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Norepinephrine

Generic Name
Norepinephrine
Brand Names
Levophed
Drug Type
Small Molecule
Chemical Formula
C8H11NO3
CAS Number
51-41-2
Unique Ingredient Identifier
X4W3ENH1CV

Overview

Precursor of epinephrine that is secreted by the adrenal medulla and is a widespread central and autonomic neurotransmitter. Norepinephrine is the principal transmitter of most postganglionic sympathetic fibers and of the diffuse projection system in the brain arising from the locus ceruleus. It is also found in plants and is used pharmacologically as a sympathomimetic.

Background

Precursor of epinephrine that is secreted by the adrenal medulla and is a widespread central and autonomic neurotransmitter. Norepinephrine is the principal transmitter of most postganglionic sympathetic fibers and of the diffuse projection system in the brain arising from the locus ceruleus. It is also found in plants and is used pharmacologically as a sympathomimetic.

Indication

Mainly used to treat patients in vasodilatory shock states such as septic shock and neurogenic shock and has shown a survival benefit over dopamine. Also used as a vasopressor medication for patients with critical hypotension.

Associated Conditions

  • Cardiac Arrest
  • Severe hypotension
  • Shock
  • Acute, severe Hypotension

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2025/06/15
Not Applicable
Recruiting
2025/05/18
Phase 1
ENROLLING_BY_INVITATION
Visarat Palitnonkiat
2025/04/10
Phase 4
Not yet recruiting
mehmet özkılıç
2025/03/03
Not Applicable
Not yet recruiting
General and Teaching Hospital Celje
2025/02/25
N/A
Not yet recruiting
2025/02/20
Not Applicable
Recruiting
2025/01/31
Phase 4
Recruiting
2025/01/22
N/A
Active, not recruiting
2024/12/24
Phase 4
Not yet recruiting
2024/12/02
Not Applicable
Recruiting

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
NorthStar Rx LLC
72603-180
INTRAVENOUS
1 mg in 1 mL
12/1/2023
Baxter Healthcare Company
43066-997
INTRAVENOUS
1 mg in 1 mL
5/6/2021
Baxter Healthcare Corporation
43066-997
INTRAVENOUS
1 mg in 1 mL
5/6/2021
Hospira, Inc.
0409-3375
INTRAVENOUS
1 mg in 1 mL
10/31/2020
HF Acquisition Co LLC, DBA HealthFirst
51662-1315
INTRAVENOUS
1 mg in 1 mL
2/5/2021
Cantrell Drug Company
52533-166
INTRAVENOUS
32 ug in 1 mL
3/6/2015
Hospira, Inc.
0409-1443
INTRAVENOUS
1 mg in 1 mL
10/31/2020
WG Critical Care, LLC
44567-640
INTRAVENOUS
0.016 mg in 1 mL
7/31/2023
Par Pharmaceutical, Inc.
42023-247
INTRAVENOUS
16 mg in 250 mL
10/20/2022
Mylan Institutional LLC
67457-852
INTRAVENOUS
1 mg in 1 mL
10/22/2018

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
No EMA approvals found for this drug.

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
NORADRENALINE SINTETICA CONCENTRATE FOR SOLUTION FOR INFUSION 1MG/ML
SIN16622P
INFUSION, SOLUTION CONCENTRATE
1.000mg/ml
10/5/2022
NOREPINEPHRINE KALCEKS CONCENTRATE FOR SOLUTION FOR INFUSION 1MG/ML
SIN16733P
INFUSION, SOLUTION CONCENTRATE
1.0mg/mL
3/3/2023
NORADRENALINE AGUETTANT 1MG/ML CONCENTRATE FOR SOLUTION FOR INFUSION
SIN15593P
INFUSION, SOLUTION CONCENTRATE
1mg/ml
12/4/2018
LEVOPHED INJECTION 1 mg/ml
SIN05754P
INJECTION
1 mg/ml
4/8/1991

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
Norepinephrine Bitartrate Injection
国药准字H20258042
化学药品
注射剂
3/25/2025
Norepinephrine Bitartrate Injection
国药准字H20254039
化学药品
注射剂
4/30/2025
Norepinephrine Bitartrate Injection
国药准字H20243326
化学药品
注射剂
3/12/2024
Norepinephrine Bitartrate Injection
国药准字H44022396
化学药品
注射剂
5/6/2020
Norepinephrine Bitartrate Injection
国药准字H20247146
化学药品
注射剂
6/28/2024
Norepinephrine Bitartrate Injection
国药准字H42021301
化学药品
注射剂
8/27/2020
Norepinephrine Bitartrate Injection
国药准字H20244335
化学药品
注射剂
6/28/2024
Norepinephrine Bitartrate Injection
国药准字H20217065
化学药品
注射剂
7/30/2021
Norepinephrine Bitartrate Injection
国药准字H20249676
化学药品
注射剂
12/1/2024
Norepinephrine Bitartrate Injection
国药准字H20247024
化学药品
注射剂
2/5/2024

TGA Drug Approvals

Approved Product
ARTG ID
Sponsor
Registration Type
Status
Registration Date
No TGA approvals found for this drug.
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