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 is employed to improve cardiac contractility in patients with acute decompensated heart failure and works by sensitizing troponin C to calcium while opening ATP‑sensitive potassium channels, leading to enhanced contractility and vasodilation.

GNH India supplies Levosimendan Altan as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and specialty clinics worldwide, providing reliable global distribution and regulatory support.

Manufacturer / TM Owner

Altan Pharma Ltd

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Indications & Clinical Uses

  • Levosimendan is a calcium sensitizer used in the management of heart failure.
  • Acute decompensated heart failure: improves cardiac output and reduces symptoms of low perfusion.
  • Chronic heart failure (intermittent infusion): may enhance hemodynamic stability and exercise capacity.
  • Cardiogenic shock (off‑label): may support myocardial contractility when conventional therapy is insufficient.
  • Post‑cardiac surgery low‑output syndrome: helps restore adequate cardiac output during early recovery.

How It Works

  • Levosimendan binds to troponin C in cardiac myocytes, increasing its sensitivity to calcium and thereby augmenting contractile force without raising intracellular calcium levels. Simultaneously, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation and reducing both preload and afterload, which together improve overall cardiac performance.

Side Effects

Levosimendan may be associated with several adverse reactions, which are categorized by frequency.

Common Side Effects

  • Headache
  • Hypotension
  • Nausea
  • Dizziness
  • Tachycardia
  • Mild arrhythmia

Serious or Rare Side Effects

  • Severe hypotension
  • Ventricular arrhythmias
  • Myocardial ischemia
  • Allergic reactions (anaphylaxis)
  • Elevated liver enzymes

Precautions & Warnings

  • When using Levosimendan, clinicians should observe specific precautions to minimize risk.
  • Cardiac monitoring: continuous ECG and hemodynamic assessment during infusion.
  • Blood pressure monitoring: watch for hypotension, especially in patients on other vasodilators.
  • Electrolyte balance: correct potassium and magnesium abnormalities before administration.
  • Renal function: adjust use in severe renal impairment.
  • Hepatic impairment: use cautiously in patients with liver dysfunction.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Levosimendan can interact with other medicines, requiring attention to avoid clinically significant effects.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase levosimendan exposure.
  • Concurrent use with other vasodilators (e.g., nitrates, hydralazine): may cause severe hypotension.
  • Other calcium sensitizers (e.g., pimobendan): additive inotropic effect, risk of arrhythmia.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt desired inotropic response.
  • Diuretics: may exacerbate electrolyte disturbances.
  • ACE inhibitors or ARBs: combined effect on blood pressure.

Frequently Asked Questions

Levosimendan Altan is indicated for the treatment of acute decompensated heart failure. It is administered intravenously to improve cardiac contractility and reduce symptoms such as shortness of breath and low blood pressure in patients whose heart function has suddenly worsened.

Levosimendan works by binding to troponin C, making the heart muscle more responsive to calcium, which increases contractile strength without raising intracellular calcium. It also opens ATP‑sensitive potassium channels in blood vessels, causing vasodilation that lowers both preload and afterload, thereby supporting overall cardiac performance.

The dosing regimen for levosimendan is determined by the prescribing clinician based on the patient’s condition, weight, and response. Typically, the drug is given as an intravenous infusion over a set period, but exact rates and duration must be individualized and documented by a qualified healthcare professional.

Safety data for levosimendan during pregnancy and lactation are limited. Because potential risks cannot be ruled out, the drug should only be used if the potential benefit justifies the possible risk to the fetus or infant, and it is generally avoided unless absolutely necessary.

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 any required import documentation.

Unlike traditional inotropes that increase intracellular calcium and may raise the risk of arrhythmias, levosimendan enhances contractility by sensitizing troponin C to existing calcium and adds vasodilatory effects. This dual action can improve cardiac output with a potentially lower incidence of calcium‑mediated toxicity compared with agents such as dobutamine.

Levosimendan Altan should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen. The product should be kept in its original packaging to maintain stability, and any reconstituted solution should be used within the time frame specified by the manufacturer.

Levosimendan is administered intravenously, usually as a continuous infusion after reconstitution of the lyophilised powder. The infusion is given under close clinical monitoring, with adjustments made based on hemodynamic response, blood pressure, and heart rate as directed by the treating physician.

The most serious risks include severe hypotension, ventricular arrhythmias, myocardial ischemia, and rare allergic reactions such as anaphylaxis. Clinicians should monitor blood pressure, ECG, and cardiac enzymes closely, especially in patients with existing coronary disease or electrolyte imbalances.

Levosimendan is contraindicated in patients with known hypersensitivity to the drug, severe hypotension, or uncontrolled ventricular arrhythmias. Caution is also advised for individuals with recent myocardial infarction, severe hepatic impairment, or those receiving other strong vasodilators without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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