MYKRONOR Solution for injection / infusion Ref.[50949] Active ingredients: Noradrenaline

Source: Health Products Regulatory Authority (IE)  Revision Year: 2022  Publisher: Laboratoire AGUETTANT, 1 Rue Alexander Fleming, 69007 LYON, France

5.1. Pharmacodynamic properties

Pharmacotherapeutic group: adrenergic and dopaminergic agents
ATC code: C01CA03

The vascular effects of noradrenaline in the doses usually used clinically result from the simultaneous stimulation of alpha and beta adrenergic receptors in the heart and vascular system. Except in the heart, its action is predominantly on the alpha receptors. This results in an increase in the force (and in the absence of vagal inhibition) in the rate of myocardial contraction. Peripheral resistance increases and diastolic and systolic pressures are raised.

5.2. Pharmacokinetic properties

Absorption

After intravenous administration noradrenaline has a plasmatic half-life of about 1 to 2 minutes.

Distribution

Noradrenaline is rapidly cleared from plasma by a combination of cellular reuptake and metabolism. It does not readily cross the blood-brain barrier.

Biotransformation

  • Methylation by catechol-o-methyltransferase.
  • Deamination by monoamine oxidase (MAO).
  • Ultimate metabolites from both is 4-hydroxy-3-methoxymandelic acid.
  • Intermediate metabolites include normetanephrine and 3,4-dihydroxymandelic acid.

Elimination

Noradrenaline metabolites are excreted in urine primarily as the sulfate conjugates and, to a lesser extent, as the glucuronide conjugates. Only small quantities of noradrenaline are excreted unchanged.

5.3. Preclinical safety data

There are no preclinical data of relevance to the prescriber which are additional to that already included in other sections of the SPC.

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