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

Iloprost Zentiva

Active Ingredient:
Iloprost
Origin:
EU

Iloprost Zentiva (Iloprost)

Iloprost, the active ingredient in Iloprost Zentiva, is a prostacyclin analog presented as an inhalation solution for inhalation use. It is indicated for the treatment of pulmonary arterial hypertension and for the management of digital ulcers associated with systemic sclerosis, providing vasodilatory and antiplatelet effects in affected patients.

GNH India supplies Iloprost Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality, regulatory compliance and reliable global logistics to meet patient needs worldwide.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

  • Iloprost acts on the prostacyclin pathway to treat severe vascular conditions.
  • Pulmonary arterial hypertension: improves hemodynamics and exercise capacity in patients with PAH.
  • Digital ulcers associated with systemic sclerosis: promotes ulcer healing and reduces pain.
  • Pulmonary hypertension (group 1): reduces pulmonary arterial pressure and vascular resistance.

How It Works

  • Iloprost is a prostacyclin receptor (IP) agonist that binds to vascular smooth‑muscle cell receptors, stimulating cyclic AMP production. This leads to potent vasodilation of pulmonary arteries, inhibition of platelet aggregation, and antiproliferative effects on vascular remodeling, thereby lowering pulmonary arterial pressure and improving blood flow.

Side Effects

Iloprost may cause a range of adverse reactions, most of which are mild to moderate.

Common Side Effects

  • Cough or throat irritation during inhalation.
  • Headache or flushing.
  • Nausea or mild abdominal discomfort.
  • Jaw or facial pain.
  • Dizziness or light‑headedness.

Serious or Rare Side Effects

  • Significant hypotension or syncope.
  • Pulmonary edema or worsening respiratory distress.
  • Severe bleeding or thrombocytopenia.
  • Life‑threatening bronchospasm.
  • Cardiac arrhythmias or myocardial ischemia.

Precautions & Warnings

  • Before initiating therapy, clinicians should consider several safety measures.
  • Monitor blood pressure: watch for hypotension, especially after dose initiation.
  • Assess bleeding risk: avoid use in patients with active hemorrhage or severe thrombocytopenia.
  • Evaluate for pulmonary infection: respiratory infections may worsen with inhaled therapy.
  • Use with caution in asthma or severe COPD: bronchospasm can be precipitated.
  • Avoid concomitant use with other potent vasodilators without supervision.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Iloprost can interact with several drug classes, requiring attention to dosing and monitoring.

Major Interactions (Avoid)

  • Concurrent prostacyclin analogs: additive vasodilatory effect may cause severe hypotension.
  • Anticoagulants or antiplatelet agents: increased risk of bleeding.
  • Potent CYP450 inhibitors (if metabolized via CYP pathways): may raise plasma levels.

Moderate Interactions (Monitor Closely)

  • Phosphodiesterase‑5 inhibitors: may enhance pulmonary vasodilation.
  • Nitrates: additive blood pressure lowering effect.
  • Other antihypertensives: monitor for excessive hypotension.
  • Smoking or environmental irritants: may reduce inhaled drug efficacy.

Frequently Asked Questions

Iloprost Zentiva is prescribed for pulmonary arterial hypertension, a severe form of high blood pressure in the lungs, and for digital ulcers that occur in patients with systemic sclerosis. In both cases, the medication works by dilating blood vessels and improving blood flow to the affected areas.

Iloprost is a synthetic analogue of prostacyclin that activates prostacyclin (IP) receptors on vascular smooth‑muscle cells. This activation raises cyclic AMP levels, causing the muscles to relax, which dilates the pulmonary arteries and inhibits platelet aggregation, thereby lowering pulmonary arterial pressure and enhancing tissue perfusion.

The dose of Iloprost Zentiva is individualized by the prescribing healthcare professional based on the patient’s condition, response, and tolerance. The prescriber determines the appropriate inhalation volume, frequency, and duration, and patients should follow the specific instructions provided by their clinician.

The safety of Iloprost Zentiva in pregnancy or while breastfeeding has not been definitively established. Healthcare providers should weigh the potential benefits against possible risks and consider alternative therapies when treating pregnant or nursing individuals.

To request Iloprost Zentiva, 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 any cold‑chain requirements), and necessary import documentation.

Iloprost belongs to the prostacyclin class, offering direct vasodilation via inhalation, which can provide rapid symptom relief. Compared with oral endothelin‑receptor antagonists or phosphodiesterase‑5 inhibitors, iloprost delivers targeted pulmonary effects with fewer systemic side effects, but requires patient training for inhalation and may cause local respiratory irritation.

Iloprost Zentiva should be stored at room temperature, below 25 °C, in its original packaging. Keep the solution away from moisture, direct sunlight, and extreme temperatures. Do not freeze the product, and ensure the inhalation device is clean and maintained according to the manufacturer’s guidelines.

Iloprost Zentiva is delivered as an inhalation solution using a specialized nebulizer. The patient inhales the medication through the mouthpiece for the prescribed duration, typically several times per day. Proper technique and device cleaning are essential to ensure accurate dosing and optimal therapeutic effect.

Serious risks include severe hypotension, pulmonary edema, life‑threatening bronchospasm, significant bleeding, and rare cardiac arrhythmias. Patients should be monitored closely for sudden drops in blood pressure, worsening respiratory symptoms, or signs of bleeding, and any concerning events should prompt immediate medical evaluation.

Iloprost Zentiva is contraindicated in patients with known hypersensitivity to iloprost or any component of the formulation, those with active bleeding disorders, severe uncontrolled hypotension, or recent major cardiovascular events. Caution is also advised for individuals with severe asthma, COPD, or other conditions that may predispose them to bronchospasm.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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