GNH USA

Europe — EMA

Inalossin

GNH USA supplies Inalossin (Nitric Oxide), a gaseous donor for pulmonary vasodilation in conditions such as pulmonary hypertension.

Nitric Oxide

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What is Nitric Oxide?

Nitric Oxide, the active ingredient in Inalossin, is a gaseous donor presented as a gas for inhalation for inhalation use. It facilitates pulmonary vasodilation and improves oxygenation in specific respiratory conditions by releasing nitric oxide directly into the pulmonary circulation.

GNH USA supplies Inalossin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and research institutions worldwide, with a focus on quality and regulatory compliance.

What is Nitric Oxide used for?

Inalossin is used in pulmonary vascular disorders where inhaled nitric oxide provides selective vasodilation.

Persistent Pulmonary Hypertension of the Newborn: improves oxygenation and reduces right‑to‑left shunt. Acute Respiratory Distress Syndrome: enhances ventilation‑perfusion matching and supports oxygenation. Pulmonary Hypertension in Adults: provides selective pulmonary vasodilation to lower pulmonary arterial pressure.

What are the side effects of Nitric Oxide?

Inhaled nitric oxide may be associated with several adverse reactions, ranging from mild to severe.

Common Side Effects: - Hypotension: transient drop in systemic blood pressure. - Headache: mild to moderate intensity. - Dizziness or light‑headedness. - Flushing of the skin. - Nausea or mild gastrointestinal discomfort. - Cough or throat irritation.

Serious or Rare Side Effects: - Methemoglobinemia: elevated methemoglobin levels impairing oxygen delivery. - Rebound pulmonary hypertension upon abrupt discontinuation. - Severe hypotension requiring intervention. - Bronchospasm or airway irritation. - Hemorrhage related to anticoagulation. - Infection from contaminated delivery system.

What precautions apply to Nitric Oxide?

When using Inalossin, clinicians should observe several safety considerations.

Pregnancy: safety not established; weigh potential benefits against risks. Contraindications: avoid in patients with severe anemia or known methemoglobinemia. Monitoring: continuously monitor methemoglobin levels and hemodynamics during therapy. Equipment: ensure proper delivery system and leak‑free connections. Store at ambient temperature: keep cylinder in original packaging, protect from heat and direct sunlight.

What does Nitric Oxide interact with?

Inhaled nitric oxide can interact with other agents that affect vascular tone or hemoglobin.

Major Interactions (Avoid): - Phosphodiesterase‑5 inhibitors (e.g., sildenafil): may cause profound hypotension. - Other nitric oxide donors or inhaled vasodilators: risk of additive hypotensive effects. - Certain anesthetic gases (e.g., nitrous oxide): can potentiate vasodilation.

Moderate Interactions (Monitor Closely): - Systemic antihypertensives: may require dose adjustment. - Anticoagulants: monitor for increased bleeding risk if pulmonary hypertension worsens. - Beta‑blockers: observe for altered hemodynamic response.

Frequently asked questions

What is Inalossin used for?+
Inalossin is an inhaled nitric oxide preparation used to provide selective pulmonary vasodilation. It is employed in conditions such as persistent pulmonary hypertension of the newborn, acute respiratory distress syndrome, and adult pulmonary hypertension to improve oxygenation and reduce pulmonary arterial pressure.
How does nitric oxide work in Inalossin?+
Nitric oxide released from Inalossin activates soluble guanylate cyclase in pulmonary vascular smooth‑muscle cells, raising cyclic GMP levels. Elevated cGMP causes smooth‑muscle relaxation, leading to selective dilation of pulmonary vessels without significant systemic vasodilation.
What is the usual dose of Inalossin?+
The specific dose and duration of Inalossin therapy are determined by the prescribing clinician based on the patient’s condition, weight, and response. Dosing regimens are individualized and should follow institutional protocols and the prescriber’s instructions.
Is Inalossin safe during pregnancy or breastfeeding?+
Safety data for Inalossin in pregnancy and lactation are limited. The potential benefits must be weighed against unknown risks, and use is generally reserved for situations where no safer alternative exists and the therapeutic advantage is clear.
How do I order Inalossin from GNH USA?+
To order Inalossin, submit an enquiry on the product page at gnh-usa.com specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.
How does Inalossin compare with other pulmonary vasodilators?+
Inalossin delivers nitric oxide directly to the lungs, offering rapid and selective pulmonary vasodilation with minimal systemic effects. Compared with systemic agents such as prostacyclin analogues, inhaled nitric oxide provides a quicker onset and easier titration, but requires specialized delivery equipment and careful monitoring for methemoglobinemia.
How should Inalossin be stored and handled?+
Inalossin cylinders should be stored at ambient temperature, kept in their original packaging, and protected from heat and direct sunlight. Ensure cylinders are secured upright, check for leaks before use, and follow local regulations for handling compressed gases.
How is Inalossin administered?+
Inalossin is administered via a calibrated inhalation delivery system that mixes the gas with the patient’s ventilatory circuit. The prescribed flow rate is set on the device, and continuous monitoring of oxygenation, hemodynamics and methemoglobin levels is performed throughout therapy.
What are the most serious risks to watch for with Inalossin?+
The most serious risks include methemoglobinemia, which can impair oxygen delivery, and rebound pulmonary hypertension if the gas is stopped abruptly. Severe hypotension and bronchospasm are also possible and require immediate medical attention.
Who should not use Inalossin?+
Inalossin should be avoided in patients with known severe anemia, existing methemoglobinemia, or hypersensitivity to nitric oxide. It is also contraindicated when appropriate delivery equipment cannot be guaranteed or when the clinical setting cannot support the required monitoring.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Nitric Oxide
Route
Inhalation Use
Manufacturer
Societa' Italiana Acetilene E Derivati S.I.A.D. S.P.A.
Origin
EU

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