Product image of Inspra (Eplerenone) supplied by GNH India

Inspra

Active Ingredient:
Eplerenone
Origin:
EU

Inspra (Eplerenone)

Eplerenone, the active ingredient in Inspra, is an aldosterone antagonist presented as a tablet for oral use. It treats hypertension and heart failure, including post‑myocardial infarction, in adult patients.

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

Manufacturer / TM Owner

Pb Pharma Gmbh

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Indications & Clinical Uses

Inspra is an aldosterone antagonist used in cardiovascular conditions where excess mineralocorticoid activity contributes to disease.

  • Hypertension: lowers blood pressure by reducing sodium retention.
  • Heart failure: improves survival and reduces hospital admissions.
  • Post‑myocardial infarction heart failure: decreases risk of cardiovascular death.
  • Left ventricular dysfunction: reduces cardiovascular mortality.

How It Works

  • Eplerenone selectively blocks the mineralocorticoid (aldosterone) receptor in the distal nephron, inhibiting aldosterone‑mediated sodium reabsorption and potassium excretion. This leads to natriuresis, modest diuresis, and a reduction in extracellular fluid volume, thereby lowering blood pressure and decreasing cardiac workload.

Side Effects

Common Side Effects

  • Hyperkalaemia: elevated serum potassium levels.
  • Dizziness: sensation of light‑headedness.
  • Headache: mild to moderate cranial pain.
  • Fatigue: reduced energy or tiredness.
  • Gastrointestinal discomfort: nausea, abdominal pain or dyspepsia.
  • Increased serum creatinine: mild rise in renal markers.

Serious or Rare Side Effects

  • Severe hyperkalaemia: potentially life‑threatening potassium excess.
  • Renal failure: marked decline in kidney function.
  • Angioedema: swelling of face, lips or airway.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Allergic reactions: rash, pruritus or anaphylaxis.
  • Severe hypotension: dangerous drop in blood pressure.

Precautions & Warnings

Before initiating therapy, clinicians should assess relevant clinical factors and monitor patients regularly.

  • Monitor serum potassium: check levels at baseline and periodically.
  • Assess renal function: evaluate creatinine and eGFR before and during treatment.
  • Use caution in diabetes: heightened risk of hyperkalaemia.
  • Avoid in severe hepatic impairment: limited safety data.
  • Contraindicated in existing hyperkalaemia: do not prescribe if potassium >5.0 mmol/L.
  • Store at ambient temperature: keep below 25°C, protect from moisture.

Avoid Interactions

Eplerenone may interact with several drug classes; careful review is required.

Major Interactions (Avoid)

  • ACE inhibitors: additive potassium increase.
  • Angiotensin II receptor blockers (ARBs): risk of hyperkalaemia.
  • Potassium supplements or salt substitutes: may cause dangerous potassium elevation.

Moderate Interactions (Monitor Closely)

  • NSAIDs: can impair renal function and raise potassium.
  • Digoxin: altered serum levels may occur.

Frequently Asked Questions

Inspra, containing eplerenone, is prescribed for hypertension, heart failure (including after a myocardial infarction), and for reducing cardiovascular mortality in patients with left ventricular dysfunction. It is used when controlling excess aldosterone activity is clinically indicated.

Eplerenone selectively blocks aldosterone receptors in the distal tubules of the kidney. By preventing aldosterone from promoting sodium reabsorption and potassium excretion, it encourages sodium loss, modest diuresis, and potassium retention, which together lower blood pressure and lessen cardiac workload.

The specific dose of Inspra is determined by the prescribing clinician based on the individual’s medical condition, renal function, and potassium levels. Dosage adjustments are made according to therapeutic response and laboratory monitoring.

Inspra is classified as Pregnancy Category B, indicating no evidence of fetal risk in animal studies, but adequate human data are lacking. It should be used during pregnancy only if clearly needed. Breastfeeding is not recommended without medical advice, as eplerenone may pass into milk.

To order Inspra, 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 and any necessary import documentation.

Inspra (eplerenone) is more selective for the mineralocorticoid receptor than spironolactone, resulting in fewer anti‑androgenic side effects such as gynecomastia. However, both agents share similar efficacy in lowering blood pressure and improving heart‑failure outcomes, with dosing and monitoring requirements that are comparable.

Inspra tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original packaging to protect from moisture and light, and store out of reach of children.

Inspra is taken orally, usually once daily, with or without food, as directed by the prescriber. Swallow the tablet whole with a glass of water; do not crush or chew unless specifically instructed.

The most serious risks include severe hyperkalaemia, which can cause cardiac arrhythmias, and acute renal failure. Patients should be monitored for sudden drops in blood pressure, signs of angioedema, and liver function abnormalities.

Inspra is contraindicated in patients with known hypersensitivity to eplerenone, those with serum potassium levels above 5.0 mmol/L, severe renal impairment (eGFR <30 mL/min/1.73 m²), and in individuals with significant hepatic dysfunction. It should also be avoided in patients taking other potassium‑sparing agents without careful monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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