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Norad 4mg Injection

Written By Dr. Anuj Saini, MMST, MBBS
Reviewed By Dr. Rajeev Sharma, MBA, MBBS
Last updated on 06 Apr 2026 | 03:49 PM (IST)
Norad 4mg Injection is used to treat hypotension (low blood pressure) that may occur due to causes such as sepsis (infection). It works by constricting blood vessels and increasing the pumping force of the heart. It may be used to revive a patient with cardiac arrest.
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General Information

The content is shown in English
Norad 4mg Injection image
Norad 4mg Injection image

Product introduction

Norad 4mg Injection is administered under the supervision of a doctor. Your doctor will decide the dose and duration of the medicine for you. The doctor may closely monitor your blood pressure and heart rate till you become stable. You should continue all your other medicines that are advised by the doctor for your long-term treatment even after this injection. Your doctor may advise regular monitoring of blood pressure.


It may cause side effects like high blood pressure, headache, and insomnia (difficulty in sleeping). You must inform the doctor if you are suffering from diabetes, liver, heart, or kidney disease. Also, let your doctor know about all the other medications that you are using regularly. This medicine is not usually recommended during pregnancy or breastfeeding, so always consult your doctor before taking it.

Uses of Norad Injection

  • Treatment of Low blood pressure

Benefits of Norad Injection

Treatment of Low blood pressure
Norad 4mg Injection is used to normalise decreased blood pressure (hypotension) which may occur all of a sudden during an operation, severe infection (sepsis) or due to an emergency condition (cardiac arrest). This medicine helps to bring back the blood pressure within normal range and therefore prevents any sudden fall or even serious complications that might have otherwise followed due to low blood pressure.

Side effects of Norad Injection

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Norad
  • Systemic hypertension (high blood pressure)
  • Headache
  • Restlessness
  • Insomnia (difficulty in sleeping)
  • Palpitations
  • Tremors

How to use Norad Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Norad Injection works

Norad 4mg Injection works by tightening (constricting) blood vessels and increasing the pumping force of the heart, which raises blood pressure and improves blood flow to vital organs.

All substitutes for Norad 4mg Injection

For information purposes only. Consult a doctor before taking any medicine.

Quick tips

  • Norad 4mg Injection is used in a monitored hospital setting only and should not be self-administered at home.
  • Inform your doctor or a nurse immediately if you notice pain, burning, or a color change at the infusion site.
  • During infusion, your doctor will continuously monitor blood pressure, heart rate, and the site of infusion.
  • Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.

Safety advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Norad 4mg Injection. Please consult your doctor.
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
Norad 4mg Injection is not recommended during pregnancy as there is positive evidence of fetal risk based on animal studies. However, it may still be prescribed by a doctor in situations where the benefits outweigh the risks.
Breast feeding

Breast feeding

CONSULT YOUR DOCTOR
Information regarding the use of Norad 4mg Injection during breastfeeding is not available. Please consult your doctor.
Driving

Driving

CONSULT YOUR DOCTOR
It is not known whether Norad 4mg Injection alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor.
Kidney

Kidney

CONSULT YOUR DOCTOR
There is limited data available on the use of Norad 4mg Injection in patients with kidney disease. Please consult your doctor.
Liver

Liver

CONSULT YOUR DOCTOR
There is limited data available on the use of Norad 4mg Injection in patients with liver disease.

Interaction with drugs

Taking Norad with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Severe

Tranylcypromine (Oral Route)

Do not consume Tranylcypromine with Norepinephrine. If concurrent use is essential, please confirm with your doctor.
Moderate

Metoprolol Succinate (Oral Route)

Your doctor may monitor your treatment and adjust the doses as per the observations. Metoprolol Succinate may reduce efficacy of Norepinephrine.
Moderate

Nebivolol (Oral Route)

Your doctor may monitor your treatment and adjust the doses as per the observations. Nebivolol may reduce efficacy of Norepinephrine.
Moderate

Labetalol (Injection Route)

Your doctor may monitor your treatment and adjust the doses as per the observations. Labetalol may reduce efficacy of Norepinephrine.
Moderate

Carvedilol (Oral Route)

Your doctor may monitor your treatment and adjust the doses as per the observations. Carvedilol may reduce efficacy of Norepinephrine.

Frequently asked questions

Norad 4mg Injection is used to quickly raise dangerously low blood pressure in emergencies, such as severe infections (septic shock), major blood loss, or serious heart problems where blood pressure drops to unsafe levels.
The intensive‑care team (doctors and critical‑care nurses) continuously adjust the dose of Norad 4mg Injection based on your blood pressure and heart monitoring. The drip is turned up or down minute‑by‑minute to keep your blood pressure high enough to supply your organs, but not higher than necessary.
When given intravenously, Norad 4mg Injection starts working within minutes and reaches a steady effect very quickly. Because the effect is so fast, staff keep very close watch on your blood pressure, heart rhythm, and urine output while you are on the drip.
Norad 4mg Injection squeezes blood vessels to raise pressure, but it does not replace lost blood volume or fluids. That is why doctors give IV fluids first and then add Norad 4mg Injection if your pressure is still too low, so that both blood volume and vessel tone are corrected.<br>
No, Norad 4mg Injection is strictly a short‑term, emergency medicine used only while you are critically ill and being closely monitored. Once the underlying problem (like infection or bleeding) is controlled and your blood pressure stabilizes, the team slowly reduces and stops the drip.<br>
If Norad 4mg Injection accidentally leaks outside the vein into the surrounding tissue, it can cut down blood flow to that area and damage the skin. Nurses regularly inspect the IV site for pain, swelling, or color change and will move the line if there is any concern.

Fact Box

Chemical Class

Catechols

Habit Forming

No

Therapeutic Class

CARDIAC

Action Class

Sympathomimetic Agents

References

  1. Westfall TC, WestfallIn DP. Adrenergic Agonists and Antagonists. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 287-88.
  2. Teerlink JR, Sliwa K, Opie LH. Heart Failure. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. p. 180.
  3. Biaggioni I, Robertson D. Adrenoreceptor Agonists & Sympathomimetic Drugs. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 139.
  4. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1001-1002.
  5. Norepinephrine [EMC SmPC]. Chambray-lès-Tours, France: DELPHARM Tours; 2018. [Accessed 20 Mar. 2019] (online) Available from:
  6. Norepinephrine Bitartrate [Prescribing Information]. Lake Forest, Illinois: Hospira, Inc.; 2007. [Accessed 20 Mar. 2019] (online) Available from:
  7. Norepinephrine Bitartrate Injection [Prescribing Information]. Caledon, Ontario: The J. Molner Company Inc.; 2023.
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User feedback

Decreased blood pressure
100%
Excellent
67%
Average
22%
Poor
11%
Insomnia (difficulty in sleeping)
27%
Palpitations
18%
Restlessness
18%
Systemic hypertension (high blood pressure)
18%
No Side Effect
9%
With food
50%
With or without food
50%
Average
44%
Not Expensive
33%
Expensive
22%
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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Neon Laboratories Ltd
Address: 140, Damji Samji Industrial Complex, Mahakali Caves Rd., Andheri(East), Mumbai-93.

Vendor Details

Country of origin: India
A licensed vendor partner from your nearest location will deliver Norad 4mg Injection. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India
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