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

Levosimendan Fmk

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendan Fmk (Levosimendan)

Levosimendan, the active ingredient in Levosimendan Fmk, is a calcium sensitizer presented as an intravenous solution for intravenous use. It is employed in the management of acute decompensated heart failure to improve cardiac contractility and reduce symptoms of congestion.

GNH India supplies Levosimendan Fmk as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Farmak International Sp. Z O.O.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

  • Levosimendan acts as a calcium sensitizer and vasodilator in the treatment of acute heart failure.
  • Acute decompensated heart failure: improves cardiac output and alleviates signs of fluid overload.

How It Works

  • Levosimendan binds to cardiac troponin C, increasing its sensitivity to calcium and thereby enhancing myocardial contractility without raising intracellular calcium levels. It also opens ATP‑sensitive potassium channels in vascular smooth muscle, producing arterial and venous vasodilation that reduces cardiac preload and afterload.

Side Effects

Levosimendan may be associated with a range of adverse reactions.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Nausea: occasional, may be accompanied by vomiting.
  • Dizziness: often related to blood pressure changes.
  • Hypotension: transient reduction in systolic pressure.
  • Flushing: warm sensation with skin reddening.
  • Diarrhea: loose stools in some patients.

Serious or Rare Side Effects

  • Severe hypotension: may require vasopressor support.
  • Ventricular arrhythmias: potentially life‑threatening rhythm disturbances.
  • Myocardial ischemia: chest pain or ECG changes.
  • Allergic reactions: rash, pruritus, or anaphylaxis.
  • Sudden cardiac death: rare but reported in high‑risk populations.

Precautions & Warnings

Levosimendan requires careful monitoring and specific precautions.

  • Blood pressure monitoring: watch for significant hypotension during infusion.
  • Electrolyte assessment: correct imbalances before and during therapy.
  • Severe hypotension avoidance: contraindicated in patients with uncontrolled low blood pressure.
  • Renal impairment caution: dose adjustment may be needed in severe renal dysfunction.
  • Hepatic impairment caution: monitor liver function tests.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with several drug classes.

Major Interactions (Avoid)

  • Nitrates or other potent vasodilators: risk of profound hypotension.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): may increase plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Diuretics: additive effect on blood pressure and electrolyte balance.
  • ACE inhibitors or ARBs: may enhance hypotensive response.
  • Beta‑blockers: monitor cardiac output and heart rate.
  • Other inotropes: potential for excessive cardiac stimulation.
  • Calcium channel blockers: may affect vascular tone.

Frequently Asked Questions

Levosimendan is used primarily to treat acute decompensated heart failure. It improves cardiac contractility and reduces preload and afterload, helping patients who are experiencing severe symptoms such as shortness of breath, low blood pressure, and fluid overload.

Levosimendan sensitises cardiac troponin C to calcium, which enhances the strength of heart muscle contraction without increasing intracellular calcium. At the same time, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation that lowers both preload and afterload.

The dosing regimen for Levosimendan is individualized by the prescribing clinician based on the patient’s clinical status, weight, and renal function. The prescriber determines the infusion rate, duration, and any loading dose required for safe and effective therapy.

Safety data for Levosimendan in pregnant or lactating women are limited. Because potential risks cannot be ruled out, the drug should be used only if the potential benefit justifies the potential 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 catecholamine inotropes, Levosimendan increases contractility without raising intracellular calcium, which may reduce the risk of arrhythmias. Its additional vasodilatory effect can improve hemodynamics more comprehensively, but clinicians must balance this against a higher incidence of hypotension compared with some alternatives.

Levosimendan should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. Before use, the product should be allowed to reach room temperature if required for reconstitution, and all handling should follow aseptic techniques to maintain sterility.

Levosimendan is administered intravenously, typically as an infusion over a period of 24 hours after an optional loading dose. The infusion is given through a dedicated IV line under continuous monitoring of blood pressure, heart rate, and cardiac output by qualified healthcare professionals.

The most serious risks include severe hypotension, ventricular arrhythmias, myocardial ischemia, and rare cases of sudden cardiac death. Patients should be closely monitored for changes in blood pressure, rhythm disturbances, and signs of chest pain throughout the infusion and for several hours afterward.

Levosimendan is contraindicated in patients with uncontrolled severe hypotension, recent myocardial infarction, severe obstructive valvular disease, or known hypersensitivity to the drug. Caution is also advised in individuals with significant renal or hepatic impairment, and it should be avoided in pregnancy unless clearly justified.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.