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Norepinephrine (noradrenaline)

Catecholamine
Injection1 mg · 2 ml25 brands · 24 makers
Norepinephrine (noradrenaline) is a catecholamine used to raise blood pressure in adult patients with severe, acute hypotension. Norepinephrine (noradrenaline) is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Cardiovascular Medicines.
Generic namenorepinephrine (noradrenaline)
Therapeutic classCardiovascular Medicines > 12.4 Medicines used in heart failure (complementary list)
Form & strength (NLEM)Injection: 1 mg/ ml in 2 ml ampoule
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

Norepinephrine bitartrate injection is indicated to raise blood pressure in adult patients with severe, acute hypotension. Norepinephrine bitartrate injection is a catecholamine indicated for restoration of blood pressure in adult patients with acute hypotensive states.

From the U.S. FDA-approved label for Norepinephrine (noradrenaline). Full label: DailyMed.

Norepinephrine bitartrate injection is indicated to raise blood pressure in adult patients with severe, acute hypotension. Norepinephrine bitartrate injection is a catecholamine indicated for restoration of blood pressure in adult patients with acute hypotensive states.

From the U.S. FDA-approved label for Norepinephrine (noradrenaline). Full label: DailyMed.

Initial dose of 0.25 mL to 0.375 mL (from 8 mcg to 12 mcg of base) per minute, adjust the rate of flow to establish and maintain a low to normal blood pressure (usually 80 mm Hg to 100 mm Hg systolic) sufficient to maintain the circulation of vital organs. The average maintenance dose ranges from 0.0625 mL to 0.125 mL per minute (from 2 mcg to 4 mcg of base). 2.1 Important Dosage and Administration Instructions Correct Hypovolemia Address hypovolemia before initiation of norepinephrine bitartrate injection therapy.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

Tissue Ischemia: Avoid extravasation of norepinephrine bitartrate injection into the tissues, as local necrosis might ensue due to the vasoconstrictive action of the drug. Infuse norepinephrine bitartrate injection into a large vein. To prevent sloughing and necrosis in areas in which extravasation has taken place, the area should be infiltrated as soon as possible with 10 mL to 15 mL of saline solution containing from 5 mg to 10 mg of an adrenergic blocking agent. Hypotension After Abrupt Discontinuation: Sudden cessation of the infusion rate may result in marked hypotension.

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

The following adverse reactions are described in greater detail in other sections: Tissue Ischemia Hypotension Cardiac Arrhythmias The most common adverse reactions are hypertension and bradycardia.

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

25 products from 24 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Adrenor 4mg InjectionNorepinephrine (Noradrenaline)Samarth Life Sciences Pvt Ltd
Nodlin 2mg InjectionNorepinephrine (Noradrenaline)National Healthcare Pvt. Ltd.
Norad 4mg InjectionNorepinephrine (Noradrenaline)Neon Laboratories Ltd
Noradria InjectionNorepinephrine (Noradrenaline)Troikaa Pharmaceuticals Ltd.
Adronis 4mg InjectionNorepinephrine (4mg/2ml)Neiss Labs Pvt Ltdvial of 2 ml Injection
Alnor 2mg InjectionNorepinephrine (2mg)Uniword Pharmaampoule of 2 ml Injection
Bio-Norline InjectionNorepinephrine (2mg/ml)Qantas Biopharma Private Limitedampoule of 2 ml Injection
Ephinor InjectionNorepinephrine (2mg)Varenyam Healthcare Pvt Ltdampoule of 2 ml Injection
Epinor 4mg InjectionNorepinephrine (4mg)Geo Pharma Pvt Ltdvial of 2 ml Injection
N-Adrin 4mg InjectionNorepinephrine (4mg)AAA Pharma Trade Pvt Ltdvial of 2 ml Injection
Nor 4mg InjectionNorepinephrine (4mg)Medilife Health Sciences Pvt Ltdvial of 2 ml Injection
Nor Epineph 2mg InjectionNorepinephrine (2mg)Themis Medicare Ltdvial of 2 ml Injection
Norad 2mg InjectionNorepinephrine (2mg)Neon Laboratories Ltdvial of 2 ml Injection
Noradol 4mg InjectionNorepinephrine (4mg)Suncure Lifescience Pvt Ltdvial of 1 Injection
Noradria 2mg InjectionNorepinephrine (2mg)Troikaa Pharmaceuticals Ltdvial of 2 ml Injection
Noralin 2mg InjectionNorepinephrine (2mg)United Biotech Pvt Ltdampoule of 2 ml Injection
Norbit 4mg InjectionNorepinephrine (4mg/2ml)Revlon Pharma Pvt Ltdvial of 1 Injection
Norbit InjectionNorepinephrine (2mg)Celon Laboratories Ltdvial of 2 ml Injection
Nordral 2mg InjectionNorepinephrine (2mg/ml)RSM Lifecare India Private Ltdvial of 2 ml Injection
Nordyx InjectionNorepinephrine (2mg)NYX Pharmaceutical Pvt Ltdampoule of 2 ml Injection
Norepirin InjectionNorepinephrine (4mg/2ml)Chandra Bhagat Pharma Pvt Ltdvial of 1 Injection
Norex 4mg InjectionNorepinephrine (4mg)Novo Medi Sciences Pvt Ltdampoule of 2 ml Injection
Norokinde InjectionNorepinephrine (2mg/ml)Nexokinde Healthcare Pvt Ltdampoule of 2 ml Injection
Norshot 2mg InjectionNorepinephrine (2mg)Swiss Parenterals Ltdvial of 2 ml Injection
Veraline 2mg InjectionNorepinephrine (2mg/ml)Verve Healthcare Ltdampoule of 2 ml Injection

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

Store at 20°C to 25°C (68°F to 77°F); excursions permitted between 15°C to 30°C (59°F to 86°F).. Store in original carton until time of administration to protect from light. Discard unused portion.

Storage information from the U.S. FDA-approved label.

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

NepalDoc — Nepal's Healthcare Super-App (Beta) / नेपालको स्वास्थ्य सुपर-एप (बेटा).
Medicine information only — not medical advice. Confirm with a pharmacist or doctor.