Product image of Ilomedin (Iloprost Trometamol) supplied by GNH India

Ilomedin

Active Ingredient:
Iloprost Trometamol
Origin:
EU

Ilomedin (Iloprost Trometamol)

Iloprost trometamol, the active ingredient in Ilomedin, is a prostacyclin analog presented as an intravenous solution for use in adult patients. It is employed to treat pulmonary arterial hypertension and to promote healing of digital ulcers associated with systemic sclerosis. The drug acts by activating prostacyclin (IP) receptors, causing vasodilation and inhibition of platelet aggregation, thereby improving pulmonary blood flow.

GNH India supplies Ilomedin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support import and clinical use.

Manufacturer / TM Owner

Bayer Vital Gmbh

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Indications & Clinical Uses

Ilomedin, a prostacyclin analog, is used in the management of pulmonary vascular disease and related complications.

  • Pulmonary arterial hypertension: improves exercise capacity and reduces pulmonary vascular resistance.
  • Digital ulcers associated with systemic sclerosis: promotes ulcer healing and reduces formation of new ulcers.
  • Pulmonary hypertension related to connective‑tissue disease: helps lower pulmonary artery pressure and supports right‑ventricular function.
  • Right‑heart failure secondary to PAH: decreases afterload on the right ventricle, aiding cardiac output.

How It Works

  • Iloprost trometamol is a synthetic analogue of prostacyclin that selectively binds to the prostacyclin (IP) receptor on vascular smooth‑muscle cells. Receptor activation stimulates adenylate cyclase, increasing intracellular cyclic‑AMP, which leads to relaxation of pulmonary arterial smooth muscle and inhibition of platelet aggregation. The resulting vasodilation reduces pulmonary arterial pressure and improves microvascular blood flow.

Side Effects

Ilomedin may be associated with a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

  • Headache: mild to moderate intensity, often transient.
  • Flushing: warmth and redness of the skin.
  • Nausea: occasional upset stomach.
  • Hypotension: mild drop in blood pressure.

Serious or Rare Side Effects

  • Severe hypotension: marked blood pressure fall requiring intervention.
  • Bleeding: increased risk of hemorrhage, especially with anticoagulants.
  • Pulmonary edema: fluid accumulation in the lungs.

Precautions & Warnings

When using Ilomedin, several precautions should be observed to ensure patient safety.

  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Hepatic impairment: use with caution; observe liver enzymes.
  • Bleeding risk: avoid concomitant use with strong anticoagulants unless medically justified.
  • Pregnancy: limited data; prescribe only if benefits outweigh potential risks.
  • Hypotension: monitor blood pressure during initiation and dose titration.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Ilomedin can interact with other medicines; awareness of the interaction level helps guide clinical decisions.

Major Interactions (Avoid)

  • Nitrates (e.g., nitroglycerin): additive vasodilation may cause severe hypotension.
  • Anticoagulants (e.g., warfarin, heparin): increased risk of bleeding.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers: may enhance hypotensive effect.
  • Epoprostenol: combined prostacyclin therapy can amplify vasodilatory response.
  • Nonsteroidal anti‑inflammatory drugs: may affect renal clearance of iloprost.

Frequently Asked Questions

Ilomedin is indicated for the treatment of pulmonary arterial hypertension, where it helps lower pulmonary arterial pressure and improve exercise capacity, and for digital ulcers associated with systemic sclerosis, where it promotes ulcer healing and reduces the occurrence of new ulcers.

Iloprost trometamol is a prostacyclin analogue that activates prostacyclin (IP) receptors on vascular smooth‑muscle cells. This activation raises cyclic‑AMP levels, causing vasodilation of pulmonary arteries and inhibiting platelet aggregation, which together improve blood flow in the lungs and peripheral tissues.

The dose of Ilomedin is individualized and set by the prescribing physician based on the patient's clinical condition, severity of disease, and response to therapy. Dosing regimens are adjusted during treatment to achieve the desired hemodynamic effect while minimizing adverse reactions.

Safety data for Ilomedin in pregnancy and lactation are limited. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and the decision should be made by the treating physician in consultation with the patient.

To order Ilomedin, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain logistics if needed) and required import documentation.

Ilomedin belongs to the prostacyclin analogue class, similar to epoprostenol and treprostinil. Compared with epoprostenol, Ilomedin has a longer half‑life, allowing less frequent dosing, and may be associated with a slightly lower incidence of flushing. Choice of agent depends on patient tolerance, delivery system, and physician preference.

Ilomedin should be stored at 2‑8 °C in a refrigerator, protected from light. Do not freeze the solution or shake it vigorously. Keep the product in its original packaging until use to maintain stability and sterility.

Ilomedin is administered by intravenous infusion, usually through a central or peripheral line. The infusion rate is titrated by the healthcare professional according to the patient’s hemodynamic response and tolerance, with continuous monitoring of blood pressure and clinical status.

The most serious risks include severe hypotension, which can lead to syncope or organ hypoperfusion, significant bleeding especially when combined with anticoagulants, and pulmonary edema. Patients should be monitored closely for these events, and therapy should be adjusted or discontinued if they occur.

Ilomedin is contraindicated in patients with known hypersensitivity to iloprost or any component of the formulation, in those with uncontrolled severe hypotension, and in individuals with active bleeding disorders unless the benefits outweigh the risks. Caution is also advised in patients with severe hepatic or renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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