FDA-filed SPL labeling · retrieved through openFDA

Desmopressin

Desmopressin is a synthetic hormone used to reduce excess urination caused by central diabetes insipidus and to manage bedwetting in children.

Brand names DdavpStimateNoctivaNocdurnaDesmoda
Drug classes Factor Viii Activator
Rx Forms 5 Routes Oral · Intravenous, Subcutaneous · Intravenous · Nasal +2
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 14 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

At a glance
Linked label effectiveFeb 3, 2021
Clinical labels in scope 14
AvailabilityRx
Earliest approval/marketing year 1978
FDA-listed product records 160
Boxed warningNone found in compared labels
How we combine label and product data →
Other forms & routes:
Desmopressin at a glance The quick version — the full detail is in the Patient Information Guide below.
💊
HelloPharmacist Editorial Team Bottom Line
Desmopressin is an effective, well-established medication for controlling excess urination from central diabetes insipidus and bedwetting — but it requires careful attention to fluid intake. The biggest risk is drinking too much water while on it, which can dangerously lower sodium levels. Work closely with your prescriber, stick to recommended fluid limits, and know the warning signs of low sodium.

📖 Desmopressin: Patient Information Guide

A plain-language walkthrough of Desmopressin — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.

🎯What it's used for

Desmopressin is approved to treat:

  • Central diabetes insipidus — including cases triggered by head trauma or pituitary surgery
  • Primary nocturnal enuresis (bedwetting) — used alone or with behavioral strategies
⚙️How it works

Desmopressin is a synthetic (lab-made) copy of the body's natural antidiuretic hormone (ADH), also called arginine vasopressin. It latches onto V2 receptors in the kidneys, telling them to pull more water back into the body rather than sending it out as urine. This reduces urine volume, concentrates the urine, and restores better fluid balance.

Compared to natural ADH, desmopressin has been structurally modified to last longer in the body and to act more selectively on the kidneys — with much less effect on blood vessels. That means it can control urine output without causing significant changes in blood pressure at typical doses.

💊How it's taken

Desmopressin tablets are taken by mouth, usually two to three times daily. The dose is always individualized — your prescriber will start low and adjust based on how your body responds.

  • Food effect: A high-fat meal can sharply reduce absorption, so take it consistently with or without food as directed
  • Fluid restriction: Limiting fluid intake is required — your prescriber will advise on how much
  • Switching from nasal spray: If you were on intranasal desmopressin, your doctor will guide the transition timing

Never adjust your dose on your own. Regular check-ins with your prescriber help make sure the dose stays right for you.

🤒Side effects — in detail

The most commonly reported side effects include:

  • Headache
  • Nausea or vomiting
  • Dizziness
  • Abdominal cramps
  • Swelling (edema)
  • Fatigue
  • High blood pressure
  • Flushing or sweating

Serious reactions to watch for include signs of low sodium (confusion, unusual weight gain, nausea, headache, or seizures), difficulty urinating, or signs of a severe allergic reaction (trouble breathing, facial swelling). These need prompt medical attention.

⚠️Warnings & precautions
  • Hyponatremia (low sodium): The most serious risk. Drinking too much fluid while on desmopressin can dilute sodium levels to dangerous or even fatal levels. Watch for headache, nausea, confusion, unusual weight gain, or seizures — and seek care immediately if these occur.
  • Fluid retention: Can worsen heart failure or high blood pressure. Patients with these conditions need close monitoring.
  • Illness interruptions: Stop desmopressin temporarily during vomiting, diarrhea, fever, or extreme heat/exercise — these situations can rapidly disrupt fluid and sodium balance.
  • Psychogenic polydipsia: People who habitually drink large amounts of water are at especially high risk of water intoxication on this drug.
  • Allergic reactions: Anaphylaxis has been reported with other desmopressin formulations.
🔀What it interacts with

Several medications can increase the risk of dangerously low sodium when combined with desmopressin — your sodium levels should be monitored more often if you take any of these:

  • Antidepressants (SSRIs or tricyclics) — raise hyponatremia risk
  • Thiazide diuretics (certain blood pressure/water pills) — increase risk of water retention and low sodium
  • NSAIDs (like ibuprofen, naproxen) — can worsen sodium imbalance
  • Carbamazepine or lamotrigine (seizure medications) — increase hyponatremia risk
  • Chlorpromazine (antipsychotic) — raises water intoxication risk
  • Opioid pain medications — can worsen low sodium
  • Chlorpropamide (a diabetes drug) — increases hyponatremia risk
  • Other vasoconstrictors (blood-vessel-narrowing drugs) — may raise blood pressure when combined with desmopressin

This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.

📋Before taking it
  • History of low sodium (hyponatremia): Do not take desmopressin — it is contraindicated
  • Moderate to severe kidney disease (creatinine clearance below 50 mL/min): Do not take — the drug builds up and the risk of serious side effects is too high
  • Heart failure or uncontrolled high blood pressure: Use with caution; fluid retention can worsen these conditions
  • History of urinary retention: Not recommended
  • Children: Fluid restriction is especially important; they are at higher risk of hyponatremia
  • Older adults: Kidney function declines with age, increasing drug exposure — dose selection should be careful and kidney function monitored
  • Cystic fibrosis, kidney disorders, or other fluid/electrolyte conditions: Need more frequent sodium monitoring
  • Pregnancy: Available data have not shown increased birth defect risk, but discuss with your doctor — untreated central diabetes insipidus in pregnancy carries its own risks
🚑If you take too much

Taking too much desmopressin can cause confusion, drowsiness, persistent headache, difficulty urinating, and rapid weight gain from fluid buildup. There is no specific antidote. If an overdose is suspected, the dose should be reduced or stopped, and the person watched closely and treated for symptoms. Contact a poison control center or emergency services right away.

📡Pharmacodynamics — effects in the body

Desmopressin's main measurable effect in central diabetes insipidus is a significant reduction in urine output, an increase in urine concentration (osmolality), and a decrease in the concentration of the blood (plasma osmolality). The antidiuretic effect begins within about one hour of taking a tablet and reaches its peak effect at roughly four to seven hours. These effects allow most patients to sleep through the night and return to a more normal daily routine with fewer bathroom trips.

🔬Pharmacokinetics — how your body processes it

When taken orally, desmopressin is absorbed slowly and has very low bioavailability — only about 0.16% of the dose reaches the bloodstream, compared to an intravenous dose. A high-fat meal can reduce peak blood levels by about 72% and overall exposure by 64%, so meal timing matters. The drug's elimination half-life (how long it takes the body to clear half the dose) is about 3.6 hours under normal conditions, but this stretches significantly in people with kidney impairment — reaching up to 8.7 hours in severe cases. Desmopressin is eliminated mainly through the kidneys, which is why reduced kidney function raises drug exposure and risk.

📦How to store it

Store at Controlled Room Temperature 20 to 25°C (68 to 77°F) . Keep out of the reach of children.

📄 Written from Desmopressin’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →

17

Supplements & herbs that interact with Desmopressin

17 supplements and herbal products have documented interactions with Desmopressin in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.

Severity mix
  • Major · 1
  • Moderate · 7
  • Minor · 9
Every supplement checked against Desmopressin — ranked by severity The full interaction hub: 1 major · 7 moderate · 9 minor · every one linked to its full report. Check Desmopressin against your exact supplements

Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.

🩺 Pharmacist Counseling Corner

Quick, plain-English answers to the questions patients ask most about Desmopressin — the kind of thing our pharmacy team would talk through with you at the counter.

What exactly is this medication doing for me — why do I need it?
Your body normally makes a hormone that tells your kidneys to hold onto water so you don't lose too much in your urine. With central diabetes insipidus, your body isn't making enough of that hormone, so your kidneys release way too much water and you end up running to the bathroom constantly. Desmopressin steps in as a replacement — it sends the same signal to your kidneys, so they hold onto water the way they're supposed to. For bedwetting, it works the same way: it reduces urine production at night so your bladder doesn't overflow while you sleep.
Should I take it with food or on an empty stomach?
This one matters more than you might think. A high-fat meal can cut the amount of desmopressin your body absorbs by a significant amount. Your prescriber will advise you on the best approach for you — the key thing is to be consistent. If you take it before a meal one day, try to do the same every day, so the drug behaves predictably.
What are the warning signs I should call about right away?
The biggest risk with desmopressin is low sodium in your blood, which can happen if you drink more fluid than your body can handle while the drug is working. Watch for sudden headache, nausea, unusual weight gain, confusion, or feeling very off — these can be early signs. In serious cases it can cause seizures or loss of consciousness, which is a 911 situation. Also call your doctor if you're having trouble urinating or noticing significant swelling.
Do I need to limit how much I drink while on this medication?
Yes — and this is really important. Because desmopressin reduces how much urine your body makes, drinking too much fluid can cause it to build up in your body and dilute the sodium in your blood to dangerous levels. Your prescriber will give you guidance on how much fluid is safe. Children and older adults need to be especially careful about this.
Are there other medications I should watch out for?
Quite a few, actually. Certain antidepressants (including SSRIs and older tricyclic types), ibuprofen and similar pain relievers, some blood pressure pills called thiazide diuretics, and certain seizure medications can all raise the risk of low sodium when combined with desmopressin. Make sure your prescriber and pharmacist know everything you're taking — including over-the-counter drugs — so they can keep an eye on your sodium levels if needed.
What should I do if I get sick with vomiting or diarrhea while taking this?
Stop the medication temporarily and contact your prescriber. Illnesses that cause vomiting, diarrhea, or fever can quickly throw off your fluid and sodium balance, and continuing desmopressin during those times increases the risk of a dangerous sodium drop. The same goes for very hot weather or heavy exercise that causes you to drink much more water than usual. Your doctor will tell you when it's safe to restart.
Is Desmopressin available over the counter?
Desmopressin is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.
When was Desmopressin first available?
Desmopressin has been available in the United States since at least 1978, based on FDA approval history (Drugs@FDA) and product marketing records.
Who makes Desmopressin?
Desmopressin is supplied by 52 manufacturers listed in the FDA NDC Directory, including Piramal Pharma Limited, Remedyrepack Inc., Apotex Corp..

💬 Answers drafted from Desmopressin’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →

🧰 Keep exploring

💊 How Desmopressin comes

Desmopressin is available in 5 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Tablet

By mouth
Brands Ddavp
Available strengths 2 strengths
58 FDA-listed product records

Injection

Into a vein · Under the skin
Brands Ddavp
Available strengths 2 strengths
50 FDA-listed product records

Nasal spray

In the nose
Brands Stimate
Available strengths 3 strengths
13 FDA-listed product records

Sublingual tablet

Under the tongue
Brands Nocdurna
Available strengths 2 strengths
6 FDA-listed product records

Oral solution

By mouth
Brands Desmoda
Available strengths 1 strength
1 FDA-listed product record

📊 Desmopressin across the U.S. market

How Desmopressin appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

5
Dose forms
52
Manufacturers
5
Brand names
160
FDA-listed product records
1978
First marketed

FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

Also listed with the FDA, not a patient dose form: Powder (32) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

Piramal Pharma Limited11%
Remedyrepack Inc.6%
Apotex Corp.6%
Ferring Pharmaceuticals Inc.6%
American Health Packaging5%
UBI Pharma Inc.5%
Other makers61%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

📈 How widely Desmopressin is used

A general measure of how commonly Desmopressin is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

Think of this as a proxy for how widely Desmopressin is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

357,369
Medicaid prescriptions filled (Q1–Q4 2025)
$13.6M gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Desmopressin prescribed? Of the 1,596 medications we measure, Desmopressin ranks #299 by Medicaid prescriptions — more than 81% of them.

Where Desmopressin ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

Utilization by Desmopressin product

Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.

The 0.2 mg oral tablet is the most-dispensed Desmopressin product — about 73% of these Medicaid prescriptions.

desmopressin acetate 0.2 MG Oral Tablet Most dispensed

259,634 Medicaid prescriptions (Q1–Q4 2025) 73% of Desmopressin prescriptions shown $8.9M gross reimbursement (before rebates) ≈ $34 per prescription (gross)

Summed across the 7 of 33 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 833008

desmopressin acetate 0.1 MG Oral Tablet

81,884 Medicaid prescriptions (Q1–Q4 2025) 23% of Desmopressin prescriptions shown $2.3M gross reimbursement (before rebates) ≈ $29 per prescription (gross)

Summed across the 5 of 26 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 849515

desmopressin acetate 0.01 MG/ACTUAT Nasal Spray

14,664 Medicaid prescriptions (Q1–Q4 2025) 4% of Desmopressin prescriptions shown $1.9M gross reimbursement (before rebates) ≈ $127 per prescription (gross)

Summed across the 3 of 9 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 849506

desmopressin acetate 0.004 MG/ML Injectable Solution

930 Medicaid prescriptions (Q1–Q4 2025) <1% of Desmopressin prescriptions shown $384,350 gross reimbursement (before rebates) ≈ $413 per prescription (gross)

Summed across the 5 of 21 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 849501

1 ML desmopressin acetate 0.004 MG/ML Injection

257 Medicaid prescriptions (Q1–Q4 2025) <1% of Desmopressin prescriptions shown $67,811 gross reimbursement (before rebates) ≈ $264 per prescription (gross)

Summed across the 6 of 26 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1723232

Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.

Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Desmopressin, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 26 of 115 listed Desmopressin NDCs with Medicaid activity.

🔍 Compare Desmopressin products

A representative set of FDA-listed product records for Desmopressin — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Showing 160 of 160 products — FDA National Drug Code Directory. See every product, package size and price: browse all 160 Desmopressin NDCs →

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Desmopressin RxCUI 3251 8 dose forms · 12 strengths
  1. Dose form (SCDF) Injectable Solution RxCUI 371714 In current FDA listings
    Clinical drug / strength (SCD) acetate 0.004 MG/ML RxCUI 849501
  2. Dose form (SCDF) Metered Dose Nasal Spray RxCUI 1797858 In current FDA listings
    Clinical drug / strength (SCD) acetate 0.00083 MG/ACTUAT RxCUI 1874124 acetate 0.00166 MG/ACTUAT RxCUI 1874132 acetate 0.15 MG/ACTUAT RxCUI 1797859
  3. Dose form (SCDF) Nasal Solution RxCUI 371715 In current FDA listings
    Clinical drug / strength (SCD) acetate 0.1 MG/ML RxCUI 849520
  4. Dose form (SCDF) Nasal Spray RxCUI 374371 In current FDA listings
    Clinical drug / strength (SCD) acetate 0.01 MG/ACTUAT RxCUI 849506
  5. Dose form (SCDF) Oral Solution RxCUI 2738080 In current FDA listings
    Clinical drug / strength (SCD) acetate 0.05 MG/ML RxCUI 2738083
  6. Dose form (SCDF) Oral Tablet RxCUI 371716 In current FDA listings
    Clinical drug / strength (SCD) acetate 0.1 MG RxCUI 849515 acetate 0.2 MG RxCUI 833008
  7. Dose form (SCDF) Sublingual Tablet RxCUI 2048571 In current FDA listings
    Clinical drug / strength (SCD) acetate 0.0277 MG RxCUI 2048716 acetate 0.0553 MG RxCUI 2048720

Look up RxCUI 3251 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

🏷️ Sold under these brand names

Ddavp Stimate Noctiva Nocdurna Desmoda

🏭 Manufacturers & labelers

Piramal Pharma Limited 17 Remedyrepack Inc. 9 Apotex Corp. 9 Ferring Pharmaceuticals Inc. 9 American Health Packaging 7 UBI Pharma Inc. 7 Nordic Pharma, Inc. 7 Amring Pharmaceuticals Inc. 7 BluePoint Laboratories 6 Sagent Pharmaceuticals 4 Antares Pharma, Inc. 4 Kvk-tech, Inc. 4 Glenmark Pharmaceuticals Inc.,USA 4 Bryant Ranch Prepack 4 Actavis Pharma, Inc. 3 Sun Pharmaceutical Industries, Inc. 3 Bauch & Lomb Incorporated 3 Aurobindo Pharma Limited 3 Meitheal Pharmaceuticals Inc. 2 The J. Molner Company LLC 2 PolyPeptide Laboratories (Sweden) AB 2 XGen Pharmaceuticals DJB, Inc. 2 Oceanside Pharmaceuticals 2 Sun Pharmaceutical Industries Limited 2

…and 16 more on the FDA NDC directory.

RxNorm drug class

Desmopressin belongs to the Vasopressin Analog class.

Pharmacologic class Vasopressin Analog, Factor VIII Activator
Drug family (ATC) Vasopressin and analogues

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

🔬 Where this comes from

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Feb 3, 2021
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Desmopressin.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Desmopressin after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
14
NDC products indexed
160
Distinct labelers/manufacturers represented
52
Linked representative label
Ferring Pharmaceuticals Inc.
Linked label effective
Feb 3, 2021
Composite sections available
23
Linked SPL Set ID
6d55baa9-2b62-469c-93ae-3909ab249332
Linked SPL Document ID
b9b4ef01-a1ed-4ab1-8584-090679f94c85
Open the linked representative label on DailyMed ↗

How we combine label and product data

HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 14 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.

For canonical ingredient pages, bounded product-attributed indication and administration excerpts may be added to the AI evidence, and the generator is instructed to preserve available product, brand, route, and form qualifiers instead of treating one label as universal. Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Ferring Pharmaceuticals Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.

This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.