Product image of Inspra (Eplerenone) supplied by GNH India

Inspra

Active Ingredient:
Eplerenone
Origin:
EU

Inspra (Eplerenone)

Eplerenone, the active ingredient in Inspra, is a mineralocorticoid receptor antagonist presented as an oral tablet for oral use. It is employed to manage high blood pressure and certain forms of heart failure, particularly in patients who benefit from aldosterone blockade.

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

Manufacturer / TM Owner

Upjohn Eesv

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Indications & Clinical Uses

Inspra, a selective aldosterone receptor antagonist, is used in conditions where excess mineralocorticoid activity contributes to disease.

  • Hypertension: lowers blood pressure by promoting sodium excretion and reducing fluid volume.
  • Heart failure (reduced ejection fraction): improves cardiac remodeling and decreases mortality.
  • Post‑myocardial infarction heart failure: reduces the risk of cardiovascular death and hospitalization.

How It Works

  • Eplerenone selectively binds to mineralocorticoid receptors in the distal nephron, blocking aldosterone‑mediated sodium reabsorption. This antagonism leads to natriuresis, modest diuresis, and potassium retention, thereby decreasing extracellular fluid volume and blood pressure while providing cardioprotective effects in heart failure.

Side Effects

Eplerenone may cause a range of adverse reactions, most of which are dose‑related and reversible upon discontinuation.

Common Side Effects

  • Hyperkalaemia: elevated serum potassium levels.
  • Hyponatraemia: low sodium concentration.
  • Dizziness or light‑headedness.
  • Headache.
  • Fatigue.
  • Gastrointestinal discomfort.

Serious or Rare Side Effects

  • Severe hyperkalaemia leading to cardiac arrhythmia.
  • Acute kidney injury.
  • Allergic reactions such as rash or angioedema.
  • Hepatic dysfunction.
  • Gynecomastia (rare).
  • Hormonal disturbances affecting menstrual cycles.

Precautions & Warnings

Before initiating Inspra, clinicians should assess renal function, electrolyte status, and concomitant medications that affect potassium.

  • Renal impairment: adjust dose or avoid if severe.
  • Hyperkalaemia risk: monitor serum potassium regularly.
  • Concomitant potassium‑sparing diuretics: avoid combined use.
  • Pregnancy: use only if benefits outweigh risks.
  • Breastfeeding: consider potential exposure to infant.
  • Drug‑induced electrolyte shifts: correct abnormalities before starting.
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Eplerenone interacts with several drug classes that influence potassium balance or renal clearance.

Major Interactions (Avoid)

  • Potassium supplements or potassium‑sparing diuretics: may cause dangerous hyperkalaemia.
  • ACE inhibitors or ARBs: synergistic increase in potassium levels.
  • Cyclosporine: reduces eplerenone clearance, raising exposure.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may impair renal function, affecting potassium handling.
  • Digoxin: increased risk of toxicity when hyperkalaemia occurs.
  • Lithium: altered lithium clearance, requiring level monitoring.

Frequently Asked Questions

Inspra, containing the active ingredient eplerenone, is prescribed for managing hypertension and for treating heart failure, especially when the condition involves reduced ejection fraction or follows a myocardial infarction. It works by blocking aldosterone, helping to lower blood pressure and improve cardiac outcomes.

Eplerenone selectively blocks mineralocorticoid receptors in the kidney’s distal tubules, preventing aldosterone from promoting sodium reabsorption. This results in increased excretion of sodium and water, retention of potassium, and a reduction in blood volume, which together lower blood pressure and provide protective effects in heart failure.

The appropriate dose of Inspra is determined by the prescribing healthcare professional based on the individual’s medical condition, renal function, and electrolyte status. Dosage adjustments may be needed for patients with kidney impairment or those taking other medications that affect potassium levels.

Safety of Inspra in pregnancy and lactation has not been fully established. It should only be used if the potential benefits justify the potential risks to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss alternatives with their healthcare provider.

To place an order, submit an enquiry on the Inspra 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 mineralocorticoid receptors than some older agents, resulting in fewer endocrine side effects such as gynecomastia. However, both classes share similar risks of hyperkalaemia and require monitoring of renal function and electrolytes.

Inspra tablets should be stored at room temperature, below 25 °C, in their original packaging. Keep them away from moisture, heat, and direct sunlight to maintain stability and potency.

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 critical risks include severe hyperkalaemia, which can cause cardiac arrhythmias, and acute kidney injury. Patients should have regular laboratory monitoring of serum potassium and renal function, especially when starting therapy or adjusting doses.

Inspra is contraindicated in individuals with known hypersensitivity to eplerenone, severe renal impairment, or baseline hyperkalaemia. It should also be avoided in patients taking other potassium‑sparing agents unless closely supervised by a healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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