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

Levosimendán Zentiva

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendán Zentiva (Levosimendan)

Levosimendan, the active ingredient in Levosimendán Zentiva, is a calcium sensitizer presented as an intravenous solution for intravenous use. It is indicated for acute decompensated heart failure and cardiogenic shock in hospitalized patients, where it improves cardiac contractility and systemic perfusion.

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

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

  • Levosimendan is used in the management of severe cardiac conditions that require rapid improvement of contractility and vascular tone.
  • Acute decompensated heart failure: enhances cardiac output and relieves congestion.
  • Cardiogenic shock: stabilises haemodynamics and supports organ perfusion.

How It Works

  • Levosimendan binds to cardiac troponin C, increasing its sensitivity to calcium and thereby augmenting myocardial contractility without raising intracellular calcium levels. It simultaneously opens ATP‑sensitive potassium channels in vascular smooth muscle, producing arterial and venous dilation that reduces preload and afterload, improving overall cardiac efficiency.

Side Effects

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

Common Side Effects

  • Hypotension: reduction in blood pressure, especially after infusion start.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Flushing: transient warmth and reddening of skin.
  • Tachycardia: increased heart rate.
  • Arrhythmia: non‑sustained ventricular ectopy.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring intervention.
  • Ventricular arrhythmias: sustained tachyarrhythmias.
  • Myocardial ischaemia: chest pain or ECG changes.
  • Allergic reactions: rash, pruritus, or anaphylaxis.
  • Liver enzyme elevation: increased transaminases.
  • Electrolyte disturbances: significant shifts in potassium or magnesium.

Precautions & Warnings

  • Levosimendan should be administered with careful clinical monitoring and awareness of specific safety considerations.
  • Monitor blood pressure: watch for hypotension during and after infusion.
  • Assess renal function: adjust use in severe renal impairment.
  • Evaluate electrolytes: correct potassium and magnesium abnormalities before administration.
  • Use cautiously after recent myocardial infarction: risk of ischaemia may be increased.
  • Avoid in severe baseline hypotension: may exacerbate low blood pressure.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with other cardiovascular agents, requiring attention to dosage and patient status.

Major Interactions (Avoid)

  • Concurrent vasodilators (e.g., nitroglycerin): may cause profound hypotension.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increase plasma concentrations.
  • Other inotropes (e.g., dobutamine): risk of excessive cardiac stimulation.

Moderate Interactions (Monitor Closely)

  • Diuretics: may amplify electrolyte shifts.
  • ACE inhibitors or ARBs: additive blood‑pressure lowering effect.
  • Beta‑blockers: may blunt desired inotropic response.
  • Calcium‑channel blockers: potential for altered vascular tone.
  • Anti‑arrhythmic drugs: monitor rhythm changes.

Frequently Asked Questions

Levosimendán Zentiva is indicated for the treatment of acute decompensated heart failure and cardiogenic shock in hospitalized patients. In these settings it helps improve cardiac contractility and systemic perfusion, supporting patients who are experiencing severe circulatory compromise.

Levosimendan sensitises cardiac troponin C to calcium, which enhances myocardial contractility without increasing intracellular calcium levels. At the same time it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing arterial and venous dilation that lowers preload and afterload, thereby improving overall cardiac efficiency.

The dose of Levosimendán Zentiva is determined by the prescribing clinician based on the patient’s clinical status, weight, and response to therapy. The product is supplied as an intravenous solution that is administered under continuous medical supervision in a hospital or intensive‑care setting.

The safety of levosimendan in pregnancy and lactation has not been established. It is classified as pregnancy category unknown, and the drug should only be used if the potential benefit justifies any potential risk to the fetus or infant. Breastfeeding mothers should consult their 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 handling if needed), and the necessary import documentation.

Unlike traditional catecholamine inotropes, levosimendan increases contractility by calcium sensitisation rather than raising intracellular calcium, which may reduce the risk of arrhythmias. It also provides vasodilation through potassium‑channel activation, offering a combined inotropic and afterload‑reducing effect that some clinicians find advantageous in acute heart‑failure settings.

Levosimendán Zentiva must be stored refrigerated at 2‑8 °C. The solution should be kept in its original container, protected from light, and must not be frozen or shaken. If the product reaches room temperature, it should be used promptly and not re‑refrigerated.

The medication is supplied as an intravenous solution and is administered by a healthcare professional through a controlled infusion. The infusion rate and duration are set by the treating physician, who monitors haemodynamic parameters throughout the treatment.

The most serious risks include severe hypotension, ventricular arrhythmias, myocardial ischaemia, and rare allergic reactions such as anaphylaxis. Continuous cardiac and blood‑pressure monitoring is essential during infusion to detect and manage these events promptly.

Levosimendán Zentiva should be avoided in patients with uncontrolled severe hypotension, known hypersensitivity to levosimendan or any excipients, and in those with recent acute myocardial infarction where the risk of ischaemia outweighs benefit. Clinical judgment is required for each individual case.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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