MedPath

Norepinephrine

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

Dobutamine for Management of Surgical Patients with Septic Shock

Not Applicable
Recruiting
Conditions
Patients with Septic Shock
Surgical Patients
General Anesthesia
Interventions
First Posted Date
2024-06-17
Last Posted Date
2024-12-04
Lead Sponsor
First Affiliated Hospital of Zhejiang University
Target Recruit Count
584
Registration Number
NCT06462313
Locations
🇨🇳

The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China

The Effect of Early Norepinephrine on Stroke Volume Index, Cardiac Index, Lactate, and Arterial Elastance in Pediatric Septic Shock

Phase 2
Completed
Conditions
Sepsis
Septic Shock
Interventions
Drug: Ringer's Lactate
First Posted Date
2024-06-17
Last Posted Date
2024-06-20
Lead Sponsor
Indonesia University
Target Recruit Count
42
Registration Number
NCT06461390
Locations
🇮🇩

Cipto Mangunkusumo Hospital, Jakarta Pusat, DKI Jakarta, Indonesia

Low-dose Arginine-vasopressin Supplementation on Post-transplant Acute Kidney Injury After Liver Transplantation (AVENIR Trial)

Phase 3
Not yet recruiting
Conditions
Acute Kidney Injury Post Liver Transplantation
Interventions
First Posted Date
2024-04-03
Last Posted Date
2024-06-03
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
304
Registration Number
NCT06344442
Locations
🇫🇷

URC Lariboisière-Fernand Widal-saint Louis, Paris, France

Norepinephrine in Preperiod of Hypotensive Resuscitation in Hemorrhagic Shock

Not Applicable
Recruiting
Conditions
Norepinephrine
Hemorrhagic Shock
Hypotensive Resuscitation
Interventions
First Posted Date
2024-03-15
Last Posted Date
2024-03-15
Lead Sponsor
Tanta University
Target Recruit Count
200
Registration Number
NCT06311903
Locations
🇪🇬

Tanta University, Tanta, El-Gharbia, Egypt

Effect of Ephedrine, Phenylepinephrine, and Norepinephrine on Myometrial Contractility in Pregnant People With Type II and Gestational Diabetes During Cesarean Section: An In-vitro Study

Not Applicable
Recruiting
Conditions
Postpartum Hemorrhage
Interventions
First Posted Date
2024-02-29
Last Posted Date
2024-04-12
Lead Sponsor
Samuel Lunenfeld Research Institute, Mount Sinai Hospital
Target Recruit Count
24
Registration Number
NCT06285396
Locations
🇨🇦

Mount Sinai Hospital, Toronto, Ontario, Canada

Efficacy of the Use of Vasopressin as a Primary Vasoconstrictor in Critically Ill Patients

Phase 4
Recruiting
Conditions
Circulatory Shock
Interventions
Drug: Initiation of vasopressine as a first vasoconstrictive drug
First Posted Date
2024-02-20
Last Posted Date
2024-03-06
Lead Sponsor
University of Thessaly
Target Recruit Count
145
Registration Number
NCT06265259
Locations
🇬🇷

General University Hospital of Larissa, Intensive Care Unit, Larissa, Thessaly, Greece

Continuous Infusion of Norepinephrine vs Phenylephrine During Spinal Anesthesia for Cesarean Section (INPEACE)

Phase 4
Recruiting
Conditions
Cesarean Section Complications
Hypotension
Interventions
First Posted Date
2024-02-08
Last Posted Date
2025-03-13
Lead Sponsor
Hassan II University
Target Recruit Count
140
Registration Number
NCT06248593
Locations
🇲🇦

University hospital Hassan II, Fes, Morocco

The Effect of Vasopressor Therapy on Renal Perfusion in Septic Shock

Not Applicable
Recruiting
Conditions
Septic Shock
Acute Kidney Injury
Interventions
First Posted Date
2024-01-31
Last Posted Date
2025-04-04
Lead Sponsor
King's College Hospital NHS Trust
Target Recruit Count
45
Registration Number
NCT06234592
Locations
🇬🇧

King's College Hospital, London, United Kingdom

Preventing Hypotension in the Spine During Cesarean Delivery.

Not yet recruiting
Conditions
Anesthesia
First Posted Date
2024-01-30
Last Posted Date
2024-01-30
Lead Sponsor
Assiut University
Target Recruit Count
100
Registration Number
NCT06231316

Preoperative Oral Midodrine Versus Intraoperative Intravenous Norepinephrine in Preventing Post-spinal Anesthesia Hypotension in Cesarean Section: A Prospective Double-blind Randomized Clinical Trial

Not Applicable
Not yet recruiting
Conditions
Post Spinal Anesthesia Hypotension
Interventions
First Posted Date
2024-01-19
Last Posted Date
2024-01-19
Lead Sponsor
Sohag University
Target Recruit Count
90
Registration Number
NCT06213935
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