norepinephrine 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
sympathomimetic, phenethyl derivatives 1960 51-41-2

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • norepinephrine
  • (R)-Norepinephrine
  • arterenol
  • levarterenol
  • noradrenaline
  • norepinephrine bitartrate
  • (-)-noradrenaline
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 that arises from the LOCUS CERULEUS. It is also found in plants and is used pharmacologically as a sympathomimetic.
  • Molecular weight: 169.18
  • Formula: C8H11NO3
  • CLOGP: -0.99
  • LIPINSKI: 0
  • HAC: 4
  • HDO: 4
  • TPSA: 86.71
  • ALOGS: -1.13
  • ROTB: 2

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
6 mg P

ADMET properties:

PropertyValueReference
BA (Bioavailability) 3 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H

Approvals:

DateAgencyCompanyOrphan
July 13, 1950 FDA HOSPIRA

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Multiple organ dysfunction syndrome 387.86 25.61 211 13909 52559 56225388
Hypotension 334.41 25.61 360 13760 250148 56027799
Septic shock 313.12 25.61 193 13927 60642 56217305
Cardiac arrest 292.34 25.61 211 13909 86103 56191844
Shock 291.53 25.61 131 13989 21597 56256350
Cardiogenic shock 266.41 25.61 113 14007 16212 56261735
Metabolic acidosis 202.03 25.61 126 13994 40328 56237619
Drug ineffective 177.95 25.61 567 13553 918422 55359525
Myoglobin urine present 169.02 25.61 37 14083 529 56277418
Stress cardiomyopathy 160.62 25.61 65 14055 8271 56269676
Peripheral ischaemia 160.42 25.61 55 14065 4408 56273539
Acute kidney injury 155.49 25.61 242 13878 240521 56037426
Intentional overdose 155.43 25.61 132 13988 67985 56209962
Fatigue 145.30 25.61 15 14105 788537 55489410
Renal failure 131.54 25.61 150 13970 110350 56167597
Toxicity to various agents 130.21 25.61 215 13905 224349 56053598
Respiratory failure 123.34 25.61 135 13985 94927 56183020
Circulatory collapse 122.34 25.61 72 14048 20731 56257216
Lactic acidosis 118.48 25.61 86 14034 35260 56242687
Haemodynamic instability 114.12 25.61 51 14069 8278 56269669
Renal injury 110.95 25.61 51 14069 8836 56269111
Electrocardiogram QRS complex prolonged 110.05 25.61 44 14076 5423 56272524
Pulseless electrical activity 109.17 25.61 47 14073 6977 56270970
Acute respiratory distress syndrome 108.65 25.61 68 14052 21858 56256089
Toxic encephalopathy 106.53 25.61 44 14076 5894 56272053
Vasoplegia syndrome 105.45 25.61 30 14090 1295 56276652
Serotonin syndrome 103.98 25.61 71 14049 26419 56251528
Ventricular tachycardia 103.35 25.61 60 14060 16841 56261106
Hyperlactacidaemia 93.41 25.61 32 14088 2556 56275391
Bradycardia 91.23 25.61 98 14022 67406 56210541
Amylase increased 90.95 25.61 39 14081 5732 56272215
Pharyngeal haemorrhage 89.82 25.61 22 14098 526 56277421
Propofol infusion syndrome 89.46 25.61 24 14096 831 56277116
Arthralgia 88.50 25.61 11 14109 501658 55776289
Pulmonary oedema 86.86 25.61 84 14036 51059 56226888
Headache 85.81 25.61 18 14102 559026 55718921
Nausea 85.20 25.61 43 14077 764135 55513812
Dry gangrene 85.11 25.61 21 14099 518 56277429
Troponin increased 84.74 25.61 42 14078 8593 56269354
Sepsis 79.68 25.61 133 13987 139707 56138240
Renal impairment 78.60 25.61 99 14021 80614 56197333
Ventricular hypokinesia 78.32 25.61 32 14088 4169 56273778
Atrioventricular block first degree 72.67 25.61 35 14085 6730 56271217
Extremity necrosis 71.72 25.61 23 14097 1495 56276452
Tachycardia 67.50 25.61 106 14014 105770 56172177
Ventricular fibrillation 67.26 25.61 39 14081 10913 56267034
Overdose 66.15 25.61 105 14015 105725 56172222
Fear 65.81 25.61 43 14077 14865 56263082
Blood lactate dehydrogenase increased 64.06 25.61 48 14072 20627 56257320
Acidosis 60.81 25.61 36 14084 10465 56267482
Electrocardiogram ST segment elevation 58.49 25.61 25 14095 3644 56274303
Alopecia 58.13 25.61 4 14116 293454 55984493
Pruritus 58.11 25.61 6 14114 316617 55961330
Blood creatine phosphokinase increased 57.28 25.61 51 14069 27901 56250046
Anuria 54.56 25.61 35 14085 11725 56266222
Alanine aminotransferase increased 54.53 25.61 90 14030 93572 56184375
Rash 54.41 25.61 28 14092 493019 55784928
Abdominal discomfort 54.28 25.61 4 14116 277270 56000677
Drug intolerance 54.28 25.61 3 14117 264815 56013132
Disseminated intravascular coagulation 54.25 25.61 41 14079 17844 56260103
Diabetes insipidus 53.90 25.61 21 14099 2416 56275531
Fall 53.76 25.61 12 14108 357498 55920449
Hyperkalaemia 52.06 25.61 64 14056 50801 56227146
Cardiotoxicity 51.70 25.61 29 14091 7621 56270326
Reversible cerebral vasoconstriction syndrome 50.87 25.61 20 14100 2357 56275590
Drug hypersensitivity 48.52 25.61 6 14114 275199 56002748
Systolic dysfunction 47.84 25.61 17 14103 1513 56276434
Anhedonia 47.22 25.61 30 14090 9884 56268063
Drug ineffective for unapproved indication 47.02 25.61 44 14076 25649 56252298
Blood potassium increased 46.75 25.61 37 14083 17224 56260723
Cardiomyopathy 46.52 25.61 36 14084 16222 56261725
Acid base balance abnormal 45.65 25.61 11 14109 245 56277702
Dizziness 45.10 25.61 19 14101 376121 55901826
Pain in extremity 44.66 25.61 10 14110 297421 55980526
Hypoxia 44.51 25.61 61 14059 53836 56224111
Nasopharyngitis 43.77 25.61 3 14117 220956 56056991
Cardio-respiratory arrest 43.28 25.61 61 14059 55260 56222687
Premature delivery 43.22 25.61 43 14077 27017 56250930
Electrocardiogram QT prolonged 42.42 25.61 60 14060 54528 56223419
Coagulopathy 42.07 25.61 36 14084 18680 56259267
Electrocardiogram ST segment depression 41.84 25.61 18 14102 2665 56275282
Left ventricle outflow tract obstruction 40.71 25.61 10 14110 242 56277705
Weight increased 40.49 25.61 5 14115 229698 56048249
Unmasking of previously unidentified disease 40.07 25.61 13 14107 877 56277070
Hypersensitivity 39.75 25.61 8 14112 256400 56021547
Infusion related reaction 38.20 25.61 4 14116 208927 56069020
Swelling 38.19 25.61 7 14113 239764 56038183
Unevaluable event 37.92 25.61 53 14067 47634 56230313
Distributive shock 37.47 25.61 13 14107 1078 56276869
Blood pressure decreased 37.43 25.61 59 14061 58991 56218956
Mydriasis 37.21 25.61 27 14093 11044 56266903
Diarrhoea 36.87 25.61 65 14055 638442 55639505
Injury 36.83 25.61 59 14061 59792 56218155
Constipation 36.58 25.61 4 14116 201939 56076008
Oliguria 36.41 25.61 24 14096 8416 56269531
Weight decreased 36.31 25.61 8 14112 240706 56037241
Diabetic macroangiopathy 35.93 25.61 8 14112 124 56277823
Back pain 35.53 25.61 8 14112 237162 56040785
Renal tubular necrosis 35.47 25.61 26 14094 10802 56267145
Wrong product administered 34.30 25.61 20 14100 5652 56272295
Activated partial thromboplastin time prolonged 33.98 25.61 21 14099 6591 56271356
Ischaemic hepatitis 33.21 25.61 14 14106 1971 56275976
Compartment syndrome 32.95 25.61 14 14106 2010 56275937
Suicide attempt 32.86 25.61 55 14065 57781 56220166
Patent ductus arteriosus 32.32 25.61 17 14103 3934 56274013
Torsade de pointes 32.26 25.61 26 14094 12414 56265533
Electrocardiogram repolarisation abnormality 32.08 25.61 12 14108 1235 56276712
Pain 31.90 25.61 75 14045 663109 55614838
Therapeutic product effect decreased 31.61 25.61 3 14117 169449 56108498
Malaise 31.03 25.61 28 14092 367832 55910115
Contraindicated product administered 30.61 25.61 5 14115 186281 56091666
Foetal exposure during pregnancy 30.55 25.61 40 14080 33783 56244164
Emotional distress 29.72 25.61 37 14083 29726 56248221
Premature baby 29.71 25.61 30 14090 19175 56258772
Insomnia 29.70 25.61 6 14114 191854 56086093
Encephalopathy 29.19 25.61 40 14080 35285 56242662
Ventricular extrasystoles 28.79 25.61 23 14097 10847 56267100
Supraventricular tachycardia 28.72 25.61 25 14095 13266 56264681
Off label use 28.44 25.61 237 13883 555943 55722004
Sinus bradycardia 28.24 25.61 25 14095 13561 56264386
Coma 27.79 25.61 52 14068 59603 56218344
Gait disturbance 27.71 25.61 4 14116 163317 56114630
Cardiovascular insufficiency 27.46 25.61 11 14109 1361 56276586
Thrombocytopenia 26.72 25.61 85 14035 136139 56141808
Peripheral swelling 26.32 25.61 13 14107 234713 56043234
Local anaesthetic systemic toxicity 26.19 25.61 9 14111 725 56277222
Hypothermia 26.03 25.61 23 14097 12447 56265500
Necrosis 25.95 25.61 16 14104 5000 56272947
Intestinal ischaemia 25.76 25.61 18 14102 6937 56271010

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Multiple organ dysfunction syndrome 539.03 22.28 370 15991 67833 31613150
Cardiogenic shock 432.07 22.28 217 16144 22191 31658792
Drug ineffective 348.13 22.28 679 15682 394894 31286089
Appendicolith 301.97 22.28 113 16248 5618 31675365
Stress 269.46 22.28 165 16196 24776 31656207
Appendicitis 232.48 22.28 115 16246 11350 31669633
Septic shock 230.70 22.28 223 16138 65935 31615048
Shock 212.38 22.28 137 16224 22508 31658475
Hypotension 176.81 22.28 350 16011 204268 31476715
Sepsis 167.74 22.28 289 16072 151640 31529343
Ventricular fibrillation 164.40 22.28 109 16252 18739 31662244
Off label use 157.15 22.28 462 15899 346812 31334171
Cardiac arrest 145.23 22.28 203 16158 88859 31592124
Fear 128.53 22.28 74 16287 9900 31671083
Ascites 127.48 22.28 130 16231 40883 31640100
Propofol infusion syndrome 119.36 22.28 35 16326 800 31680183
Respiratory failure 111.73 22.28 193 16168 101256 31579727
Toxic epidermal necrolysis 110.80 22.28 87 16274 19437 31661546
Acute kidney injury 104.72 22.28 349 16012 279365 31401618
Fatigue 104.30 22.28 23 16338 335183 31345800
Injury 101.56 22.28 83 16278 19626 31661357
Renal injury 98.62 22.28 64 16297 10601 31670382
Haemodynamic instability 95.74 22.28 58 16303 8517 31672466
Abdominal distension 95.40 22.28 124 16237 50560 31630423
Renal failure 92.04 22.28 199 16162 123131 31557852
Anhedonia 87.40 22.28 52 16309 7390 31673593
Rhabdomyolysis 86.24 22.28 133 16228 63448 31617535
Vasoplegia syndrome 83.76 22.28 32 16329 1681 31679302
Emotional distress 81.50 22.28 64 16297 14292 31666691
Lactic acidosis 79.41 22.28 90 16271 31847 31649136
Metabolic acidosis 77.86 22.28 99 16262 39478 31641505
Hyponatraemia 76.75 22.28 137 16224 73662 31607321
Diarrhoea 74.62 22.28 45 16316 352364 31328619
Headache 72.48 22.28 6 16355 183646 31497337
Acute respiratory distress syndrome 71.17 22.28 75 16286 24465 31656518
Asthenia 66.66 22.28 17 16344 224738 31456245
Dizziness 63.16 22.28 13 16348 199134 31481849
Unevaluable event 62.53 22.28 78 16283 30497 31650486
Blood phosphorus increased 62.43 22.28 35 16326 4447 31676536
General physical health deterioration 60.73 22.28 161 16200 113274 31567709
Arthralgia 59.58 22.28 5 16356 151419 31529564
Fall 55.30 22.28 14 16347 186075 31494908
Dry gangrene 53.54 22.28 16 16345 391 31680592
Stress cardiomyopathy 51.88 22.28 23 16338 1767 31679216
Myocardial calcification 51.37 22.28 10 16351 32 31680951
Pain in extremity 48.09 22.28 3 16358 116200 31564783
Drug ineffective for unapproved indication 47.40 22.28 52 16309 17738 31663245
Burkholderia test positive 46.08 22.28 18 16343 1004 31679979
Dyspnoea 45.47 22.28 67 16294 343412 31337571
Drug reaction with eosinophilia and systemic symptoms 45.22 22.28 66 16295 29952 31651031
Decreased appetite 44.60 22.28 12 16349 153205 31527778
Renal impairment 44.60 22.28 121 16240 86228 31594755
Pharyngeal haemorrhage 44.43 22.28 16 16345 711 31680272
Anion gap 44.21 22.28 16 16345 721 31680262
Acidosis 43.23 22.28 38 16323 9908 31671075
Hypertransaminasaemia 42.68 22.28 27 16334 4277 31676706
Cholestasis 42.00 22.28 58 16303 25017 31655966
Back pain 41.97 22.28 4 16357 109409 31571574
Hyperdynamic left ventricle 41.92 22.28 11 16350 164 31680819
Overdose 41.10 22.28 116 16245 84548 31596435
Compartment syndrome 40.33 22.28 22 16339 2649 31678334
Diabetes insipidus 38.57 22.28 21 16340 2519 31678464
Electrocardiogram QRS complex prolonged 38.16 22.28 25 16336 4204 31676779
Malaise 37.72 22.28 20 16341 168491 31512492
Bradycardia 37.65 22.28 99 16262 69228 31611755
Heparin-induced thrombocytopenia 37.54 22.28 27 16334 5279 31675704
Coma 37.22 22.28 72 16289 41078 31639905
Pruritus 36.04 22.28 10 16351 125157 31555826
Rash 35.64 22.28 31 16330 201455 31479528
Peripheral ischaemia 35.30 22.28 26 16335 5274 31675709
Electrocardiogram QT prolonged 35.01 22.28 67 16294 37920 31643063
Ventricular tachycardia 32.67 22.28 50 16311 23651 31657332
Pulseless electrical activity 31.87 22.28 27 16334 6700 31674283
Angle closure glaucoma 30.77 22.28 13 16348 888 31680095
Pulse absent 30.56 22.28 24 16337 5353 31675630
Gait disturbance 29.27 22.28 3 16358 77492 31603491
Hyperthermia malignant 29.01 22.28 16 16345 1968 31679015
Toxicity to various agents 27.62 22.28 174 16187 181313 31499670
Cough 27.33 22.28 18 16343 134796 31546187
Laryngomalacia 27.01 22.28 9 16352 316 31680667
Intestinal ischaemia 26.85 22.28 25 16336 7020 31673963
Oliguria 26.77 22.28 26 16335 7691 31673292
Insomnia 26.51 22.28 8 16353 94828 31586155
Chest pain 25.98 22.28 14 16347 116943 31564040
Blood pressure decreased 25.41 22.28 68 16293 48023 31632960
Dehydration 25.39 22.28 15 16346 119096 31561887
Distributive shock 25.13 22.28 12 16349 1093 31679890
Disseminated intravascular coagulation 25.09 22.28 41 16320 20496 31660487
Cholangiolitis 24.81 22.28 5 16356 20 31680963
Coma scale abnormal 24.20 22.28 18 16343 3705 31677278
Condition aggravated 24.17 22.28 156 16205 163853 31517130
Symmetrical drug-related intertriginous and flexural exanthema 24.09 22.28 8 16353 278 31680705
Coagulopathy 24.03 22.28 38 16323 18477 31662506
Product use in unapproved indication 23.92 22.28 108 16253 99063 31581920
COVID-19 pneumonia 23.83 22.28 31 16330 12624 31668359
Pneumonia acinetobacter 23.48 22.28 6 16355 80 31680903
Hypercapnia 23.17 22.28 18 16343 3953 31677030
Abdominal pain upper 22.87 22.28 3 16358 63999 31616984
Nasopharyngitis 22.51 22.28 3 16358 63242 31617741
Serotonin syndrome 22.29 22.28 37 16324 18736 31662247

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Multiple organ dysfunction syndrome 853.48 20.83 539 28585 107976 70791344
Cardiogenic shock 656.31 20.83 313 28811 35994 70863326
Drug ineffective 561.33 20.83 1202 27922 938550 69960770
Septic shock 490.96 20.83 390 28734 111868 70787452
Shock 467.46 20.83 258 28866 40167 70859153
Hypotension 436.54 20.83 671 28453 403710 70495610
Cardiac arrest 383.28 20.83 396 28728 159438 70739882
Appendicolith 324.17 20.83 112 29012 5568 70893752
Metabolic acidosis 247.63 20.83 221 28903 74125 70825195
Fatigue 239.88 20.83 29 29095 824290 70075030
Sepsis 238.31 20.83 388 28736 244157 70655163
Ventricular fibrillation 236.07 20.83 144 28980 26967 70872353
Respiratory failure 218.77 20.83 306 28818 168429 70730891
Appendicitis 216.10 20.83 115 29009 16618 70882702
Acute kidney injury 213.52 20.83 546 28578 474078 70425242
Propofol infusion syndrome 202.55 20.83 59 29065 1670 70897650
Renal failure 200.57 20.83 312 28812 188758 70710562
Haemodynamic instability 197.67 20.83 106 29018 15552 70883768
Stress 189.47 20.83 183 28941 67783 70831537
Stress cardiomyopathy 187.10 20.83 88 29036 9774 70889546
Vasoplegia syndrome 186.94 20.83 64 29060 3092 70896228
Renal injury 183.90 20.83 102 29022 15992 70883328
Off label use 176.62 20.83 685 28439 742375 70156945
Lactic acidosis 173.61 20.83 171 28953 64853 70834467
Headache 164.71 20.83 22 29102 580383 70318937
Acute respiratory distress syndrome 164.47 20.83 136 28988 41118 70858202
Peripheral ischaemia 156.51 20.83 75 29049 8683 70890637
Fear 154.67 20.83 100 29024 20711 70878609
Arthralgia 150.39 20.83 16 29108 503374 70395946
Intentional overdose 141.78 20.83 188 28936 98247 70801073
Dry gangrene 134.28 20.83 37 29087 852 70898468
Ventricular tachycardia 124.60 20.83 110 29014 36313 70863007
Electrocardiogram QRS complex prolonged 122.68 20.83 66 29058 9740 70889580
Myoglobin urine present 122.33 20.83 33 29091 700 70898620
Pulseless electrical activity 119.65 20.83 72 29052 13143 70886177
Pharyngeal haemorrhage 117.07 20.83 36 29088 1231 70898089
Toxicity to various agents 115.65 20.83 382 28742 381790 70517530
Anhedonia 114.82 20.83 72 29052 14141 70885179
Fall 112.17 20.83 23 29101 444073 70455247
Ascites 111.37 20.83 138 28986 67409 70831911
Diarrhoea 108.04 20.83 98 29026 783243 70116077
Renal impairment 106.95 20.83 203 28921 143734 70755586
Bradycardia 106.84 20.83 187 28937 124428 70774892
Dizziness 105.56 20.83 30 29094 464111 70435209
Serotonin syndrome 100.01 20.83 104 29020 42010 70857310
Rhabdomyolysis 98.54 20.83 156 28968 95604 70803716
Toxic epidermal necrolysis 98.12 20.83 100 29024 39457 70859863
Circulatory collapse 97.82 20.83 95 29029 35379 70863941
Weight decreased 94.87 20.83 9 29115 310479 70588841
Pain in extremity 93.95 20.83 12 29112 328070 70571250
Pruritus 93.46 20.83 15 29109 345545 70553775
Unevaluable event 93.35 20.83 111 29013 51952 70847368
Injury 92.95 20.83 124 29000 65121 70834199
Overdose 92.76 20.83 211 28913 169534 70729786
Drug ineffective for unapproved indication 91.20 20.83 95 29029 38443 70860877
Acidosis 89.48 20.83 68 29056 18195 70881125
Hyperlactacidaemia 89.30 20.83 43 29081 5029 70894291
Diabetes insipidus 86.50 20.83 41 29083 4630 70894690
Rash 84.19 20.83 53 29071 510509 70388811
Emotional distress 81.49 20.83 88 29036 37100 70862220
Blood phosphorus increased 80.33 20.83 44 29080 6726 70892594
Back pain 77.42 20.83 10 29114 271142 70628178
Malaise 76.95 20.83 41 29083 432891 70466429
Weight increased 76.80 20.83 6 29118 242325 70656995
Electrocardiogram QT prolonged 72.41 20.83 126 28998 83391 70815929
Extremity necrosis 71.10 20.83 31 29093 2883 70896437
Compartment syndrome 69.92 20.83 35 29089 4451 70894869
Nasopharyngitis 69.04 20.83 6 29118 222200 70677120
Dyspnoea 68.60 20.83 133 28991 769927 70129393
Disseminated intravascular coagulation 67.55 20.83 76 29048 33522 70865798
Asthenia 66.89 20.83 54 29070 457612 70441708
Pulmonary oedema 66.01 20.83 120 29004 82158 70817162
Alopecia 65.55 20.83 4 29120 198486 70700834
Tachycardia 65.35 20.83 177 28947 158369 70740951
Electrocardiogram ST segment elevation 65.16 20.83 40 29084 7564 70891756
Myocardial calcification 64.71 20.83 12 29112 37 70899283
Abdominal discomfort 63.52 20.83 7 29117 214651 70684669
Cholestasis 60.66 20.83 86 29038 47786 70851534
Drug intolerance 60.52 20.83 10 29114 225677 70673643
Coma 60.25 20.83 123 29001 91721 70807599
Abdominal distension 59.23 20.83 132 28992 104537 70794783
Oliguria 58.67 20.83 49 29075 15002 70884318
Hyperdynamic left ventricle 58.54 20.83 16 29108 357 70898963
Decreased appetite 58.46 20.83 26 29098 304754 70594566
Atrioventricular block first degree 58.37 20.83 44 29080 11629 70887691
Peripheral swelling 58.11 20.83 13 29111 236550 70662770
Sinusitis 57.12 20.83 3 29121 169192 70730128
Heparin-induced thrombocytopenia 56.47 20.83 39 29085 8998 70890322
Toxic encephalopathy 56.01 20.83 41 29083 10365 70888955
Distributive shock 55.24 20.83 24 29100 2213 70897107
Left ventricle outflow tract obstruction 55.21 20.83 15 29109 327 70898993
Ventricular hypokinesia 55.02 20.83 37 29087 8175 70891145
Coagulopathy 54.88 20.83 68 29056 33181 70866139
Anuria 54.86 20.83 53 29071 19600 70879720
Activated partial thromboplastin time prolonged 54.79 20.83 45 29079 13460 70885860
Cardiotoxicity 53.75 20.83 41 29083 11029 70888291
Intestinal ischaemia 52.75 20.83 42 29082 12022 70887298
Blood pressure decreased 52.44 20.83 116 29008 91399 70807921
Gait disturbance 52.39 20.83 7 29117 185099 70714221
Nausea 52.10 20.83 178 28946 851910 70047410
Hyponatraemia 51.84 20.83 164 28960 159923 70739397
Hypersensitivity 50.08 20.83 16 29108 229796 70669524
Insomnia 49.57 20.83 14 29110 217792 70681528
Muscle spasms 48.27 20.83 4 29120 154042 70745278
Hypoaesthesia 48.15 20.83 4 29120 153735 70745585
Cough 47.98 20.83 38 29086 325339 70573981
Blood pressure increased 47.02 20.83 10 29114 188507 70710813
Hyperkalaemia 46.94 20.83 122 29002 106469 70792851
Abdominal pain upper 46.82 20.83 11 29113 193591 70705729
Pulse absent 46.28 20.83 35 29089 9295 70890025
Anion gap 45.97 20.83 20 29104 1850 70897470
Cardiovascular insufficiency 44.44 20.83 22 29102 2731 70896589
Amylase increased 43.49 20.83 35 29089 10173 70889147
Swelling 43.12 20.83 12 29112 188527 70710793
COVID-19 treatment 42.37 20.83 13 29111 441 70898879
Torsade de pointes 41.67 20.83 44 29080 18072 70881248
General physical health deterioration 41.27 20.83 199 28925 235832 70663488
Infusion related reaction 40.87 20.83 15 29109 197519 70701801
Renal tubular necrosis 40.85 20.83 49 29075 23122 70876198
Paraesthesia 40.02 20.83 6 29118 145531 70753789
Myalgia 39.69 20.83 10 29114 167882 70731438
Alanine aminotransferase increased 39.69 20.83 142 28982 147338 70751982
Troponin increased 39.37 20.83 41 29083 16573 70882747
Hypoxia 39.22 20.83 105 29019 93239 70806081
Reversible cerebral vasoconstriction syndrome 39.07 20.83 20 29104 2665 70896655
Cardio-respiratory arrest 38.10 20.83 109 29015 100568 70798752
Acid base balance abnormal 37.24 20.83 11 29113 327 70898993
Hypertransaminasaemia 36.70 20.83 30 29094 8913 70890407
Drug reaction with eosinophilia and systemic symptoms 36.04 20.83 76 29048 57937 70841383
Cardiomyopathy 35.82 20.83 49 29075 26324 70872996
Drug hypersensitivity 35.81 20.83 33 29091 262426 70636894
Respiratory gas exchange disorder 35.67 20.83 13 29111 755 70898565
Hepatic failure 35.23 20.83 75 29049 57550 70841770
Burkholderia test positive 35.20 20.83 12 29112 572 70898748
Ischaemic hepatitis 35.04 20.83 20 29104 3309 70896011
Mydriasis 34.98 20.83 38 29086 16115 70883205
Therapeutic product effect decreased 34.82 20.83 8 29116 143010 70756310
Injection site pain 34.37 20.83 4 29120 117615 70781705
Systolic dysfunction 34.31 20.83 20 29104 3441 70895879
Bronchitis 34.22 20.83 4 29120 117239 70782081
Stomatitis 33.76 20.83 6 29118 128505 70770815
Asthma 33.16 20.83 5 29119 120788 70778532
Inappropriate schedule of product administration 33.13 20.83 3 29121 107552 70791768
Thrombocytopenia 33.11 20.83 189 28935 238921 70660399
Urticaria 32.69 20.83 13 29111 163036 70736284
Wrong product administered 32.16 20.83 27 29097 8324 70890996
Electrocardiogram ST segment depression 31.93 20.83 21 29103 4470 70894850
Completed suicide 31.65 20.83 28 29096 227107 70672213
Nervous system disorder 31.50 20.83 44 29080 24102 70875218
Diabetic macroangiopathy 31.16 20.83 8 29116 139 70899181
Erythema 31.08 20.83 22 29102 199541 70699779
Confusional state 30.91 20.83 43 29081 284355 70614965
Arteriospasm coronary 30.77 20.83 23 29101 6001 70893319
Hyperthermia malignant 30.76 20.83 17 29107 2644 70896676
Unmasking of previously unidentified disease 30.53 20.83 15 29109 1832 70897488
Chest pain 30.41 20.83 35 29089 251225 70648095
Condition aggravated 30.31 20.83 288 28836 427347 70471973
Dehydration 30.18 20.83 29 29095 226113 70673207
Contraindicated product administered 29.97 20.83 9 29115 134603 70764717
Lower respiratory tract infection 29.89 20.83 5 29119 111908 70787412
Pain 29.76 20.83 145 28979 628671 70270649
Contusion 29.55 20.83 8 29116 128028 70771292
Muscular weakness 29.47 20.83 10 29114 138326 70760994
Neuropathy peripheral 29.15 20.83 8 29116 126888 70772432
Mobility decreased 28.88 20.83 4 29120 102995 70796325
Coma scale abnormal 28.72 20.83 25 29099 8091 70891229
COVID-19 pneumonia 28.61 20.83 40 29084 21929 70877391
Acute respiratory failure 28.47 20.83 66 29058 53599 70845721
Mean arterial pressure increased 27.30 20.83 6 29118 51 70899269
Leukocytosis 27.03 20.83 54 29070 39614 70859706
Brain death 26.96 20.83 20 29104 5158 70894162
Premature delivery 26.58 20.83 38 29086 21266 70878054
Influenza 26.43 20.83 7 29117 113693 70785627
Oropharyngeal pain 26.40 20.83 4 29120 96306 70803014
Vasoconstriction 26.30 20.83 10 29114 654 70898666
Pneumonia acinetobacter 26.06 20.83 7 29117 146 70899174
Necrosis 25.58 20.83 24 29100 8557 70890763
Respiratory distress 25.54 20.83 64 29060 54586 70844734
Suicide attempt 25.29 20.83 81 29043 79429 70819891
Electrocardiogram P wave abnormal 25.15 20.83 8 29116 306 70899014
Cholangiolitis 25.04 20.83 5 29119 25 70899295
Product use in unapproved indication 24.88 20.83 158 28966 207320 70692000
Blood creatine phosphokinase increased 24.81 20.83 68 29056 61195 70838125
Herpes zoster 24.65 20.83 3 29121 85232 70814088
Blood creatinine increased 24.55 20.83 120 29004 142881 70756439
Loss of personal independence in daily activities 24.52 20.83 3 29121 84907 70814413
Blood lactate dehydrogenase increased 24.16 20.83 48 29076 35079 70864241
Balance disorder 24.13 20.83 4 29120 90124 70809196
Procedural hypotension 23.94 20.83 13 29111 1953 70897367
Pseudomonas infection 23.87 20.83 34 29090 18960 70880360
Urinary tract infection 23.79 20.83 41 29083 248728 70650592
Catheter site haemorrhage 23.69 20.83 18 29106 4813 70894507
Palpitations 23.60 20.83 8 29116 110745 70788575
Ventricular arrhythmia 23.53 20.83 22 29102 7808 70891512
Vasodilatation 23.33 20.83 15 29109 3073 70896247
Product contamination microbial 23.31 20.83 10 29114 894 70898426
Chest discomfort 23.21 20.83 11 29113 124370 70774950
Memory impairment 22.91 20.83 5 29119 92636 70806684
Hypoxic-ischaemic encephalopathy 22.87 20.83 21 29103 7287 70892033
Infection 22.76 20.83 32 29092 210753 70688567
Gangrene 22.42 20.83 22 29102 8287 70891033
Gastrointestinal disorder 21.80 20.83 8 29116 105419 70793901
Hypothermia 21.78 20.83 34 29090 20560 70878760
Supraventricular tachycardia 21.49 20.83 33 29091 19677 70879643
Cardiac dysfunction 21.48 20.83 15 29109 3522 70895798
Electrocardiogram repolarisation abnormality 21.41 20.83 12 29112 1917 70897403
Central nervous system injury 21.04 20.83 6 29118 157 70899163

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC C01CA03 CARDIOVASCULAR SYSTEM
CARDIAC THERAPY
CARDIAC STIMULANTS EXCL. CARDIAC GLYCOSIDES
Adrenergic and dopaminergic agents
FDA CS M0003647 Catecholamines
FDA EPC N0000175570 Catecholamine
MeSH PA D018663 Adrenergic Agents
MeSH PA D000322 Adrenergic Agonists
MeSH PA D000316 Adrenergic alpha-Agonists
MeSH PA D002317 Cardiovascular Agents
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D018373 Peripheral Nervous System Agents
MeSH PA D013566 Sympathomimetics
MeSH PA D014662 Vasoconstrictor Agents
CHEBI has role CHEBI:25512 neurotransmitters
CHEBI has role CHEBI:35524 sympathomimetic
CHEBI has role CHEBI:35569 alpha-adrenergic agonists
CHEBI has role CHEBI:75771 Mus musculus metabolites
CHEBI has role CHEBI:76967 human xenobiotic metabolites

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Bronchiectasis indication 12295008 DOID:9563
Bronchitis indication 32398004 DOID:6132
Low blood pressure indication 45007003
Pulmonary emphysema indication 87433001
Asthma indication 195967001 DOID:2841
Asthma management indication 406162001
Acute exacerbation of asthma indication 708038006
Hypovolemia contraindication 28560003
Hypercapnia contraindication 29596007
Hypertensive disorder contraindication 38341003 DOID:10763
Hypoxia contraindication 389086002
Thrombosis contraindication 439127006
Occlusive Vascular Disease contraindication




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 9.41 acidic
pKa2 12.03 acidic
pKa3 12.63 acidic
pKa4 8.83 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
EQ 16MG BASE/250ML (EQ 64MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 10226436 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION
EQ 16MG BASE/250ML (EQ 64MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 10420735 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION
EQ 16MG BASE/250ML (EQ 64MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 11413259 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION
EQ 4MG BASE/250 ML (EQ 16MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 10226436 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION
EQ 4MG BASE/250 ML (EQ 16MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 10420735 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION
EQ 4MG BASE/250 ML (EQ 16MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 11413259 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION
EQ 8MG BASE/250ML (EQ 32MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 10226436 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION
EQ 8MG BASE/250ML (EQ 32MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 10420735 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION
EQ 8MG BASE/250ML (EQ 32MCG BASE/ML) NOREPINEPHRINE BITARTRATE IN 0.9% SODIUM CHLORIDE NEVAKAR INJECTABLES N214628 Oct. 6, 2022 RX SOLUTION INTRAVENOUS 11413259 Jan. 30, 2038 INDICATED TO RAISE BLOOD PRESSURE IN ADULT PATIENTS WITH SEVERE, ACUTE HYPOTENSION

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Alpha-2C adrenergic receptor GPCR AGONIST Ki 7.20 CHEMBL CHEMBL
Alpha-1A adrenergic receptor GPCR AGONIST Ki 5.82 CHEMBL CHEMBL
Alpha-1D adrenergic receptor GPCR AGONIST Ki 7.40 IUPHAR CHEMBL
Alpha-1B adrenergic receptor GPCR AGONIST Ki 4.69 CHEMBL CHEMBL
Beta-2 adrenergic receptor GPCR AGONIST Kd 5.40 CHEMBL CHEMBL
Alpha-2A adrenergic receptor GPCR AGONIST Ki 7.18 CHEMBL CHEMBL
Beta-1 adrenergic receptor GPCR AGONIST Ki 6 IUPHAR CHEMBL
D(1A) dopamine receptor GPCR Kd 4.30 CHEMBL
D(2) dopamine receptor GPCR Ki 5.89 CHEMBL
Alpha-2B adrenergic receptor GPCR Ki 6.48 PDSP
Beta-3 adrenergic receptor GPCR Ki 5.37 PDSP
Sodium-dependent dopamine transporter Transporter Ki 5.07 PDSP
Mu-type opioid receptor GPCR Ki 4.85 CHEMBL
Beta-2 adrenergic receptor GPCR Ki 5.22 CHEMBL
Beta-1 adrenergic receptor GPCR Ki 6.90 CHEMBL
Beta-2 adrenergic receptor GPCR Ki 5.30 CHEMBL
Alpha-1A adrenergic receptor GPCR Ki 6.35 CHEMBL
Beta-2 adrenergic receptor GPCR Ki 5.38 CHEMBL
Alpha-1B adrenergic receptor GPCR Ki 6.58 CHEMBL
Beta-1 adrenergic receptor GPCR Ki 6.40 CHEMBL
Adrenergic receptor alpha-2 GPCR Ki 8.32 CHEMBL
Adrenergic receptor alpha-1 GPCR Ki 6.41 CHEMBL
Adrenergic receptor alpha GPCR IC50 7.80 CHEMBL
Adrenergic receptor beta GPCR IC50 6 CHEMBL
Alpha-2C adrenergic receptor GPCR Ki 6.19 CHEMBL
Alpha-2A adrenergic receptor GPCR Ki 5.24 CHEMBL
Alpha-2B adrenergic receptor GPCR Ki 7.11 CHEMBL

External reference:

IDSource
4019859 VUID
N0000147945 NUI
D00076 KEGG_DRUG
108341-18-0 SECONDARY_CAS_RN
4018242 VANDF
4019859 VANDF
C0028351 UMLSCUI
CHEBI:33569 CHEBI
LT4 PDB_CHEM_ID
CHEMBL1434513 ChEMBL_ID
CHEMBL1437 ChEMBL_ID
DB00368 DRUGBANK_ID
CHEMBL1356607 ChEMBL_ID
D009638 MESH_DESCRIPTOR_UI
439260 PUBCHEM_CID
33 INN_ID
484 IUPHAR_LIGAND_ID
X4W3ENH1CV UNII
7508 RXNORM
2706 MMSL
333906 MMSL
35060 MMSL
5186 MMSL
NOCODE MMSL
d00323 MMSL
001777 NDDF
004718 NDDF
111130009 SNOMEDCT_US
45555007 SNOMEDCT_US
77673009 SNOMEDCT_US

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Norepinephrine Bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 0143-9318 INJECTION 1 mg INTRAVENOUS ANDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0338-0108 INJECTION, SOLUTION 8 mg INTRAVENOUS NDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0338-0108 INJECTION, SOLUTION 8 mg INTRAVENOUS NDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0338-0108 INJECTION, SOLUTION 8 mg INTRAVENOUS NDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0338-0112 INJECTION, SOLUTION 4 mg INTRAVENOUS NDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0338-0112 INJECTION, SOLUTION 4 mg INTRAVENOUS NDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0338-0112 INJECTION, SOLUTION 4 mg INTRAVENOUS NDA 24 sections
Levophed HUMAN PRESCRIPTION DRUG LABEL 1 0409-1443 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS NDA 20 sections
Levophed HUMAN PRESCRIPTION DRUG LABEL 1 0409-1443 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS NDA 20 sections
LEVOPHED Human prescription drug label 1 0409-3375 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS NDA 27 sections
LEVOPHED Human prescription drug label 1 0409-3375 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS NDA 27 sections
Norepinephrine Bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 0703-1153 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS ANDA 24 sections
Norepinephrine Bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 0703-1153 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS ANDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0781-3755 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS ANDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0781-3755 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS ANDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 0781-3755 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS ANDA 24 sections
Norepinephrine Bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 25021-316 INJECTION, SOLUTION 1 mg INTRAVENOUS ANDA 25 sections
Norepinephrine bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 36000-162 INJECTION 1 mg INTRAVENOUS ANDA 18 sections
Norepinephrine bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 36000-162 INJECTION 1 mg INTRAVENOUS ANDA 18 sections
Norepinephrine Bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 43066-997 INJECTION 1 mg INTRAVENOUS ANDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 44567-640 INJECTION, SOLUTION, CONCENTRATE 0.02 mg INTRAVENOUS NDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 44567-641 INJECTION, SOLUTION, CONCENTRATE 0.03 mg INTRAVENOUS NDA 24 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 44567-642 INJECTION, SOLUTION, CONCENTRATE 0.06 mg INTRAVENOUS NDA 24 sections
NOREPINEPHRINE BITARTRATE Human Prescription Drug Label 1 47335-615 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS ANDA 24 sections
LEVOPHED(R) NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 51662-1315 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS NDA 12 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 51662-1528 INJECTION 1 mg INTRAVENOUS ANDA 16 sections
NOREPINEPHRINE BITARTRATE HUMAN PRESCRIPTION DRUG LABEL 1 51662-1528 INJECTION 1 mg INTRAVENOUS ANDA 16 sections
Norepinephrine Bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 51991-983 INJECTION, SOLUTION, CONCENTRATE 1 mg INTRAVENOUS ANDA 25 sections
Norepinephrine Bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 52533-164 INJECTION, SOLUTION 64 ug INTRAVENOUS unapproved drug other 7 sections
Norepinephrine Bitartrate HUMAN PRESCRIPTION DRUG LABEL 1 52533-165 INJECTION, SOLUTION 16 ug INTRAVENOUS unapproved drug other 7 sections