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

Iloprost Rafarm

Active Ingredient:
Iloprost
Origin:
EU

Iloprost Rafarm (Iloprost)

Iloprost, the active ingredient in Iloprost Rafarm, is a prostacyclin analog presented as an inhalation solution for inhalation use. It is indicated for the treatment of pulmonary arterial hypertension in adult patients, helping to lower pulmonary arterial pressure and improve exercise capacity.

GNH India supplies Iloprost Rafarm 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 facilitate import and distribution across multiple regions.

Manufacturer / TM Owner

Rafarm Sa.

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Indications & Clinical Uses

Iloprost is a prostacyclin analog that acts on the pulmonary vascular bed to reduce resistance and improve hemodynamics in pulmonary hypertension.

  • Pulmonary arterial hypertension: improves exercise capacity and delays disease progression.
  • Secondary pulmonary hypertension: provides vasodilation and symptom relief in patients with hypertension due to lung disease or left‑heart disease.
  • Post‑operative pulmonary hypertension: helps maintain stable pulmonary artery pressures after cardiac or lung surgery.

How It Works

  • Iloprost mimics endogenous prostacyclin (PGI2) by binding to prostacyclin (IP) receptors on pulmonary arterial smooth‑muscle cells. Activation of IP receptors stimulates adenylate cyclase, increasing cyclic AMP levels, which leads to vasodilation of pulmonary arteries and inhibition of platelet aggregation. These actions collectively lower pulmonary artery pressure and alleviate right‑ventricular strain.

Side Effects

Iloprost may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Cough: irritation of the airways leading to coughing during or after inhalation.
  • Throat irritation: discomfort or soreness in the throat.
  • Headache: mild to moderate headache episodes.
  • Flushing: warmth and redness of the face or neck.
  • Nausea: feeling of queasiness or upset stomach.

Serious or Rare Side Effects

  • Hypotension: significant drop in blood pressure that may cause dizziness.
  • Pulmonary edema: accumulation of fluid in the lungs, presenting with shortness of breath.
  • Bleeding: increased risk of hemorrhage due to platelet inhibition.
  • Severe bronchospasm: acute narrowing of the airways causing wheezing.
  • Arrhythmia: irregular heart rhythm that may require monitoring.

Precautions & Warnings

When prescribing Iloprost, clinicians should consider several precautionary measures to ensure patient safety.

  • Blood pressure monitoring: check for hypotension before and during therapy.
  • Bleeding risk assessment: evaluate patients on anticoagulants or with recent hemorrhage.
  • Respiratory status: avoid use in patients with active bronchospasm or severe asthma.
  • Liver function: monitor hepatic enzymes as metabolism may be affected.
  • Hemoptysis history: contraindicated in patients with recent coughing up blood.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Iloprost can interact with other medicines, influencing its efficacy or safety profile.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): increased risk of bleeding.
  • Other vasodilators (e.g., nitroglycerin): additive hypotensive effect.
  • Endothelin receptor antagonists (e.g., bosentan): potential for severe hypotension.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may affect renal function.
  • Beta‑blockers: may mask tachycardia signs.
  • Diuretics: can enhance electrolyte disturbances.

Frequently Asked Questions

Iloprost Rafarm is indicated for the treatment of pulmonary arterial hypertension. By dilating the pulmonary arteries, it helps lower pulmonary vascular resistance, improves exercise capacity, and can delay disease progression in adult patients with this condition.

Iloprost is a synthetic analogue of prostacyclin (PGI2). It binds to prostacyclin (IP) receptors on pulmonary arterial smooth‑muscle cells, stimulating adenylate cyclase and raising cyclic AMP levels. This cascade produces vasodilation of the pulmonary vessels and inhibits platelet aggregation, reducing pulmonary arterial pressure.

The dosing regimen for Iloprost Rafarm is individualized and must be determined by a qualified prescriber. The healthcare professional will consider the patient’s clinical status, response to therapy, and any concomitant medications before setting the appropriate inhalation schedule.

Safety data for Iloprost during pregnancy and lactation are limited. Because potential risks to the fetus or infant cannot be ruled out, the drug should be used only if the potential benefit justifies the potential risk, and it is generally avoided unless absolutely necessary.

To place an order, submit an enquiry on the Iloprost Rafarm 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 required) and import documentation.

Iloprost belongs to the prostacyclin analog class, offering inhaled delivery that targets the lungs directly and may cause fewer systemic side effects than intravenous prostacyclins. Compared with oral agents such as endothelin receptor antagonists, Iloprost provides rapid vasodilation but requires multiple daily inhalations, making adherence a key consideration.

Iloprost Rafarm should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture and direct sunlight. Do not freeze the solution, and keep the container tightly closed when not in use to maintain stability.

Iloprost Rafarm is administered by inhalation using a certified nebulizer device. The prescribed number of inhalations is typically performed several times per day, with each session lasting a few minutes. Patients should follow the device manufacturer’s instructions and the prescriber’s dosing schedule.

The most serious adverse reactions include significant hypotension, pulmonary edema, severe bronchospasm, bleeding due to platelet inhibition, and cardiac arrhythmias. Patients should be monitored for sudden drops in blood pressure, difficulty breathing, coughing up blood, or any irregular heart rhythms, and seek medical attention promptly if these occur.

Iloprost is contraindicated in patients with recent hemoptysis, active severe bronchospasm or uncontrolled asthma, and those who are hypersensitive to iloprost or any excipients in the formulation. Caution is also advised for patients with severe hepatic impairment or uncontrolled hypotension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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