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 an oral tablet for oral use. It treats essential hypertension, heart failure with reduced ejection fraction, and post‑myocardial infarction left ventricular dysfunction in adults.

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

Manufacturer / TM Owner

Viatris Healthcare Lda.

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Indications & Clinical Uses

  • Inspra (eplerenone) acts on the mineralocorticoid pathway to manage cardiovascular conditions.
  • Essential hypertension: lowers blood pressure by reducing sodium and water retention.
  • Heart failure with reduced ejection fraction: improves cardiac function by decreasing fluid overload.
  • Post‑myocardial infarction left ventricular dysfunction: helps prevent adverse remodeling and progression of heart failure.

How It Works

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

Side Effects

Eplerenone may cause a range of adverse reactions, which are categorized by frequency.

Common Side Effects

  • Hyperkalemia: elevated serum potassium levels.
  • Dizziness or light‑headedness.
  • Headache.
  • Gastrointestinal discomfort or nausea.
  • Fatigue or weakness.
  • Increased serum creatinine.

Serious or Rare Side Effects

  • Severe hyperkalemia leading to cardiac arrhythmia.
  • Acute renal impairment.
  • Allergic reactions such as rash or pruritus.
  • Angioedema.
  • Hepatic dysfunction.
  • Endocrine disturbances, including gynecomastia (rare).

Precautions & Warnings

  • Before initiating eplerenone therapy, several safety considerations should be observed.
  • Monitor serum potassium: check levels regularly, especially in renal impairment.
  • Assess renal function: adjust use if eGFR is reduced.
  • Avoid use in patients with hyperkalemia: contraindicated.
  • Caution with concomitant potassium‑sparing diuretics: risk of elevated potassium.
  • Pregnancy and lactation: use only if benefits outweigh risks.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and light.

Avoid Interactions

Eplerenone can interact with several drug classes, requiring attention to avoid harmful effects.

Major Interactions (Avoid)

  • Potassium supplements: may cause dangerous hyperkalemia.
  • ACE inhibitors or ARBs: increase risk of hyperkalemia.
  • Heparin: can potentiate hyperkalemia.

Moderate Interactions (Monitor Closely)

  • Thiazide diuretics: may affect electrolyte balance.
  • Digoxin: monitor for toxicity due to potassium changes.

Frequently Asked Questions

Inspra (eplerenone) is prescribed to manage essential hypertension, heart failure with reduced ejection fraction, and left ventricular dysfunction following a myocardial infarction. It works by blocking aldosterone receptors, helping to lower blood pressure and reduce fluid overload in these cardiovascular conditions.

Eplerenone selectively antagonizes the mineralocorticoid (aldosterone) receptor in the distal nephron. By inhibiting aldosterone‑mediated sodium reabsorption, it promotes natriuresis and diuresis, reduces potassium excretion, and ultimately decreases extracellular fluid volume, leading to lower blood pressure and reduced cardiac strain.

The appropriate dose of Inspra is determined by the prescribing clinician based on the individual’s medical condition, renal function, and response to therapy. Patients should follow the dosage instructions provided by their healthcare professional and not adjust the dose without medical guidance.

The safety of eplerenone in pregnancy or while nursing has not been definitively established. It should only be used if the potential benefits justify the potential risks to the fetus or infant, and this decision must be made by a qualified healthcare provider.

To request Inspra, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies 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 a selective aldosterone antagonist with a lower affinity for androgen and progesterone receptors compared with spironolactone, potentially resulting in fewer hormonal side effects such as gynecomastia. Both agents lower blood pressure and improve heart‑failure outcomes, but choice depends on individual patient factors and tolerability.

Inspra tablets should be stored at ambient temperature, preferably below 25 °C, in their original packaging. Protect them from excess moisture, direct sunlight, and humidity to maintain product stability throughout its shelf life.

Inspra is taken orally, usually once daily, with or without food as directed by a healthcare professional. The tablet should be swallowed whole with a glass of water and not crushed or chewed unless specifically instructed.

The most serious risks include hyperkalemia, which can lead to cardiac arrhythmias, and acute renal impairment. Patients should have regular monitoring of serum potassium and kidney function, especially when combined with other medications that affect electrolytes.

Inspra should be avoided in individuals with known hypersensitivity to eplerenone, those with severe hyperkalemia, or patients with significant renal impairment (eGFR <30 mL/min/1.73 m²) unless closely monitored. It is also contraindicated in patients taking potassium supplements without medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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