Product image of Levosimendán Accord (Levosimendan) supplied by GNH India

Levosimendán Accord

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendán Accord (Levosimendan)

Levosimendan, the active ingredient in Levosimendán Accord, is a calcium sensitizer presented as an intravenous formulation for intravenous use. It is indicated for the treatment of acute decompensated heart failure in adult patients, improving cardiac contractility without markedly increasing intracellular calcium levels. Levosimendan acts as an inotropic agent and also provides vasodilation through potassium‑channel activation.

GNH India supplies Levosimendán Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

  • Levosimendan is employed in the management of acute heart‑failure syndromes where rapid hemodynamic support is required.
  • Acute decompensated heart failure: improves cardiac output and relieves symptoms of congestion.
  • Cardiogenic shock: provides inotropic support to stabilize blood pressure and organ perfusion.
  • Low‑output syndrome after cardiac surgery: assists in restoring adequate systemic circulation.

How It Works

  • Levosimendan binds to cardiac troponin C, increasing its sensitivity to calcium and thereby enhancing myocardial contractility without raising intracellular calcium concentrations. Simultaneously, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing arterial and venous dilation, which reduces preload and afterload and improves overall cardiac performance.

Side Effects

Levosimendan is associated with a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Hypotension: often transient during infusion.
  • Nausea: may occur with rapid administration.
  • Dizziness: related to blood pressure changes.
  • Tachycardia: increased heart rate during treatment.
  • Flushing: skin warmth and redness.

Serious or Rare Side Effects

  • Arrhythmias: including ventricular tachycardia.
  • Myocardial ischemia: chest pain or ECG changes.
  • Severe hypotension: requiring vasopressor support.
  • Allergic reactions: rash, pruritus, or anaphylaxis.
  • Elevated liver enzymes: indicating hepatic stress.
  • Renal dysfunction: worsening creatinine levels.

Precautions & Warnings

  • Levosimendan should be used with careful clinical monitoring to mitigate potential risks.
  • Monitor blood pressure: watch for significant drops during infusion.
  • Observe cardiac rhythm: detect arrhythmias promptly.
  • Adjust dose in renal impairment: consider reduced exposure.
  • Avoid in severe hypotension: contraindicated when systolic pressure is very low.
  • Use cautiously in hepatic dysfunction: liver metabolism may be affected.
  • Store at ambient temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Levosimendan may interact with several drug classes, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Strong CYP450 inhibitors (e.g., ketoconazole): may increase plasma levels.
  • Concurrent use of other inotropes (e.g., dobutamine): risk of excessive cardiac stimulation.
  • Potent vasodilators (e.g., nitroglycerin): can cause profound hypotension.

Moderate Interactions (Monitor Closely)

  • Diuretics: may amplify volume depletion.
  • ACE inhibitors or ARBs: additive blood‑pressure lowering effect.
  • Beta‑blockers: may blunt desired inotropic response.
  • Anti‑arrhythmic agents: potential for rhythm disturbances.
  • Anticoagulants: monitor for bleeding if hypotension occurs.

Frequently Asked Questions

Levosimendán Accord contains levosimendan, an intravenous inotropic agent indicated for the short‑term treatment of acute decompensated heart failure in adults. It helps improve cardiac output and reduces symptoms such as shortness of breath and fluid overload by enhancing myocardial contractility and causing vasodilation.

Levosimendan sensitises cardiac troponin C to calcium, which strengthens heart‑muscle contraction without raising intracellular calcium levels. At the same time, it opens ATP‑sensitive potassium channels in vascular smooth muscle, producing arterial and venous dilation that lowers preload and afterload, supporting overall cardiac performance.

The dosing regimen for Levosimendán Accord is determined by the prescribing clinician based on the patient’s clinical condition, weight, and response. Healthcare professionals set the infusion rate and duration according to established guidelines and individual therapeutic goals.

Safety data for levosimendan during pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

To place an order, 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 necessary import documentation.

Levosimendan differs from traditional inotropes such as dobutamine by increasing contractility through calcium sensitisation rather than raising intracellular calcium, which may reduce the risk of calcium‑overload arrhythmias. It also provides vasodilation via potassium‑channel activation, whereas dobutamine primarily increases heart rate and may cause more tachycardia.

Levosimendán Accord should be stored at ambient temperature, below 25 °C, in its original packaging to protect from moisture and light. The product must be kept in a secure, dry area and handled according to standard aseptic techniques for intravenous preparations.

Levosimendán Accord is given by intravenous infusion, typically initiated with a loading dose followed by a continuous maintenance infusion over 24 hours. Administration is performed under close clinical monitoring of hemodynamic parameters, and the infusion set must be compatible with the drug’s formulation.

Serious adverse events include life‑threatening arrhythmias, severe hypotension, myocardial ischemia, and rare allergic reactions such as anaphylaxis. Patients should be monitored continuously for cardiac rhythm changes, blood‑pressure drops, and signs of ischemic chest pain throughout the infusion.

Levosimendán Accord is contraindicated in patients with known hypersensitivity to levosimendan or any excipients, those with severe hypotension (systolic blood pressure < 90 mmHg), and individuals with significant obstructive cardiac outflow lesions. Caution is also advised in patients with severe hepatic or renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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