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.
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.
The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
Cipto Mangunkusumo Hospital, Jakarta Pusat, DKI Jakarta, Indonesia
URC Lariboisière-Fernand Widal-saint Louis, Paris, France
Tanta University, Tanta, El-Gharbia, Egypt
Mount Sinai Hospital, Toronto, Ontario, Canada
General University Hospital of Larissa, Intensive Care Unit, Larissa, Thessaly, Greece
University hospital Hassan II, Fes, Morocco
King's College Hospital, London, United Kingdom
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