Norachem 4mg Injection belongs to a class of medications called antihypotensives primarily used to treat hypotensive (low blood pressure) emergencies. Hypotension is a condition in which the blood flows through the blood vessels at lower than normal pressures. Low blood pressure symptoms include tiredness, dizziness, light-headedness, loss of consciousness, nausea, depression, blurry vision, or clammy (wet or sweaty) skin.

Norachem 4mg Injection contains Norepinephrine that works by constricting and narrowing blood vessels by acting on alpha receptors that cause muscle contractions. Thus, it increases heart rate and blood pressure.

You are advised to take Norachem 4mg Injection for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience headaches, anxiety, tremor, difficulty in breathing, vomiting, high blood pressure, or urinary retention. Most of these side effects of Norachem 4mg Injection do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

If you are allergic to Norachem 4mg Injection or any other medicines, please tell your doctor. Please consult a doctor if you are pregnant or breastfeeding before taking Norachem 4mg Injection. Norachem 4mg Injection is not recommended for children. If you have irregular heartbeats, hyperthyroidism (overactive thyroid gland), diabetes, angina pectoris (chest pain), vascular blockage in limbs or stomach, any heart problems, or if you recently had a heart attack, inform your doctor before taking Norachem 4mg Injection. If it is essential to administer Norachem 4mg Injection simultaneously as plasma or blood transfusion, plasma or blood may be administered in a separate drip.

Norachem 4mg Injection contains Norepinephrine used in the treatment of hypotensive (low blood pressure) emergencies. Norachem 4mg Injection constricts and narrows blood vessels by acting on alpha receptors that cause muscle contractions. Thus, Norachem 4mg Injection redirects blood to heart and brain by narrowing blood vessels in the extremities, which increases heart rate and blood pressure. Norachem 4mg Injection is used to restore blood pressure to normal in emergencies that require an immediate rise in blood pressure to a normal level.

• Headache
• Anxiety
• Tremor
• Difficulty in breathing
• Vomiting
• High blood pressure
• Urinary retention

If you are allergic to Norachem 4mg Injection or any other medicines, please tell your doctor. Please consult a doctor if you are pregnant or breastfeeding before taking Norachem 4mg Injection. Norachem 4mg Injection is not recommended for children. If you have irregular heartbeats, hyperthyroidism (overactive thyroid gland), diabetes, angina pectoris (chest pain) or any vascular blockage in limbs or stomach, any heart problems, or if you recently had a heart attack, inform your doctor before taking Norachem 4mg Injection. If it is essential to administer Norachem 4mg Injection at the same time as plasma or blood transfusion, plasma or blood may be administered in a separate drip. Norachem 4mg Injection is not recommended for patients suffering from low blood pressure caused by hypovolaemia (low blood volume).

Drug-Drug Interactions: Norachem 4mg Injection may interact with antidepressants (imipramine, duloxetine, venlafaxine, phenelzine, moclobemide), antibiotic (linezolid), methemoglobinemia antidote (methylene blue).

Drug-Food Interactions: Norachem 4mg Injection may interact with caffeine. Therefore, avoid or limit caffeine intake such as tea, cola, chocolate, coffee and some herbal supplements while taking Norachem 4mg Injection as it may increase the adverse effects of Norachem 4mg Injection.

Drug-Disease Interactions: If you have irregular heartbeats, hyperthyroidism (overactive thyroid gland), diabetes, angina pectoris (chest pain) or any vascular blockage in limbs or stomach, any heart problems or if you recently had a heart attack, inform your doctor before taking Norachem 4mg Injection.

• IMIPRAMINE
• DULOXETINE
• VENLAFAXINE
• PHENELZINE
• MOCLOBEMIDE
• LINEZOLID
• METHYLENE BLUE

• Eat small meals more frequently.
• Drink plenty of fluids to stay hydrated as dehydration may reduce blood volume resulting in low blood pressure.
• Include vitamin B12-rich foods such as animal meats, eggs, fortified cereals, and nutritional yeast.
• Eat foods rich in folates such as beans, asparagus, lentils, leafy greens, citrus fruits, liver, and eggs.
• Try to eat smoked fish, canned soup, pickled items, cottage cheese, and olives as salty foods can also increase blood pressure.
• Take frequent breaks if you exercise outdoors in extreme heat.
• Avoid spending a long time in hot tubs, steam rooms, and saunas to prevent dehydration.

Regular monitoring of heart rate and blood pressure are recommended while taking Norachem 4mg Injection.

Blood pressure is the measurement of the heart's force to pump blood to all parts of the body. Hypotension is a condition in which the blood flows through the blood vessels at lower than normal pressures. Low blood pressure symptoms include dizziness, tiredness, lightheadedness, loss of consciousness, nausea, depression, blurry vision, or clammy (wet or sweaty) skin. Blood pressure can be measured with the help of a blood pressure monitor or sphygmomanometer. Systolic pressure is the pressure when the heart pumps blood out. On the other hand, diastolic pressure is the pressure when your heart is at the resting stage between heartbeats. If your blood pressure is 90/60 mm of Hg, it means the systolic pressure is 90 mm of Hg and, diastolic pressure is 60 mm of Hg. Normal blood pressure lies in between 90/60 mm of Hg and 120/80 mm of Hg. If the blood pressure is 90/60 mmHg or lower, it is considered low blood pressure.