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

Levosimendan Accord

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendan Accord (Levosimendan)

Levosimendan, the active ingredient in Levosimendan Accord, is a calcium sensitizer presented as an intravenous solution for intravenous use. It enhances cardiac contractility and induces vasodilation, and is employed in the management of acute decompensated heart failure in adult patients who require rapid hemodynamic support.

GNH India supplies Levosimendan Accord as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide. The company ensures quality assurance through rigorous testing and adherence to global regulatory standards.

Manufacturer / TM Owner

Accord Healthcare B.V.

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Indications & Clinical Uses

  • Levosimendan, a calcium sensitizer, is employed in the management of heart failure syndromes that benefit from increased myocardial contractility and vasodilation.
  • Acute decompensated heart failure: improves cardiac output and reduces symptoms of low perfusion.
  • Severe chronic heart failure with low output: provides symptomatic improvement when standard inotropes are inadequate.
  • Cardiogenic shock: serves as short‑term inotropic support while awaiting definitive therapy.
  • Post‑cardiac surgery low‑output syndrome: helps restore adequate circulation in the immediate postoperative period.

How It Works

  • Levosimendan binds to cardiac troponin C, increasing its sensitivity to calcium without raising intracellular calcium concentrations, thereby enhancing contractile force. Simultaneously, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing arterial and venous dilation. The combined inotropic and vasodilatory actions reduce cardiac preload and afterload, improving overall cardiac performance in failing hearts. These effects are dose‑dependent and reversible upon discontinuation of the infusion.

Side Effects

Levosimendan may be associated with several adverse reactions, ranging from mild to severe.

Common Side Effects

  • Hypotension
  • Headache
  • Nausea
  • Tachycardia

Serious or Rare Side Effects

  • Severe hypotension
  • Ventricular arrhythmias
  • Myocardial ischemia
  • Allergic reactions

Precautions & Warnings

Use of levosimendan requires careful clinical monitoring.

  • Monitor blood pressure: watch for hypotension, especially during initial infusion.
  • Assess cardiac rhythm: risk of tachyarrhythmias warrants ECG surveillance.
  • Avoid in severe hypotension: contraindicated when systolic pressure is markedly low.
  • Use caution in renal impairment: dose adjustment may be necessary.
  • Use caution in hepatic impairment: consider reduced clearance.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with other cardiovascular agents, necessitating vigilance.

Major Interactions (Avoid)

  • Concomitant vasodilators: may cause profound hypotension.
  • Calcium channel blockers: increased risk of arrhythmias.
  • Strong inotropic agents: additive cardiac stimulation.

Moderate Interactions (Monitor Closely):\n- ACE inhibitors: monitor blood pressure closely.

  • Nitrates: observe for excessive vasodilation.

Frequently Asked Questions

Levosimendan Accord is used to treat acute decompensated heart failure and related low‑output cardiac conditions. It improves heart muscle contractility and reduces vascular resistance, helping to restore adequate circulation in patients with severe heart failure.

Levosimendan works by binding to troponin C in cardiac muscle, increasing its sensitivity to calcium and thereby strengthening contractions without raising intracellular calcium levels. It also opens ATP‑sensitive potassium channels in blood vessels, causing vasodilation and lowering cardiac workload.

The dosage of Levosimendan Accord is determined by the prescribing clinician based on the patient’s clinical condition, weight, and response. The prescriber sets the infusion rate and duration according to approved guidelines and individual therapeutic needs.

Safety data for levosimendan in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

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 and any necessary import documentation.

Unlike traditional inotropes that increase intracellular calcium, levosimendan enhances contractility by sensitizing troponin C, which may reduce calcium‑related toxicity. It also provides vasodilatory effects, offering a combined inotropic‑vasodilatory profile that can be advantageous in certain heart‑failure scenarios.

Levosimendan Accord should be stored at 2‑8 °C in a refrigerator. Keep the vials in their original packaging, protect them from light, and avoid freezing or shaking the solution to maintain stability.

Levosimendan Accord is given as an intravenous infusion. The infusion is typically started under continuous cardiac and hemodynamic monitoring in a hospital setting, with the rate adjusted according to the patient’s response and clinical guidelines.

The most serious risks include severe hypotension, ventricular arrhythmias, and myocardial ischemia. Patients should be closely monitored for blood pressure drops and abnormal heart rhythms throughout the infusion and for a period after discontinuation.

Levosimendan is contraindicated in patients with uncontrolled severe hypotension, known hypersensitivity to the drug, or those receiving other potent vasodilators that could precipitate dangerous blood‑pressure falls. Clinical judgment is required to assess suitability for each individual.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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