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

Iloprost

Active Ingredient:
Iloprost Trometamol
Origin:
EU

Iloprost (Iloprost Trometamol)

Iloprost, the active ingredient in Iloprost, is a prostacyclin (prostanoid) analog presented as a solution for infusion for intravenous use. It treats pulmonary arterial hypertension and related vascular conditions in adults.

GNH India supplies Iloprost as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Waymade B.V.

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Indications & Clinical Uses

Iloprost acts on the prostacyclin pathway to provide vasodilation in several vascular disorders.

  • Pulmonary arterial hypertension: improves exercise capacity and hemodynamics by dilating pulmonary arteries.
  • Digital ulcers associated with systemic sclerosis: promotes ulcer healing through enhanced blood flow and inhibition of platelet aggregation.
  • Severe peripheral arterial disease (off‑label): may improve limb perfusion and reduce ischemic pain.

How It Works

  • Iloprost is a selective agonist of the prostacyclin (IP) receptor on vascular smooth‑muscle cells and platelets. Activation of the IP receptor increases cyclic AMP, leading to potent vasodilation, inhibition of platelet aggregation, and antiproliferative effects on the vascular wall, thereby lowering pulmonary arterial pressure and improving tissue perfusion.

Side Effects

Iloprost may cause a range of adverse reactions, most of which are related to its vasodilatory properties.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Flushing: transient warmth and redness of the skin.
  • Nausea: occasional upset stomach.
  • Diarrhea: loose stools during infusion.
  • Jaw pain: discomfort in the mandibular area.
  • Hypotension: drop in blood pressure during administration.

Serious or Rare Side Effects

  • Pulmonary edema: accumulation of fluid in the lungs.
  • Severe bleeding: due to platelet inhibition.
  • Thrombocytopenia: marked reduction in platelet count.
  • Acute renal failure: sudden loss of kidney function.

Precautions & Warnings

Iloprost requires careful monitoring because of its potent vascular effects.

  • Cardiovascular monitoring: observe blood pressure and heart rate during infusion.
  • Bleeding risk: assess for active bleeding or anticoagulant therapy.
  • Renal function: evaluate kidney function before and during treatment.
  • Pregnancy and lactation: avoid use unless benefits outweigh potential risks.
  • Storage: Store at controlled room temperature (below 25°C): keep in original container, protect from light and moisture.

Avoid Interactions

Iloprost can interact with other agents that affect vascular tone or coagulation.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): additive vasodilatory effect may cause severe hypotension.
  • Anticoagulants (e.g., warfarin, heparin): increased risk of bleeding.

Moderate Interactions (Monitor Closely)

  • Calcium channel blockers: may enhance vasodilation.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): can affect renal perfusion.
  • Beta‑blockers: may blunt compensatory heart rate response.
  • Diuretics: monitor electrolytes and blood pressure.

Frequently Asked Questions

Iloprost is indicated for pulmonary arterial hypertension, digital ulcers linked to systemic sclerosis, and, in some clinical settings, severe peripheral arterial disease. It works by dilating blood vessels and inhibiting platelet aggregation, helping to improve blood flow in these vascular disorders.

Iloprost selectively activates the prostacyclin (IP) receptor on vascular smooth‑muscle cells and platelets. This activation raises cyclic AMP levels, causing vasodilation, reducing platelet aggregation, and exerting antiproliferative effects on the vessel wall, which together lower pulmonary arterial pressure and enhance tissue perfusion.

The dosage of Iloprost is individualized and set by the prescribing clinician based on the patient’s condition, response, and tolerance. Dosing regimens may vary, and the prescriber determines the infusion rate, duration, and any titration steps.

The safety of Iloprost in pregnancy and lactation has not been established. It should only be used if the potential benefits justify the possible risks to the fetus or infant, and this decision must be made by a qualified healthcare professional.

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

Iloprost belongs to the prostacyclin analog class, offering direct vasodilation via IP‑receptor activation. Compared with endothelin receptor antagonists or phosphodiesterase‑5 inhibitors, Iloprost provides a rapid, infusion‑based effect and also inhibits platelet aggregation, but requires careful monitoring for hypotension and bleeding.

Iloprost solution should be stored at controlled room temperature, below 25 °C. Keep the vial in its original packaging, protect it from light, and avoid exposure to moisture. Do not freeze the product.

Iloprost is administered as an intravenous infusion. The solution is diluted according to the prescribing information and delivered through a controlled infusion pump over a specified period, usually several minutes to hours, under medical supervision.

Serious risks include severe hypotension, pulmonary edema, significant bleeding due to platelet inhibition, and rare cases of thrombocytopenia or acute renal failure. Patients should be monitored closely for these events during and after infusion.

Iloprost is contraindicated in patients with active severe bleeding, uncontrolled hypotension, recent major surgery, or known hypersensitivity to prostacyclin analogs. Caution is also advised for individuals with severe renal impairment or those taking interacting medications such as PDE‑5 inhibitors.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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