Product image of Normosang (Human Hemin) supplied by GNH India

Normosang

Active Ingredient:
Human Hemin
Origin:
EU

Normosang (Human Hemin)

Human Hemin, the active ingredient in Normosang, is a heme presented as a solution for injection for intravenous use. It is employed as an antidote to treat acute intermittent porphyria attacks and other acute hepatic porphyria episodes in affected patients.

GNH India supplies Normosang as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and pharmacies worldwide. The company adheres to stringent quality standards and provides cold‑chain logistics where required. Clients benefit from regulatory support, batch traceability, and timely delivery to clinical sites.

Manufacturer / TM Owner

Recordati Rare Diseases

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Normosang is used in the management of acute hepatic porphyria by supplying exogenous heme to modulate the porphyrin synthesis pathway.

  • Acute intermittent porphyria attacks: reduces neurotoxic precursor accumulation and alleviates acute symptoms.
  • Other acute hepatic porphyria attacks: provides rapid control of biochemical disturbances during crises.
  • Acute porphyria crises (general): restores heme levels to interrupt the pathogenic cascade.

How It Works

  • Human Hemin acts as an exogenous source of heme that feeds back to inhibit aminolevulinic acid synthase, the rate‑limiting enzyme of the heme biosynthetic pathway. By down‑regulating this enzyme, the drug decreases the buildup of aminolevulinic acid and porphobilinogen, the neurotoxic precursors responsible for the clinical manifestations of acute porphyria attacks.

Side Effects

Normosang may cause a range of adverse reactions following intravenous administration.

Common Side Effects

  • Infusion site pain or phlebitis.
  • Fever or chills.
  • Nausea or vomiting.
  • Headache.
  • Transient hypertension.
  • Mild abdominal discomfort.

Serious or Rare Side Effects

  • Anaphylactic or severe allergic reactions.
  • Acute hemolysis.
  • Renal failure or acute kidney injury.
  • Coagulopathy or thrombosis.
  • Severe hypotension.
  • Hepatic dysfunction.

Precautions & Warnings

Before using Normosang, clinicians should consider several safety measures.

  • Monitor liver function: assess hepatic enzymes and bilirubin levels.
  • Assess renal function: evaluate creatinine and urine output.
  • Caution in iron overload: avoid concurrent high‑dose iron therapy.
  • Avoid in patients with known hypersensitivity to hemin or its excipients.
  • Evaluate porphyria type: confirm indication for acute hepatic attacks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Normosang can interact with other medicines that affect porphyrin metabolism or coagulation.

Major Interactions (Avoid)

  • Phenobarbital and other enzyme‑inducing anticonvulsants: may exacerbate porphyrin accumulation.
  • Sulfonamide antibiotics: can trigger porphyria attacks.
  • Oral contraceptives containing estrogen: may increase attack frequency.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., heparin): heightened risk of thrombosis.
  • Iron supplements: risk of iron overload.
  • Other heme‑containing products: cumulative heme load may affect safety.

Frequently Asked Questions

Normosang is indicated as an antidote for acute attacks of intermittent porphyria and other acute hepatic porphyria forms. By providing exogenous heme, it helps to halt the biochemical cascade that leads to neurotoxic precursor buildup, thereby reducing the severity of symptoms during a porphyria crisis.

Human Hemin supplies the body with heme, which feeds back to inhibit aminolevulinic acid synthase, the first enzyme in the heme‑biosynthesis pathway. This inhibition lowers the production of aminolevulinic acid and porphobilinogen, the toxic intermediates that accumulate during acute porphyria attacks, restoring metabolic balance.

The dose of Normosang is individualized by the prescribing clinician based on the severity of the porphyria attack, the patient’s weight, and laboratory parameters. Only a qualified healthcare professional should set the dosing regimen, and it is administered under close medical supervision.

Safety data for Normosang in pregnancy and lactation are limited, and the product’s pregnancy category is not established. Clinicians should weigh the potential benefits against unknown risks and consider alternative therapies when possible. Breastfeeding mothers should consult a specialist before use.

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

The primary alternative to Normosang is heme arginate (Panhematin). Both deliver exogenous heme, but formulation differences exist: Normosang is supplied as a sterile solution for injection, while heme arginate is a lyophilized powder reconstituted before use. Clinical efficacy is comparable; selection often depends on local availability, regulatory status, and institutional preference.

Normosang must be stored refrigerated at 2‑8 °C. Keep the vial in its original container, protect it from light, and avoid freezing or vigorous shaking. If the product reaches room temperature, it should be used promptly and not re‑refrigerated.

Normosang is given as an intravenous infusion under sterile conditions. The solution is diluted in an appropriate carrier fluid and infused over a prescribed period, typically in a hospital setting where vital signs can be monitored. Administration is performed by qualified healthcare personnel.

Serious adverse events include anaphylaxis, acute hemolysis, renal failure, and severe coagulopathy. Patients should be observed for signs of allergic reaction, sudden drop in blood pressure, hemoglobin changes, or impaired kidney function during and after infusion. Immediate medical intervention is required if any of these occur.

Normosang is contraindicated in individuals with known hypersensitivity to human hemin or any of its excipients. It should also be avoided in patients with severe iron overload or uncontrolled renal impairment unless the benefits clearly outweigh the risks and close monitoring is ensured.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.