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

Levosimendan Bioglan

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendan Bioglan (Levosimendan)

Levosimendan, the active ingredient in Levosimendan Bioglan, is a calcium sensitizer / inodilator presented as a solution for injection for intravenous use. It treats acute decompensated heart failure in adult patients.

GNH India supplies Levosimendan Bioglan as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Bioglan Ab

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Indications & Clinical Uses

  • Levosimendan is indicated for the management of acute decompensated heart failure, a condition characterized by sudden worsening of cardiac function.
  • Acute decompensated heart failure: improves cardiac output and reduces symptoms of congestion.
  • Severe left ventricular dysfunction: enhances myocardial contractility to support circulation.
  • Post‑cardiac surgery low‑output syndrome: provides hemodynamic support during recovery.

How It Works

  • Levosimendan increases cardiac contractility by binding to troponin C and sensitizing it to calcium, thereby enhancing the force of myocardial contraction without raising intracellular calcium levels. It also opens ATP‑sensitive potassium channels in vascular smooth muscle, leading to vasodilation and reduced afterload, which together improve cardiac output in heart failure patients.

Side Effects

Levosimendan may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Hypotension: drop in blood pressure, especially during infusion.
  • 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 intervention.
  • Myocardial ischemia: chest pain or ECG changes indicating reduced blood flow.
  • Anaphylactic reactions: rare allergic responses requiring emergency treatment.

Precautions & Warnings

  • Use Levosimendan with careful clinical monitoring and consideration of patient‑specific factors.
  • Cardiovascular monitoring: observe blood pressure and heart rate continuously during infusion.
  • Renal impairment: adjust therapy or monitor closely in patients with reduced kidney function.
  • Hepatic impairment: use with caution in patients with liver disease.
  • Concomitant vasodilators: may potentiate hypotensive effects; dose adjustments may be needed.
  • Pregnancy: safety not established; avoid unless benefits outweigh risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with several medications, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Sodium nitroprusside: additive hypotensive effect.
  • Other inotropes (e.g., dobutamine): risk of excessive cardiac stimulation.
  • Phosphodiesterase inhibitors (e.g., milrinone): may increase arrhythmia risk.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt the inotropic response.
  • Calcium channel blockers: can affect hemodynamic stability.
  • ACE inhibitors or ARBs: monitor blood pressure for additive hypotension.

Frequently Asked Questions

Levosimendan Bioglan is used to treat acute decompensated heart failure. It provides inotropic support by increasing cardiac contractility and reduces vascular resistance through vasodilation, helping improve cardiac output and relieve symptoms of congestion in adult patients.

Levosimendan works by binding to troponin C, which sensitizes the heart muscle to calcium and strengthens each contraction without raising intracellular calcium. It also opens ATP‑sensitive potassium channels in blood‑vessel walls, causing vasodilation and lowering the workload on the heart.

The dose of Levosimendan Bioglan is determined by the prescribing clinician based on the patient’s clinical condition, weight, and response. The medication is administered intravenously under medical supervision, and dosing regimens are individualized for each patient.

Safety data for Levosimendan in pregnancy and lactation are limited. It is classified as having an unknown pregnancy category, and use is generally avoided unless the potential benefit justifies the risk to the mother and fetus. Breastfeeding mothers should consult their healthcare provider.

To order Levosimendan Bioglan, 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 import documentation.

Levosimendan differs from traditional catecholamine inotropes such as dobutamine because it increases contractility without raising intracellular calcium, reducing the risk of calcium‑mediated toxicity. Its vasodilatory effect also lowers afterload, whereas many other inotropes primarily increase heart rate and may cause more pronounced tachyarrhythmias.

Levosimendan solution for injection should be stored at 2‑8 °C, protected from light, and kept in its original container. It must not be frozen or shaken. During handling, avoid exposure to temperatures above the recommended range and ensure aseptic techniques are used for preparation and administration.

Levosimendan is given as an intravenous infusion. The medication is typically diluted in a compatible solution and administered over a prescribed period under continuous cardiac and hemodynamic monitoring to ensure safety and therapeutic effectiveness.

Serious risks include severe hypotension, ventricular arrhythmias, myocardial ischemia, and rare anaphylactic reactions. Patients should be closely monitored for blood pressure drops, abnormal heart rhythms, and any signs of chest pain or allergic response throughout the infusion and afterwards.

Levosimendan is contraindicated in patients with known hypersensitivity to the drug, those with severe hypotension unresponsive to treatment, and individuals with significant ventricular arrhythmias. Caution is also advised in patients with severe hepatic impairment or uncontrolled hypertension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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