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Desmopressin acetate drops is an artificially synthesized antidiuretic incretion analog preparation that plays an important role in clinical applications. Its core component, acetic acid deamination vasopressin, is a product of structural modification of natural arginine vasopressin, deamination of cysteine at position 1, and substitution of L-arginine with D-arginine at position 8. This change enhances its antidiuretic effect, has long-lasting efficacy, and almost does not cause vasoconstriction, reducing adverse reactions. Droplet formulations are convenient for precise dosage control, especially suitable for children and patients with swallowing difficulties.
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Desmopressin Acetate COA



Desmopressin acetate drops is an artificially synthesized analogue of antidiuretic incretion, which has a wide range of applications in the medical field by simulating the mechanism of action of natural antidiuretic incretion. As a dosage form, it plays an important role in specific medical fields due to its convenient use and accurate dosage.
The main component of product is acetic acid vasopressin, which is a cyclic nine peptide obtained through chemical synthesis. Its structure is similar to natural arginine vasopressin, but the cysteine at position 1 has been deaminated and replaced with 8-D-arginine instead of 8-L-arginine. These structural changes make vasopressin acetate have stronger antidiuretic effects and longer lasting pharmacological effects in clinical applications, while producing almost no vasoconstrictive effects, thereby reducing the occurrence of adverse reactions.
Information source: ChemicalBook (Booker Chemical Network), product introduction of "Acetic acid deammonium vasopressin", published on December 25, 2025, website: https://www.chemicalbook.com/SupplyInfo_2268336.htm
Background of renal concentration function assessment
The renal concentration function refers to the ability of the kidneys to concentrate urine by increasing water reabsorption under the action of antidiuretic incretion. The assessment of renal concentration function is one of the important means for diagnosing kidney diseases, which is of great significance for judging the filtration and reabsorption function of the kidneys.
Information source:
Yaozhi Data (Yaozhi Network), "Instructions for Acetic Acid Desmopressin Tablets", the release time is not clearly marked, but the timeliness of the content is in line with current discussions, website: https://db.yaozh.com/instruct/25238981.html
39 Medication (39 Health Network), "Instructions for Acetic Acid Desmopressin Tablets (Miconazole)", published on December 31, 2025, website: https://wapypk.39.net/2035162/manual/
Background of vascular edema:
Vascular edema is a localized edema that commonly occurs in areas of loose skin, such as eyelids, lips, tongue, external genitalia, and can also occur in the gastrointestinal mucosa. During the acute phase of angioedema, severe symptoms may occur, such as laryngeal edema leading to difficulty breathing and even life-threatening situations.
Although it is not the preferred treatment for acute angioedema, it may have a certain adjuvant therapeutic effect in specific types of angioedema based on its mechanism of regulating vascular permeability and inflammatory response. For example, in hereditary angioedema (HAE), it may alleviate edema symptoms by affecting the function of endothelial cells and reducing vascular permeability. However, this application requires strict clinical evaluation and physician judgment, and there is currently a lack of large-scale clinical trial evidence to support it.
Due to the critical nature of vascular edema in the acute phase, treatment should be prompt and effective. The preferred drugs are usually adrenaline, antihistamines, and glucocorticoids. Caution should be exercised when using acetate vasopressin drops, and patient reactions should be closely monitored.
Information source (based on speculation of drug mechanism of action):
Based on multiple medical literature and drug instructions, including a description of the mechanism of action of desmopressin acetate drops in the ChemicalBook, published on December 25, 2025, website: https://www.chemicalbook.com/SupplyInfo_2268336.htm
Baidu Baike, "Deamopressin Injection", published on February 3, 2026, website: https://baike.baidu.com/item/ Deamopressin Injection/10095201
1. Background of diabetes nephrosis
Diabetes nephrosis is one of the common complications of diabetes, which can lead to kidney function damage, polyuria, nocturia and other symptoms. Polyuria not only affects the quality of life of patients, but may also exacerbate kidney function damage.
2. The principle of action of acetic acid deammonium vasopressin drops
By increasing the reabsorption of water by the renal collecting duct and reducing the excretion of urine, polyuria in patients with diabetes nephrosis can be alleviated. Its mechanism of action is similar to simulating natural antidiuretic incretion, but it has stronger antidiuretic effect and longer duration.
Information source:
39 Yaotong (39 Health Network), Application of Deamopressin Acetate Tablets in diabetes nephrosis, released on August 25, 2025 (based on the timeliness of the content), website: https://ypk.39.net/1000006202/manual/
Internet medical encyclopedia (micro medicine), Desmopressin Acetate, published on October 31, 2017 (although it is early, the description of the mechanism of action has reference value), website: https://wedic.guahao.com/word/68443
The mechanism of action in temporary diabetes insipidus after cranial surgery or pituitary injury
1. Background of temporary diabetes insipidus after cranial surgery or pituitary injury
Craniocerebral surgery or pituitary injury may lead to insufficient secretion or weakened effect of antidiuretic incretion, causing temporary diabetes insipidus. The patient presents with symptoms such as polyuria, irritability, and low specific gravity urine, which can lead to dehydration and electrolyte imbalance in severe cases.
2. Working principle
Acetate vasopressin drops, as antidiuretic incretion analogs, can supplement the deficiency of antidiuretic incretion in the body, increase the reabsorption of water by the renal collecting ducts, reduce urine excretion, and alleviate symptoms of diabetes insipidus. Its mechanism of action is similar to simulating natural antidiuretic incretion, but it has stronger antidiuretic effect and longer duration.
3. Specific application methods
The dosage for patients with temporary diabetes insipidus after cranial surgery or pituitary injury should be adjusted according to the severity of the condition and urine output. The initial appropriate dosage for adults and children is usually 0.1 milligrams per dose, three times a day, and the dosage is adjusted according to the patient's efficacy. During treatment, urinary volume, urine pervasive pressure, plasma pervasive pressure and other indicators should be closely monitored, and drinking water should be restricted to avoid adverse reactions such as water retention and hyponatremia.
4. Clinical significance
It has important value in the treatment of temporary diabetes insipidus after cranial surgery or pituitary injury. Supplementing the deficiency of antidiuretic incretion can effectively alleviate patients' polyuria symptoms, prevent dehydration and electrolyte imbalance. At the same time, the drug is easy to use and can achieve therapeutic effects by oral administration, improving patient compliance.
Information source:
Yaozhi Data (Yaozhi Network), "Instructions for Acetic Acid Desmopressin Tablets", the release time is not clearly marked, but the timeliness of the content is in line with current discussions, website: https://db.yaozh.com/instruct/25238981.html
39 Medication (39 Health Network), "Instructions for Acetic Acid Desmopressin Tablets (Yilian)", published on December 31, 2025, website: https://wapypk.39.net/manual/2001292.html
As a synthetic antidiuretic incretion analogue, desmopressin acetate drops play an important role in the evaluation of renal concentration function, the management of polyuria in diabetes nephrosis, and the temporary diabetes insipidus after craniocerebral surgery or pituitary injury. Its mechanism of action mainly simulates natural antidiuretic incretion, activates V2 receptors on the renal collecting ducts, promotes water reabsorption, thereby reducing urine excretion and increasing urine pervasive pressure.
Pharmacological action
Acetic acid deamination vasopressin is a structural analogue of natural arginine vasopressin, obtained by modifying the chemical structure of natural hormones in two ways: deamination of 1-cysteine and substitution of 8-L-arginine with 8-D-arginine.
Intravenous or subcutaneous administration of 0.3ug/kg body weight of vasopressin acetate can increase the activity of coagulation factor vIII (VIII: C) in plasma by 2-4 times; It also increases the content of Von Willebrand factor antigen (VWF: AG), but strongly and slightly less.
At the same time, tissue type plasminogen activator (t-PA) is released.
The bioavailability of subcutaneous injection is about 85% of that of intravenous injection. The maximum blood drug concentration of 0.3ug/kg body weight reaches its peak about 60 minutes after administration, with an average value of about 600pg/ml. The plasma half-life is 3-4 hours, and the hemostatic effect depends on the half-life of VIII: C in the plasma, which is about 8-12 hours.
It can shorten or normalize the bleeding time of patients with uremia, cirrhosis, congenital or drug-induced platelet dysfunction, as well as patients with long bleeding time of unknown etiology. Abnormal factor VIII in type IIB hemophilia patients can cause platelet aggregation or thrombocytopenia. The use can avoid the risk of AIDS virus or hepatitis virus infection caused by the use of factor VIII concentrate.
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