Europe — EMA
Nanotop (Human Serum Albumin)
GNH USA supplies Nanotop (Human Serum Albumin), a plasma volume expander used for hypovolemia, hemorrhagic shock and severe burns.
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What is Human Serum Albumin?
Human Serum Albumin, the active ingredient in Nanotop, is a plasma volume expander presented as a sterile solution for subcutaneous use. It increases plasma oncotic pressure, thereby expanding intravascular volume in patients with hypovolemia, shock or severe burns.
GNH USA supplies Nanotop as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.
What is Human Serum Albumin used for?
Nanotop (Human Serum Albumin) is used as a plasma volume expander in conditions associated with low intravascular volume.
- Hypovolemia: restores circulating blood volume and improves tissue perfusion. - Hemorrhagic shock: supports hemodynamic stability during acute blood loss. - Severe burns: compensates for protein loss and fluid shifts to maintain circulatory volume.
What are the side effects of Human Serum Albumin?
Human Serum Albumin may cause a range of adverse reactions following subcutaneous administration.
Common Side Effects: - Injection site pain: mild to moderate discomfort at the injection site. - Redness or erythema: localized skin irritation. - Swelling: transient edema around the injection area. - Fever: low‑grade temperature elevation. - Hypotension: temporary drop in blood pressure.
Serious or Rare Side Effects: - Anaphylactic reaction: severe allergic response requiring immediate medical attention. - Volume overload: excessive fluid accumulation leading to pulmonary edema. - Pulmonary edema: fluid accumulation in the lungs causing respiratory distress.
What precautions apply to Human Serum Albumin?
When using Nanotop, clinicians should observe several safety measures to minimize risk.
- Allergy assessment: verify no known hypersensitivity to human albumin. - Volume status: monitor patients for signs of fluid overload. - Renal function: evaluate kidney function before administration in patients with renal impairment. - Pregnancy: use only if the potential benefit justifies the potential risk to the fetus. - Concomitant diuretics: adjust fluid management and monitor electrolyte balance. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.
What does Human Serum Albumin interact with?
Human Serum Albumin can interact with other therapies that affect fluid balance or hemodynamics.
Major Interactions (Avoid): - High‑dose diuretics: may precipitate severe hypovolemia. - Calcium‑containing solutions: can cause precipitation and loss of product potency.
Moderate Interactions (Monitor Closely): - Blood pressure medications: monitor hemodynamic response and adjust doses as needed. - Renal replacement therapy: consider altered fluid removal and adjust albumin dosing. - Vasopressors: may require dose titration to maintain target blood pressure.



