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Molecule

Angiotensin ii

Vasoconstrictor
Available on requestCold chainCardiology
Presentations
3
Brands
1
Manufacturers
1
Available from stock
0

Angiotensin ii is a vasoconstrictor. It is available as injection for intravenous use. MedsAcross supplies Angiotensin ii for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Vasoconstrictor, Vasoconstriction
ATC classification
C01CX09 Angiotensin ii · Cardiac stimulant, subgroup C01CXC09 ACE inhibitors, sartans and other renin-angiotensin medicines
US FDA first approval
21 December 2017
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous
Dosage forms
Injection
Identifiers
UNII M089EFU921CAS 4474-91-3Q412999

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

1. INDICATIONS AND USAGE GIAPREZA increases blood pressure in adults with septic or other distributive shock. GIAPREZA is a vasoconstrictor to increase blood pressure in adults with septic or other distributive shock.

Source: US FDA prescribing information

How it works

12.1. Mechanism of Action Angiotensin II raises blood pressure by vasoconstriction and increased aldosterone release. Direct action of angiotensin II on the vessel wall is mediated by binding to the G-protein-coupled angiotensin II receptor type 1 on vascular smooth muscle cells, which stimulates Ca 2+ /calmodulin-dependent phosphorylation of myosin and causes smooth muscle contraction.

Source: US FDA prescribing information

Dosing overview

2. DOSAGE AND ADMINISTRATION Dilute GIAPREZA in 0.9% sodium chloride prior to use. See Full Prescribing Information for instructions on preparation and administration of injection. Diluted solution may be stored at room temperature or under refrigeration and should be discarded after 24 hours. GIAPREZA must be administered as an intravenous infusion. Start GIAPREZA intravenously at 20 nanograms (ng)/kg/min. Titrate as frequently as every 5 minutes by increments of up to 15 ng/kg/min as needed. During the first 3 hours, the maximum dose should not exceed 80 ng/kg/min. Maintenance dose should not exceed 40 ng/kg/min. Doses as low as 1.25 ng/kg/min may be used. 2.1. Preparation Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.

Source: US FDA prescribing information

Warnings and precautions

5. WARNINGS AND PRECAUTIONS There is a potential for venous and arterial thrombotic and thromboembolic events in patients who receive GIAPREZA. Use concurrent venous thromboembolism (VTE) prophylaxis.

Source: US FDA prescribing information

Side effects

6. ADVERSE REACTIONS The most common adverse reactions reported in greater than 10% of GIAPREZA treated patients were thromboembolic events. 6.1. Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. ATHOS-3 The safety of GIAPREZA was evaluated in ATHOS-3. Patients in ATHOS-3 were receiving other vasopressors in addition to GIAPREZA or placebo, which were titrated to effect on mean arterial pressure (MAP). Table 1 summarizes adverse reactions with an incidence of at least 4% among patients treated with GIAPREZA and with a rate of at least 1.5% higher with GIAPREZA than with placebo.

Source: US FDA prescribing information

Interactions

7. DRUG INTERACTIONS Angiotensin converting enzyme (ACE) inhibitors ACE inhibitors may increase response to GIAPREZA. Angiotensin II Receptor Blockers (ARB) ARBs may reduce response to GIAPREZA. 7.1. Angiotensin Converting Enzyme (ACE) Inhibitors Concomitant use of angiotensin converting enzyme (ACE) inhibitors may increase the response to GIAPREZA. 7.2. Angiotensin II Receptor Blockers (ARB) Concomitant use of angiotensin II receptor blockers (ARBs) may decrease the response to GIAPREZA.

Source: US FDA prescribing information

Storage

GIAPREZA vials should be stored in the refrigerator between 2°C to 8°C (36°F to 46°F). Discard prepared diluted solution after 24 hours at room temperature or under refrigeration.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

3 presentations of Angiotensin ii, sorted by availability.

MedicineManufacturerRegisterAvailability
Angiotensin ii 2.5 mg/1 mL injectionIntravenous Cold chainGeneric name—US FDAAvailable on request
Giapreza 0.5 mg/1 mL injectionIntravenous Cold chainLa Jolla PharmaceuticalUS FDAAvailable on request
Giapreza 2.5 mg/1 mL injectionIntravenous Cold chainLa Jolla PharmaceuticalUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 21 December 2017Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Angiotensin ii available for export from India?

Yes, on request. MedsAcross lists 3 presentations of Angiotensin ii and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Angiotensin ii have?

The catalogue lists 1 brand names for Angiotensin ii, including Giapreza.

Is Angiotensin ii approved by the US FDA?

Yes. The US FDA first approved Angiotensin ii on 21 December 2017, according to Drugs@FDA.

Is Angiotensin ii authorised in the European Union?

Yes. Angiotensin ii has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Angiotensin ii need cold chain shipping?

At least one listed presentation of Angiotensin ii must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Angiotensin ii in?

Angiotensin ii is classified under ATC code C01CX09 (Angiotensin ii).

References

  1. Giapreza prescribing information (La Jolla Pharmaceutical). U.S. National Library of Medicine, DailyMed. Retrieved 22 July 2026
  2. Giapreza: European public assessment report (EPAR). European Medicines Agency. Retrieved 9 October 2026

Request Angiotensin ii for export supply

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