Also known as norepinephrine bitartrate
Trade name
Levophed 1:1000, Noradrenaline (BNM) 1:1000, Noradrenaline (Juno) 1:1000, Noradrenaline (Medsurge) 1:1000, Noralin
Strength
1 mg/mL (1:1000) (volume: 2 mL, 4 mL)
1 mg noradrenaline is equivalent to noradrenaline acid tartrate 2 mg.
Noralin:
0.06 mg/mL (volume: 50 mL)
0.12 mg/mL (volume: 50 mL)
IV administration
Dilute to 16 microgram/mL or weaker and give as a continuous infusion. Infuse preferably via a central line using a syringe or infusion pump with DERS.
May be given via peripheral line in emergency circumstances on consultant request. Refer to relevant local guideline.
Neonates: Give via central line only.
Noralin only: Give undiluted.
Other routes of administration
IM: Not recommended.
SC: Not recommended.
Compatible IV fluids
Glucose 5%
Glucose 5% and sodium chloride 0.9%
Sodium chloride 0.9 %
Noradrenaline 8 microgram/mL or weaker:
Hartmann’s
Y-site only:
Plasma-Lyte 148
Potassium chloride 20 mmol/L
Additional information
Extravasation risk.
Observe closely for anaphylactic reactions.
Monitor peripheral perfusion.
Use only when facilities for cardiac monitoring and cardio-respiratory resuscitation exist.
Taper the infusion slowly when discontinuing treatment; abrupt discontinuation may cause acute hypotension.
Solution should be clear and colourless or yellowish.
Discard any unused ampoule or vial contents.
Protect from light during administration and storage.