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

Levosimendán Altan

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendán Altan (Levosimendan)

Levosimendan, the active ingredient in Levosimendán Altan, is a calcium sensitizer presented as an intravenous solution for intravenous use. It treats acute decompensated heart failure in adult patients by improving cardiac contractility and reducing vascular resistance.

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

Manufacturer / TM Owner

Altan Pharma Ltd

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Indications & Clinical Uses

  • Levosimendan is used 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.
  • Severe low‑output heart failure: enhances myocardial contractility to stabilize circulation.
  • Post‑cardiac surgery low‑output syndrome: provides inotropic support during early postoperative recovery.

How It Works

  • Levosimendan binds to troponin C in cardiac myocytes, increasing the sensitivity of the contractile apparatus to calcium without raising intracellular calcium levels. Simultaneously, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation. The combined inotropic and vasodilatory actions improve cardiac output while reducing afterload, supporting patients with compromised heart function.

Side Effects

Levosimendan may be associated with several adverse reactions that clinicians monitor during therapy.

Common Side Effects

  • Hypotension: reduction in systemic blood pressure.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Flushing: transient warmth and reddening of skin.
  • Arrhythmias: occasional premature beats.
  • Dizziness: related to blood pressure changes.

Serious or Rare Side Effects

  • Severe hypotension: may require vasopressor support.
  • Ventricular tachycardia: potentially life‑threatening rhythm disturbance.
  • Myocardial ischemia: chest pain due to reduced coronary perfusion.
  • Anaphylactic reaction: rare hypersensitivity requiring emergency treatment.
  • Cardiac arrest: extremely rare but critical event.
  • Pulmonary edema: worsening fluid overload in susceptible patients.

Precautions & Warnings

  • Levosimendan requires careful patient assessment and monitoring before and during infusion.
  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Hepatic impairment: evaluate liver enzymes and consider dose modification.
  • Hypotension: avoid rapid infusion rates and monitor blood pressure closely.
  • Concurrent vasodilators: increased risk of excessive blood pressure fall.
  • Arrhythmias: continuous ECG monitoring is recommended.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with other cardiovascular agents, influencing hemodynamic stability.

Major Interactions (Avoid)

  • Sodium nitroprusside: additive hypotensive effect.
  • Phosphodiesterase inhibitors: heightened risk of severe hypotension.
  • Strong CYP3A4 inhibitors: may increase plasma concentrations.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors: monitor for synergistic blood pressure reduction.
  • Loop diuretics: watch for electrolyte disturbances.
  • Other inotropes (e.g., dobutamine): assess for excessive cardiac stimulation.

Frequently Asked Questions

Levosimendán Altan contains levosimendan, an intravenous calcium sensitizer indicated for the treatment of acute decompensated heart failure in adult patients. It helps improve cardiac output and reduces vascular resistance during episodes of severe cardiac dysfunction.

Levosimendan enhances the sensitivity of cardiac troponin C to calcium, which strengthens heart muscle contraction without increasing intracellular calcium. It also opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation. The combined effect supports the failing heart by increasing output and lowering afterload.

The dosing regimen for levosimendan is individualized and determined by the prescribing clinician based on the patient’s clinical status, weight, and response. Healthcare professionals set the infusion rate and duration according to approved guidelines and local practice.

The safety of levosimendan in pregnancy and lactation has not been established. It is classified as pregnancy category unknown, and use is generally avoided unless the potential benefit justifies the potential risk to the fetus or infant. Consultation with a specialist is recommended.

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 where required), and necessary import documentation.

Unlike traditional catecholamine inotropes, levosimendan increases contractility by sensitizing troponin C to calcium and adds vasodilatory effects through potassium‑channel activation. This dual mechanism may result in less tachycardia and lower myocardial oxygen consumption compared with agents such as dobutamine or dopamine.

Levosimendán Altan should be stored at 2‑8 °C in a refrigerator, protected from light. The solution must not be frozen or shaken. Keep the product in its original packaging until ready for use to maintain stability.

Levosimendán Altan is given as an intravenous infusion. The initial loading dose is typically administered over 10 minutes, followed by a continuous maintenance infusion. Administration must be performed by qualified healthcare personnel in a setting where cardiac monitoring is available.

Serious risks include severe hypotension, ventricular arrhythmias such as tachycardia, myocardial ischemia, and rare anaphylactic reactions. Continuous blood pressure and ECG monitoring are essential during infusion to detect and manage these events promptly.

Levosimendan is contraindicated in patients with known hypersensitivity to the drug or any of its excipients, those with severe hypotension unresponsive to treatment, and individuals with significant mechanical obstruction of the outflow tract of the heart. Caution is also advised in patients with severe renal or hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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