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

Levosimendan Amdipharm

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendan Amdipharm (Levosimendan)

Levosimendan, the active ingredient in Levosimendan Amdipharm, is a calcium sensitizer (inodilator) presented as an intravenous solution for intravenous administration. It is used to improve cardiac contractility in patients with acute decompensated heart failure or cardiogenic shock, particularly when conventional therapies are insufficient.

GNH India supplies Levosimendan Amdipharm as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and specialty clinics worldwide, ensuring quality and regulatory compliance across global markets.

Manufacturer / TM Owner

Amdipharm Limited

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Indications & Clinical Uses

  • Levosimendan acts on the cardiovascular system to enhance cardiac output in severe heart failure states.
  • Acute decompensated heart failure: improves contractility and reduces symptoms.
  • Cardiogenic shock: provides inotropic support and vasodilation to stabilize hemodynamics.
  • Low cardiac output syndrome: enhances myocardial performance without raising intracellular calcium levels.

How It Works

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

Side Effects

Levosimendan may be associated with several adverse reactions.

Common Side Effects

  • Hypotension: drop in blood pressure, especially after infusion start.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Tachycardia: increased heart rate.
  • Arrhythmia: non‑life‑threatening rhythm changes.
  • Flushing: transient skin redness.

Serious or Rare Side Effects

  • Severe hypotension: may require vasopressor support.
  • Ventricular arrhythmias: potentially life‑threatening.
  • Myocardial ischemia: chest pain or ECG changes.
  • Allergic reactions: rash, pruritus, or anaphylaxis.
  • Pulmonary edema: worsening respiratory status.
  • Liver enzyme elevation: abnormal hepatic function tests.

Precautions & Warnings

  • Levosimendan requires careful monitoring in several clinical situations.
  • Monitor blood pressure: watch for significant hypotension.
  • Assess cardiac rhythm: risk of arrhythmias during infusion.
  • Evaluate renal function: dosage may need adjustment in impairment.
  • Avoid in severe hypotension: contraindicated when systolic pressure is very low.
  • Use cautiously in hepatic impairment: limited safety data.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with other cardiovascular agents.

Major Interactions (Avoid)

  • Concomitant potent vasodilators (e.g., nitroglycerin): may cause severe hypotension.
  • Combination with other inotropes (e.g., dobutamine): increased risk of arrhythmia.
  • CYP450 inhibitors (e.g., ketoconazole): may raise plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt therapeutic effect.
  • Diuretics: can exacerbate electrolyte disturbances.
  • Anticoagulants: may increase bleeding tendency due to vasodilation.

Frequently Asked Questions

Levosimendan Amdipharm is an intravenous calcium sensitizer used in the hospital setting to improve cardiac contractility in patients with acute decompensated heart failure or cardiogenic shock, especially when standard therapies are insufficient.

Levosimendan binds to cardiac troponin C, increasing its sensitivity to calcium, which enhances myocardial contraction without raising intracellular calcium. It also opens ATP‑sensitive potassium channels in vascular smooth muscle, producing vasodilation and reducing cardiac after‑load.

The dosing regimen for Levosimendan Amdipharm is determined by the prescribing clinician based on the patient’s clinical condition, severity of heart failure, and response to therapy. Specific infusion rates and duration are individualized and not publicly standardized.

Levosimendan’s safety profile in pregnancy and lactation has not been established. It is classified as having an unknown pregnancy category, and use is generally avoided unless the potential benefit justifies the potential risk to the fetus or infant.

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 sensitises troponin C to existing calcium, offering improved contractility with a lower risk of calcium‑mediated toxicity. It also provides vasodilation, which many pure inotropes lack, potentially reducing after‑load and improving overall cardiac efficiency.

Levosimendan Amdipharm should be stored at 2‑8 °C in a refrigerator. Keep the solution in its original container, protect it from light, and avoid freezing or shaking the vial to maintain product stability.

Levosimendan Amdipharm is given as an intravenous infusion. The preparation is added to a compatible infusion set and administered under continuous hemodynamic monitoring, typically in an intensive‑care or cardiac‑care unit.

Serious risks include severe hypotension, ventricular arrhythmias, myocardial ischemia, and rare allergic reactions such as anaphylaxis. Continuous monitoring of blood pressure, cardiac rhythm and ECG is essential during and after the infusion.

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 drops. Caution is also advised in severe hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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