qualified prescriber determines the infusion rate based on the patient’s hemodynamic status, target blood pressure, and response to therapy. The medication is administered intravenously under continuous monitoring.

Safety data for norepinephrine in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. Use is only considered when the potential benefit to the mother outweighs any possible risk to the fetus or infant.

To order, 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 necessary import documentation.

The primary alternative vasopressor is dopamine, which has dose‑dependent receptor activity. Norepinephrine provides more predictable α‑mediated vasoconstriction with less tachyarrhythmia risk, making it the preferred first‑line agent for most cases of septic shock and refractory hypotension.

Norepinephrine Kabi must be stored refrigerated at 2‑8 °C, protected from light. Do not freeze or shake the vial. Before use, allow the solution to reach room temperature if required, and inspect for particulate matter or discoloration.

The product is administered by intravenous infusion, preferably through a central venous catheter to reduce extravasation risk. The infusion rate is titrated to achieve the desired blood pressure, with continuous hemodynamic monitoring throughout the treatment.

Serious risks include severe hypertension, cardiac arrhythmias, myocardial ischemia, and peripheral ischemia that can lead to tissue necrosis, especially if extravasation occurs. Immediate recognition and corrective actions are essential to prevent irreversible damage.

Norepinephrine Kabi is contraindicated in patients with known hypersensitivity to norepinephrine or any formulation excipients. Caution is advised in individuals receiving MAO inhibitors, those with uncontrolled hypertension, or patients with peripheral vascular disease where vasoconstriction could worsen ischemia.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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