Product image of Levobren (Levosulpiride) supplied by GNH India

Levobren

Active Ingredient:
Levosulpiride
Origin:
EU

Levobren (Levosulpiride)

Levosulpiride, the active ingredient in Levobren, is a benzamide antipsychotic presented as an injectable solution for intramuscular and intravenous use. It treats schizophrenia, depressive disorders, and functional dyspepsia in adult patients and acts as a selective dopamine D2 receptor antagonist with prokinetic activity.

GNH India supplies Levobren as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to GMP standards and provides regulatory‑compliant shipments to healthcare facilities across the globe.

Manufacturer / TM Owner

Neopharmed Gentili Spa

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Indications & Clinical Uses

Levosulpiride is used in psychiatric and gastrointestinal disorders that involve dopaminergic dysregulation.

  • Schizophrenia: reduces positive and negative symptoms by blocking dopamine D2 receptors.
  • Depressive disorders: augments antidepressant response in patients with psychotic features.
  • Functional dyspepsia: improves gastric motility and relieves dyspeptic symptoms through prokinetic activity.

How It Works

  • Levosulpiride selectively antagonizes dopamine D2 (and D3) receptors in the central nervous system, diminishing dopaminergic neurotransmission that contributes to psychotic and depressive symptoms. In the gastrointestinal tract, D2 blockade enhances acetylcholine release, promoting gastric emptying and improving motility, which underlies its prokinetic effect.

Side Effects

Levosulpiride may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Drowsiness: mild sedation or fatigue.
  • Extrapyramidal symptoms: tremor, rigidity, or akathisia.
  • Nausea: gastrointestinal upset.
  • Elevated prolactin: menstrual disturbances or galactorrhea.

Serious or Rare Side Effects

  • Neuroleptic malignant syndrome: high fever, muscle rigidity, autonomic instability.
  • Severe extrapyramidal reactions: tardive dyskinesia or acute dystonia.
  • Cardiac arrhythmias: QT prolongation or other rhythm disturbances.

Precautions & Warnings

When prescribing Levosulpiride, clinicians should consider several safety and handling precautions.

  • Renal impairment: adjust monitoring as the drug is excreted unchanged.
  • Hepatic disease: use with caution due to limited metabolism data.
  • Pregnancy: safety not established; avoid unless benefit outweighs risk.
  • Breastfeeding: may be excreted in milk; consider alternatives.
  • Elderly patients: increased sensitivity to extrapyramidal effects; start low.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosulpiride can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Antipsychotics with strong D2 antagonism: may increase risk of extrapyramidal symptoms.
  • MAO inhibitors: risk of hypertensive crisis or serotonin syndrome.
  • QT‑prolonging agents: additive risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • CYP450 inhibitors (e.g., fluconazole): may raise plasma levels.
  • Dopamine agonists (e.g., levodopa): antagonistic effect reducing therapeutic benefit.
  • Anticholinergics: may mask extrapyramidal signs.

Frequently Asked Questions

Levobren contains levosulpiride and is indicated for the treatment of schizophrenia, depressive disorders with psychotic features, and functional dyspepsia. It is employed in adult patients where dopaminergic modulation can improve psychiatric symptoms or enhance gastrointestinal motility.

Levosulpiride acts as a selective antagonist of dopamine D2 (and D3) receptors in the brain, reducing excessive dopaminergic activity that contributes to psychosis and certain depressive states. In the gut, D2 blockade increases acetylcholine release, facilitating gastric emptying and providing a prokinetic effect.

The specific dose of Levobren is determined by the prescribing clinician based on the patient’s condition, severity, and response to therapy. Dosage may differ for psychiatric versus gastrointestinal indications and is adjusted according to individual therapeutic needs.

Safety data for levosulpiride in pregnancy and lactation are limited. It is generally advised to avoid use during pregnancy and breastfeeding unless the potential benefit justifies the potential risk to the fetus or infant. Consultation with a healthcare professional is essential.

To order Levobren, 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 (including cold‑chain if needed) and import documentation.

Levobren (levosulpiride) differs from many typical antipsychotics by having a relatively selective D2 antagonism and additional prokinetic activity, which can be advantageous for patients with co‑existing gastrointestinal symptoms. Compared with broader‑spectrum agents, it may present a lower risk of metabolic side effects but still carries extrapyramidal risk.

Levobren must be stored at 2‑8 °C, kept refrigerated, protected from light, and should not be frozen or shaken. Maintain the product in its original packaging until use to preserve stability and ensure proper handling during transport.

Levobren is supplied as an injectable solution and can be administered either intramuscularly or intravenously by a qualified healthcare professional. The route, rate, and volume of injection are determined by the prescriber according to the therapeutic indication.

Serious risks include neuroleptic malignant syndrome, severe extrapyramidal reactions such as tardive dyskinesia or acute dystonia, and cardiac arrhythmias like QT prolongation. Prompt medical attention is required if symptoms such as high fever, muscle rigidity, or irregular heartbeats occur.

Levobren is contraindicated in patients with known hypersensitivity to levosulpiride or any component of the formulation. Caution is advised for individuals with severe renal or hepatic impairment, uncontrolled cardiac disease, or a history of neuroleptic malignant syndrome. It should also be avoided in pregnant or breastfeeding women unless absolutely necessary.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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