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 derivative presented as an intravenous solution for intravenous use. It is employed to treat acute intermittent porphyria and other acute hepatic porphyrias by addressing the underlying metabolic disturbance in affected patients. The preparation is administered under medical supervision in hospital settings and is indicated for rapid control of porphyric attacks, providing a sterile, preservative‑free formulation.

GNH India supplies Normosang as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and specialty clinics worldwide.

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 acts on the heme biosynthetic pathway to treat acute porphyric disorders.
  • Acute intermittent porphyria: reduces severity and duration of acute attacks.
  • Other acute hepatic porphyrias (e.g., variegate, hereditary coproporphyria): alleviates neurovisceral symptoms and prevents progression.
  • Acute porphyria attacks: restores hepatic heme pool and suppresses toxic precursor accumulation.

How It Works

  • Human hemin supplies exogenous heme that restores negative feedback inhibition of hepatic aminolevulinic acid (ALA) synthase. By increasing intracellular heme concentrations, the drug decreases the synthesis of ALA and porphobilinogen, the toxic intermediates that accumulate in acute porphyrias, thereby terminating the metabolic crisis.

Side Effects

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

Common Side Effects

  • Infusion site pain or phlebitis
  • Nausea or vomiting
  • Headache
  • Fever or chills
  • Mild hypotension
  • Transient elevation of liver enzymes

Serious or Rare Side Effects

  • Anaphylactic or severe hypersensitivity reactions
  • Hemolysis, particularly in G6PD‑deficient patients
  • Acute renal impairment or failure
  • Severe hypotension requiring intervention
  • Thrombocytopenia or bleeding disorders
  • Hepatic dysfunction with marked enzyme elevation

Precautions & Warnings

  • When using Normosang, clinicians should observe specific safety measures.
  • Dose adjustment in renal impairment: monitor renal function and adjust infusion as needed.
  • Avoid in patients with known hypersensitivity to hemin or formulation excipients.
  • Use with caution in G6PD deficiency: increased risk of hemolysis.
  • Monitor for signs of infection: maintain aseptic technique throughout preparation and administration.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Human hemin can interact with several medicines, requiring careful management.

Major Interactions (Avoid)

  • Concurrent use with strong oxidizing agents: may increase hemolysis risk.
  • Co‑administration with other heme‑containing products: risk of cumulative overdose.
  • Use with drugs that induce ALA synthase (e.g., barbiturates, sulfonamides): may reduce therapeutic efficacy.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: monitor coagulation parameters for bleeding risk.
  • CYP450 substrates: observe for altered metabolism of co‑administered drugs.
  • Vitamin D analogues: monitor calcium and phosphate levels during therapy.

Frequently Asked Questions

Normosang is a sterile intravenous solution of human hemin indicated for the treatment of acute intermittent porphyria and other acute hepatic porphyrias. It works by providing exogenous heme to suppress the overproduction of toxic porphyrin precursors during an acute attack, thereby reducing neurovisceral symptoms and preventing further metabolic decompensation.

Human hemin supplies the body with heme, the natural regulator of the enzyme aminolevulinic acid (ALA) synthase in the liver. By increasing intracellular heme concentrations, it restores negative feedback on ALA synthase, decreasing the synthesis of ALA and porphobilinogen, the toxic intermediates that accumulate in porphyria. This biochemical correction helps terminate an acute porphyric crisis.

The dosing regimen for Normosang is individualized and must be determined by a qualified healthcare professional based on the severity of the porphyric attack, patient weight, and clinical response. Typically, the prescriber calculates the required amount of hemin and administers it intravenously under controlled conditions. Exact dose and infusion rate are not standardized in public literature and should follow local prescribing guidelines.

Safety data for human hemin in pregnant or lactating women are limited. Because the drug may affect fetal heme metabolism, it should only be used during pregnancy when the potential benefit justifies any potential risk to the fetus. Likewise, caution is advised during breastfeeding, and the decision to continue therapy should be made by the treating physician after evaluating maternal and infant health.

To request Normosang, submit an enquiry on the product page at gnhindia.com, specifying the required quantity and intended end‑user (hospital, pharmacy or procurement team). GNH India verifies trade or institutional credentials, then provides pricing, availability, shipping details—including cold‑chain handling if required—and assists with any necessary import documentation for international delivery.

The primary alternative to human hemin is recombinant heme‑based therapy or oral carbohydrate loading, which may be less effective in rapidly terminating severe attacks. Human hemin, as delivered in Normosang, provides a direct source of heme, achieving faster suppression of ALA synthase and more reliable control of neurovisceral symptoms. However, choice of therapy depends on attack severity, patient comorbidities, and local availability.

Normosang must be stored refrigerated at 2–8 °C in its original container, protected from light, and must not be frozen or shaken. Prior to administration, the solution should be allowed to reach room temperature if required, and any visible particles or discoloration indicate that the product should not be used. Proper cold‑chain management ensures product stability and efficacy.

Normosang is given as an intravenous infusion under aseptic conditions, typically in a hospital or specialized clinic. The solution is diluted with a compatible IV fluid as instructed by the prescribing physician, and the infusion rate is controlled to minimize infusion‑related reactions. Monitoring of vital signs and laboratory parameters is recommended during and after the infusion.

The most serious adverse reactions to human hemin include anaphylactic or severe hypersensitivity reactions, hemolysis especially in patients with glucose‑6‑phosphate dehydrogenase deficiency, acute renal impairment, and significant hypotension. Prompt recognition of these events and immediate medical intervention are essential. Patients should be observed closely during infusion and for a period afterward.

Normosang is contraindicated in individuals with known hypersensitivity to human hemin or any excipients in the formulation. It should also be avoided in patients with confirmed G6PD deficiency due to the risk of hemolysis, and in those with severe renal or hepatic failure unless the benefits outweigh the risks and close monitoring is possible. Clinical judgment determines suitability.

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.