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 provides vasodilation and inhibits platelet aggregation, helping to lower pulmonary arterial pressure in adult patients with pulmonary arterial hypertension.

GNH India supplies Iloprost Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide. The company adheres to EU quality standards and provides regulatory documentation to facilitate import and clinical use across multiple regions.

Manufacturer / TM Owner

Zentiva Pharma Uk Limited

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Indications & Clinical Uses

Iloprost is a prostacyclin analog used in the management of pulmonary arterial hypertension, a disease characterized by elevated pulmonary vascular resistance.

  • Pulmonary arterial hypertension: improves exercise capacity and delays disease progression.
  • Chronic thromboembolic pulmonary hypertension: provides vasodilation to improve hemodynamics.
  • Pulmonary hypertension secondary to interstitial lung disease: helps reduce pulmonary artery pressure.

How It Works

  • Iloprost is a synthetic analogue of prostacyclin (PGI2) that binds to prostacyclin (IP) receptors on vascular smooth‑muscle cells. Activation of these G‑protein‑coupled receptors stimulates adenylate cyclase, increasing intracellular cyclic AMP. Elevated cAMP leads to relaxation of pulmonary arterial smooth muscle, producing vasodilation, and simultaneously inhibits platelet aggregation, contributing to lowered pulmonary vascular resistance.

Side Effects

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

Common Side Effects

  • Cough: irritation of the airways leading to coughing episodes.
  • Headache: mild to moderate headache often occurring after inhalation.
  • Flushing: warmth and redness of the face or neck.
  • Nausea: feeling of stomach upset or urge to vomit.

Serious or Rare Side Effects

  • Pulmonary edema: accumulation of fluid in the lungs requiring medical attention.
  • Severe hypotension: marked drop in blood pressure that may cause dizziness or fainting.
  • Thrombocytopenia: significant reduction in platelet count increasing bleeding risk.

Precautions & Warnings

When prescribing Iloprost, clinicians should consider several precautionary measures to ensure safe use.

  • Monitor blood pressure: check for hypotension after each dose.
  • Assess bleeding risk: avoid use in patients with active bleeding or severe thrombocytopenia.
  • Evaluate pulmonary function: use cautiously in patients with severe lung disease.
  • Pregnancy and lactation: safety not established; weigh benefits against potential risks.
  • Drug interactions: review concomitant vasodilators and anticoagulants.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Combined use with other potent vasodilators: may cause severe hypotension.
  • Concurrent anticoagulants (e.g., warfarin, heparin): increased risk of bleeding.
  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): additive pulmonary vasodilation leading to hypotension.

Moderate Interactions (Monitor Closely)

  • Aspirin or other antiplatelet agents: may enhance antiplatelet effect.
  • Calcium channel blockers: possible additive blood pressure lowering.
  • Nicorandil: overlapping vasodilatory mechanisms.

Frequently Asked Questions

Iloprost Zentiva is indicated for the treatment of pulmonary arterial hypertension (PAH). By delivering a prostacyclin analogue directly to the lungs, it helps lower pulmonary arterial pressure, improves exercise capacity, and may delay disease progression in adult patients diagnosed with PAH.

Iloprost mimics the natural prostacyclin molecule and activates prostacyclin (IP) receptors on pulmonary vascular smooth‑muscle cells. This activation raises intracellular cyclic AMP, causing smooth‑muscle relaxation (vasodilation) and inhibiting platelet aggregation, which together reduce pulmonary vascular resistance.

The prescribed dose of Iloprost Zentiva is individualized by the treating physician based on the patient’s clinical condition, response, and tolerability. The prescriber determines the number of inhalations, concentration, and frequency according to current clinical guidelines and patient needs.

Safety data for Iloprost during pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. Clinicians should weigh potential benefits against possible risks and consider alternative therapies when treating pregnant or nursing women.

To request Iloprost Zentiva, submit an enquiry on the product page at gnhindia.com with 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 any cold‑chain requirements) and the necessary import documentation.

Iloprost belongs to the prostacyclin analogue class, similar to epoprostenol and treprostinil. Compared with epoprostenol, which is administered intravenously, Iloprost offers the convenience of inhalation, allowing targeted pulmonary delivery and potentially fewer systemic side effects. Treprostinil can be given by inhalation, subcutaneous or intravenous routes, providing more flexibility but also differing safety profiles.

Iloprost Zentiva should be stored at room temperature, below 25 °C, in its original packaging. Protect the solution from moisture and direct light. Do not freeze the product. Once opened, follow the manufacturer’s instructions regarding the stability period and discard any unused solution after the recommended time.

Iloprost Zentiva is administered via inhalation using a calibrated nebulizer device. The patient inhales the prescribed dose, typically multiple times per day, as directed by the healthcare provider. Proper training on the nebulizer technique is essential to ensure consistent drug delivery to the lungs.

The most serious adverse events associated with Iloprost include severe hypotension, pulmonary edema, and significant thrombocytopenia. Patients should be monitored for sudden drops in blood pressure, shortness of breath, fluid accumulation in the lungs, or unexpected bruising and bleeding, and any such symptoms should prompt immediate medical evaluation.

Iloprost Zentiva is contraindicated in patients with known hypersensitivity to iloprost or any component of the formulation. It should also be avoided in individuals with active severe bleeding, uncontrolled hypotension, or severe pulmonary edema. Caution is advised in patients with significant liver impairment or those taking other potent vasodilators.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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