Product image of Nuperal (Doxylamine Hydrogen Succinate, Pyridoxine Hydrochloride) supplied by GNH India

Nuperal

Active Ingredient:
Doxylamine Hydrogen Succinate, Pyridoxine Hydrochloride
Origin:
EU

Nuperal (Doxylamine Hydrogen Succinate, Pyridoxine Hydrochloride)

Doxylamine hydrogen succinate, the active ingredient in Nuperal, is a first‑generation antihistamine presented as an oral tablet for oral use. Combined with pyridoxine hydrochloride, it is used to relieve nausea and vomiting in pregnancy and as a sleep aid.

GNH India supplies Nuperal as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product conforms to EU quality standards and is available for export. It is packaged in child‑ resistant containers to ensure safety during distribution. Customers receive full documentation including certificates of analysis and compliance.

Manufacturer / TM Owner

Italfarmaco S.P.A.

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

  • Nuperal, containing doxylamine and pyridoxine, is used to manage conditions related to nausea, vomiting, and sleep disturbances.
  • Nausea and vomiting in pregnancy: reduces morning‑sickness symptoms and improves maternal comfort.
  • Sleep disturbance: promotes sedation to help initiate and maintain sleep.
  • Motion sickness: alleviates nausea associated with travel or vestibular disturbances.

How It Works

  • Doxylamine hydrogen succinate acts as a competitive antagonist at peripheral and central H1 histamine receptors, decreasing histamine‑mediated stimulation that can trigger nausea, vomiting, and wakefulness. Pyridoxine hydrochloride serves as a co‑factor in amino‑acid metabolism and neurotransmitter synthesis, supporting normal nervous system function and contributing to the anti‑emetic effect. The combined actions help control nausea and facilitate sleep.

Side Effects

Nuperal may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Drowsiness
  • Dry mouth
  • Constipation
  • Blurred vision
  • Urinary retention
  • Headache

Serious or Rare Side Effects

  • Severe allergic reaction (anaphylaxis)
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Cardiac arrhythmia
  • Seizures
  • Marked dizziness or fainting
  • Hepatic dysfunction

Precautions & Warnings

Before using Nuperal, consider the following precautions to minimize risk.

  • Pregnancy: consult a healthcare professional before use, especially in the first trimester.
  • Alcohol: avoid concurrent consumption as it may increase sedation and respiratory depression.
  • Operating machinery: do not drive or operate heavy equipment while experiencing drowsiness.
  • Medical conditions: use cautiously in patients with glaucoma, asthma, urinary retention, or enlarged prostate.
  • Drug interactions: review all concomitant medications with a pharmacist or physician.
  • Store at ambient temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Nuperal can interact with other medicines; awareness of these interactions helps ensure safe use.

Major Interactions (Avoid)

  • Alcohol: additive central nervous system depression may impair breathing and alertness.
  • Opioids: combined use can enhance sedation and increase risk of respiratory depression.
  • Benzodiazepines: may cause excessive drowsiness and impaired coordination.
  • Anticholinergic drugs: can worsen dry mouth and urinary retention.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors: may raise doxylamine plasma levels, requiring dose adjustment.
  • Antacids: may affect the absorption rate of the oral tablet.
  • Antihypertensives: additive hypotensive effect may occur, necessitating blood pressure monitoring.

Frequently Asked Questions

Nuperal is an over‑the‑counter combination of doxylamine hydrogen succinate and pyridoxine hydrochloride. It is primarily used to relieve nausea and vomiting associated with early pregnancy (morning sickness) and to help individuals who have difficulty falling or staying asleep.

Doxylamine hydrogen succinate blocks H1 histamine receptors in the brain and peripheral tissues. By preventing histamine from binding, it reduces the stimulation that can cause nausea, vomiting, and wakefulness. This antihistaminic action, together with pyridoxine’s role as a metabolic co‑factor, contributes to its anti‑emetic and sedative effects.

The appropriate dose of Nuperal is determined by a qualified healthcare professional based on the individual’s age, condition, and response to therapy. Patients should follow the prescriber’s instructions and not exceed the recommended amount indicated on the product label.

Nuperal is commonly used for nausea in early pregnancy, but its safety should be evaluated by a healthcare provider. Pyridoxine is a vitamin B6 considered safe in pregnancy, while doxylamine is classified as a Category B drug in many regions. Breastfeeding mothers should consult their physician before use.

To place an order, visit the product page on gnhindia.com, enter the required quantity, and submit the enquiry form. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with alternatives such as diphenhydramine, Nuperal combines an antihistamine with vitamin B6, which may improve tolerability for nausea while still providing sedation. Diphenhydramine lacks the pyridoxine component and is often associated with a higher incidence of anticholinergic side effects. Choice of therapy should be guided by clinical need and physician advice.

Store Nuperal at ambient temperature, preferably below 25 °C, in its original container. Protect the tablets from moisture, direct sunlight and excessive heat. Keep out of reach of children and ensure the packaging remains sealed until use.

Nuperal is taken orally, usually with a glass of water. The tablet should be swallowed whole and not crushed or chewed unless otherwise directed by a healthcare professional. It is generally taken at bedtime for sleep aid or as prescribed for nausea relief.

Serious adverse reactions, although rare, include severe allergic responses such as anaphylaxis, Stevens‑Johnson syndrome, cardiac arrhythmias, seizures, marked dizziness leading to falls, and liver dysfunction. Patients experiencing any of these symptoms should seek immediate medical attention.

Individuals with known hypersensitivity to doxylamine, pyridoxine, or any component of the formulation should avoid Nuperal. It is also contraindicated in patients with severe asthma, uncontrolled glaucoma, urinary retention, or those taking monoamine oxidase inhibitors. Pregnant women in the first trimester should consult a physician before use.

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.