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 in adult patients.

GNH India supplies Iloprost Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing products sourced from the EU market under strict quality standards and supporting regulatory compliance for importers.

Manufacturer / TM Owner

Zentiva Pharma Gmbh

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Indications & Clinical Uses

  • Iloprost acts on the prostacyclin pathway to provide vasodilatory and antiplatelet effects in pulmonary vascular disease.
  • Pulmonary arterial hypertension: improves exercise capacity and delays disease progression.
  • Digital ulcers associated with systemic sclerosis: promotes ulcer healing and reduces new ulcer formation.

How It Works

  • Iloprost selectively activates the IP (prostacyclin) receptor on vascular smooth‑muscle cells, leading to increased cyclic AMP levels. This cascade causes potent vasodilation of pulmonary arteries, inhibition of platelet aggregation, and antiproliferative effects on vascular remodeling, thereby improving hemodynamics in pulmonary arterial hypertension and supporting tissue repair in digital ulcers.

Side Effects

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

Common Side Effects

  • Cough: mild to moderate irritation of the airways.
  • Headache: transient, often resolves with continued therapy.
  • Flushing: warmth and redness of the skin.
  • Nausea: occasional gastrointestinal upset.
  • Throat irritation: discomfort during inhalation.
  • Dizziness: light‑headed sensation, usually transient.

Serious or Rare Side Effects

  • Pulmonary edema: fluid accumulation in the lungs requiring immediate care.
  • Severe hypotension: marked drop in blood pressure that may cause fainting.
  • Bleeding: increased risk due to platelet inhibition.
  • Thrombocytopenia: low platelet count, potentially leading to bruising.
  • Allergic reactions: rash, itching, or anaphylaxis.
  • Chest pain: may indicate cardiac ischemia and needs urgent evaluation.

Precautions & Warnings

  • When using Iloprost, several precautionary measures should be observed to ensure safety and efficacy.
  • Dose titration: adjust according to patient tolerance and clinical response.
  • Monitoring: regularly assess blood pressure and pulmonary function.
  • Contraindications: avoid in patients with severe left‑heart disease.
  • Pregnancy: use only if potential benefit justifies risk to fetus.
  • Drug interactions: review concomitant medications for potential interactions.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

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

Major Interactions (Avoid)

  • Anticoagulants: increased risk of bleeding.
  • Epoprostenol: additive vasodilatory effect leading to severe hypotension.
  • Sildenafil: potentiation of pulmonary vasodilation may cause hypotension.

Moderate Interactions (Monitor Closely)

  • Warfarin: may require INR monitoring.
  • Bosentan: possible additive effect on pulmonary pressure.
  • Calcium channel blockers: monitor blood pressure for additive hypotensive effect.

Frequently Asked Questions

Iloprost Zentiva is an inhaled prostacyclin analog indicated for the treatment of pulmonary arterial hypertension, where it helps lower pulmonary arterial pressure and improve exercise capacity, and for the management of digital ulcers associated with systemic sclerosis, promoting ulcer healing and reducing new ulcer formation.

Iloprost selectively binds to the IP (prostacyclin) receptor on vascular smooth‑muscle cells, increasing intracellular cyclic AMP. This leads to potent vasodilation of pulmonary arteries, inhibition of platelet aggregation, and antiproliferative effects on vascular remodeling, which together improve hemodynamics in pulmonary arterial hypertension and support tissue repair in digital ulcers.

The prescribed dose of Iloprost Zentiva is individualized by the treating physician based on disease severity, patient tolerance, and response to therapy. Dosing regimens typically involve multiple inhalations per day using a nebulizer, but the exact schedule and concentration are determined by the prescriber and should not be altered without medical guidance.

The safety of Iloprost during pregnancy and lactation has not been definitively established. It should be used only if the potential benefit to the mother outweighs any possible risk to the fetus. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss risks and alternatives with their healthcare provider.

To order Iloprost Zentiva, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After submission, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements), and assist with import documentation.

Iloprost belongs to the prostacyclin analog class, similar to epoprostenol and treprostinil. Compared with epoprostenol, Iloprost is administered via inhalation, offering targeted pulmonary delivery and a lower systemic side‑effect profile. Treprostinil can be delivered subcutaneously, intravenously, or by inhalation; Iloprost’s inhaled route provides rapid onset with fewer infusion‑related complications.

Iloprost Zentiva should be stored at room temperature, below 25 °C, in its original packaging. Protect the solution from direct light, moisture, and extreme temperatures. Keep the vial tightly sealed when not in use and discard any solution that appears discolored or cloudy.

Iloprost Zentiva is administered by inhalation using a compatible nebulizer system. The patient inhales the prescribed dose through a mouthpiece or mask, typically multiple times per day as directed by the prescriber. Proper device cleaning and maintenance are essential to ensure accurate dosing and prevent contamination.

Serious risks include pulmonary edema, severe hypotension, significant bleeding due to platelet inhibition, thrombocytopenia, and rare allergic reactions such as anaphylaxis. Patients should be instructed to seek immediate medical attention if they experience sudden shortness of breath, fainting, uncontrolled bleeding, or signs of an allergic reaction.

Iloprost Zentiva is contraindicated in patients with severe left‑heart disease, uncontrolled systemic hypotension, active bleeding disorders, or known hypersensitivity to iloprost or any component of the formulation. Caution is also advised for individuals with recent myocardial infarction or unstable angina, and it should be avoided in those for whom inhalation therapy is not feasible.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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