Norepinephrine
نوراپینفرین (لووفد)
❤️ Cardiovascular SystemVasopressor (alpha and beta-1 agonist)
Market / country: 🇺🇸 USA
Levophed (US)
🧮 Dose calculator
Shock (septic, cardiogenic, acute hypotension) — ICU · Regimen source: FDA Norepinephrine bag · 2.2
- • Start at the lowest rate and titrate to blood pressure, heart rate and perfusion. Correct hypovolaemia first. Use a large vein; extravasation causes necrosis. FDA Norepinephrine bag · 2.1
Enter age (weight is optional for this regimen).
🛡️ Safety & information
Warnings
- • Tissue ischaemia with extravasation; hypotension on abrupt stop; arrhythmias. FDA Norepinephrine bag · 5
Formulations
- 4 mg/250 mL ready-to-use bag (16 mcg/mL) — injection 🇺🇸 USA FDA Norepinephrine bag · 3
- 8 mg/250 mL ready-to-use bag (32 mcg/mL) — injection 🇺🇸 USA FDA Norepinephrine bag · 3
- 16 mg/250 mL ready-to-use bag (64 mcg/mL) — injection 🇺🇸 USA FDA Norepinephrine bag · 3
👥 Special populations
- 🤰 PregnancyUse with caution
Label states no clear risk or has limited data; use only if needed, under medical advice. FDA Norepinephrine bag · 8.1
“Risk Summary Limited published data consisting of a small number of case reports and multiple small trials involving the use of norepinephrine in pregnant women at the time of delivery have not identified an increased risk of major birth defects, miscarriage or adverse maternal or fetal outcomes.”
- 🤱 BreastfeedingUse with caution
Label: use with caution while breastfeeding; see the label text. FDA Norepinephrine bag · 8.2
“Risk Summary There are no data on the presence of norepinephrine in either human or animal milk, the effects on the breastfed infant, or the effects on milk production.”
- 👶 ChildrenSafety not established
Label: safety and effectiveness in children have not been established. FDA Norepinephrine bag · 8.4
“Safety and effectiveness in pediatric patients have not been established.”
- 👴 Older adultsUse with caution
Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Norepinephrine bag · 8.5
“In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.”
- ⚥ Females & males of reproductive potentialNo data
The source for this drug has no section for this group.
🔗 Reference links
- FDA (approval record)NDA215700
- DailyMed (FDA label)FDA Norepinephrine bag
- MedlinePlus (NIH)Norepinephrine Injection
- WHO ATC/DDDC01CA03
- Darooyab (Iran)Norepinephrine
🇮🇷 Registered in Iran Darooyab · G-1803/Norepinephrine
Dosage forms with Iranian generic codes, per Darooyab.
- 00917 · NORADRENA AC TART 4MG/2ML AMP · آمپول نورادرنا آک تارت ۴ میلیگرم / ۲ میلیلیتر
- 19312 · NORADRENALINE 1MG/ML INJ · فرآورده تزریقی نورآدرنالین ۱ میلیگرم / میلیلیتر
- 09909 · NORADRENALINE 4MG/4ML AMP · آمپول نورآدرنالین ۴ میلیگرم / ۴ میلیلیتر
- 06636 · NORADRENALINE 8MG/4ML AMP · آمپول نورآدرنالین ۸ میلیگرم / ۴ میلیلیتر
- 01620 · NOREPINEPHRINE BITARATE 0.1% AMP · آمپول نوراپینفرین بیتارات ۰٫۱ درصد
- 50047 · NOREPINEPHRINE (AS BITARTRATE) INJECTION PARENTERAL 0.1 % 4 mL · فرآورده تزریقی نوراپینفرین (معادل بیتارتارات) ۰٫۱ درصد ۴ میلیلیتر
- 52084 · NOREPINEPHRINE (AS BITARTRATE) INJECTION PARENTERAL 0.1 % 1 mL · فرآورده تزریقی نوراپینفرین (معادل بیتارتارات) ۰٫۱ درصد ۱ میلیلیتر
- 52091 · NOREPINEPHRINE (AS BITARTRATE) INJECTION PARENTERAL 0.1 % 20 mL · فرآورده تزریقی نوراپینفرین (معادل بیتارتارات) ۰٫۱ درصد ۲۰ میلیلیتر
📚 Reference status for this drug
Shows which sources have references recorded for this drug and which do not.
- FDA label (DailyMed)✅ PresentFDA Norepinephrine bag · 3FDA Norepinephrine bag · 2.2FDA Norepinephrine bag · 2.1FDA Norepinephrine bag · 5FDA Norepinephrine bag · SPL approval / marketing categoryFDA Norepinephrine bag · 8.1FDA Norepinephrine bag · 8.2FDA Norepinephrine bag · 8.4FDA Norepinephrine bag · 8.5
- UK SmPC (eMC / MHRA)❌ Not present
- Published guideline❌ Not present
- Licensed reference (medical school)❌ Not present
- Iranian leaflet (IFDA)❌ Not present
- Pharmacy website (secondary, unreliable)✅ PresentDarooyab · G-1803/Norepinephrine
- Clinical review⚠ Unverified