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

Levosimendan Altan

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendan Altan (Levosimendan)

Levosimendan, the active ingredient in Levosimendan Altan, is a calcium sensitizer presented as an intravenous formulation for intravenous use. It treats acute decompensated heart failure in adult patients by improving cardiac contractility without increasing intracellular calcium concentration.

GNH India supplies Levosimendan 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 a calcium sensitizer used in the management of acute heart failure syndromes.
  • Acute decompensated heart failure: improves cardiac output and relieves symptoms in patients with sudden worsening of heart failure.

How It Works

  • Levosimendan binds to cardiac troponin C, increasing its sensitivity to calcium and thereby enhancing myocardial contractility without raising intracellular calcium levels. Simultaneously, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation and reducing after‑load, which together improve cardiac performance in heart failure.

Side Effects

Levosimendan may be associated with a range of adverse reactions, which are categorized by frequency.

Common Side Effects

  • Hypotension: drop in blood pressure, especially after loading dose.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Tachycardia: increased heart rate.

Serious or Rare Side Effects

  • Ventricular arrhythmias: potentially life‑threatening rhythm disturbances.
  • Severe hypotension: may require vasopressor support.
  • Allergic reactions: rash, pruritus, or anaphylaxis in rare cases.

Precautions & Warnings

Levosimendan requires careful monitoring and specific safety considerations before and during therapy.

  • Cardiovascular monitoring: continuous blood pressure and ECG observation.
  • Renal impairment: dose adjustment may be needed in severe dysfunction.
  • Hepatic impairment: use with caution in patients with significant liver disease.
  • Concomitant vasodilators: avoid excessive hypotension when combined with other vasodilatory agents.
  • Contraindications: do not use in patients with severe hypotension or critical aortic stenosis.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with other cardiovascular drugs, influencing its safety and efficacy.

Major Interactions (Avoid)

  • Other potent vasodilators: may cause severe hypotension.
  • Strong inotropes (e.g., dopamine, dobutamine): increase risk of arrhythmias.
  • CYP2D6 inhibitors: may raise plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Diuretics: monitor electrolytes and volume status.
  • Beta‑blockers: may blunt desired inotropic effect.
  • ACE inhibitors/ARBs: watch for additive blood pressure effects.

Frequently Asked Questions

Levosimendan Altan is used to treat acute decompensated heart failure in adult patients. It improves cardiac contractility and reduces vascular resistance, helping to stabilize hemodynamics during sudden worsening of heart failure.

Levosimendan sensitises cardiac troponin C to calcium, enhancing myocardial contraction without raising intracellular calcium. It also opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation and lowering after‑load, which together improve cardiac output.

The dosing regimen for levosimendan is determined by the prescribing clinician based on the patient’s clinical condition, weight, and response. Specific dose and infusion rates are individualized and should follow the prescriber’s instructions.

The safety of levosimendan during pregnancy and lactation has not been established. 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 order, submit an enquiry on the product page at gnhindia.com with 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 needed) and import documentation.

Unlike traditional catecholamine inotropes, levosimendan increases contractility without raising intracellular calcium, reducing the risk of calcium‑mediated toxicity. Its vasodilatory effect also lowers after‑load, offering a dual mechanism that can be advantageous over agents that act solely on adrenergic pathways.

Levosimendan should be stored at 2‑8 °C, protected from light, and kept in its original packaging. Do not freeze or shake the solution. Once prepared for infusion, it should be used promptly according to aseptic technique.

Levosimendan is given intravenously, typically as an initial loading infusion followed by a continuous maintenance infusion. Administration is performed by qualified healthcare personnel in a monitored clinical setting, with vital signs observed throughout the infusion.

The most serious risks include severe hypotension, ventricular arrhythmias, and rare allergic reactions such as anaphylaxis. Patients should be closely monitored for blood pressure changes and cardiac rhythm disturbances during and after infusion.

Levosimendan is contraindicated in patients with severe hypotension, critical aortic stenosis, or known hypersensitivity to the drug. Caution is also advised for individuals with significant renal or hepatic impairment, and those receiving other potent vasodilators.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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