Product image of Levosimendan Fresenius Kabi (Levosimendan) supplied by GNH India

Levosimendan Fresenius Kabi

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendan Fresenius Kabi (Levosimendan)

Levosimendan, the active ingredient in Levosimendan Fresenius Kabi, is a calcium sensitizer presented as an injectable solution for intravenous use. It enhances cardiac contractility and promotes vasodilation, providing therapeutic benefit in acute decompensated heart failure for adult patients who require rapid hemodynamic support in critical care settings.

GNH India supplies Levosimendan Fresenius Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and intensive‑care units worldwide, ensuring quality‑assured product availability and regulatory compliance across global markets through robust logistics networks.

Manufacturer / TM Owner

Fresenius Kabi Ab

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Indications & Clinical Uses

  • Levosimendan is a calcium sensitizer used in the management of acute heart failure.
  • Acute decompensated heart failure: improves cardiac output and relieves symptoms of congestion.
  • Low‑output syndrome after cardiac surgery: provides temporary hemodynamic support.
  • Severe chronic heart failure (inotropic support): offers short‑term improvement in ventricular performance.

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 both preload and afterload, which together improve overall cardiac performance.

Side Effects

Levosimendan may be associated with several adverse reactions.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Hypotension: transient drop in blood pressure.
  • Nausea: occasional gastrointestinal upset.
  • Tachycardia: increased heart rate.
  • Dizziness: feeling of light‑headedness.
  • Arrhythmia: non‑life‑threatening rhythm changes.

Serious or Rare Side Effects

  • Severe hypotension: may require intervention.
  • Ventricular arrhythmia: potentially life‑threatening.
  • Myocardial ischemia: chest pain or ECG changes.
  • Allergic reaction: rash, pruritus, or anaphylaxis.
  • Liver enzyme elevation: abnormal hepatic function tests.
  • Thrombocytopenia: reduced platelet count.

Precautions & Warnings

  • Levosimendan requires careful monitoring and specific safety measures.
  • Monitor blood pressure: watch for significant hypotension.
  • Observe cardiac rhythm: detect arrhythmias early.
  • Use cautiously in renal impairment: adjust therapy as needed.
  • Avoid in severe hypotension: contraindicated when systolic pressure is very low.
  • Adjust dose in hepatic dysfunction: liver disease may affect drug clearance.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with other medications that affect cardiovascular function.

Major Interactions (Avoid)

  • Concurrent vasodilators: may cause profound hypotension.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increase levosimendan exposure.

Moderate Interactions (Monitor Closely)

  • Other inotropes (e.g., dobutamine): additive effects on contractility.
  • Diuretics: may enhance volume depletion.
  • Beta‑blockers: may blunt desired inotropic response.
  • Nitrates: combined vasodilatory effect.
  • ACE inhibitors or ARBs: potential for additive blood pressure reduction.

Frequently Asked Questions

Levosimendan is indicated for the treatment of acute decompensated heart failure in adult patients. It improves cardiac contractility and reduces vascular resistance, helping to restore adequate blood flow and relieve symptoms such as shortness of breath and fluid overload.

Levosimendan increases the sensitivity of cardiac troponin C to calcium, which enhances myocardial contraction without raising intracellular calcium. At the same time, it opens ATP‑sensitive potassium channels in vascular smooth muscle, producing vasodilation that lowers both preload and afterload.

The dosage regimen for levosimendan is determined by the prescribing clinician based on the patient’s clinical status, weight, and renal or hepatic function. The prescriber sets the infusion rate and duration according to approved guidelines and individual needs.

The safety of levosimendan in pregnancy and lactation has not been established. It should be used only if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

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 where required) and necessary import documentation.

Unlike traditional inotropes that increase intracellular calcium, levosimendan sensitizes the heart to existing calcium, offering improved contractility with a lower risk of calcium‑related toxicity. It also provides vasodilatory effects, which many other inotropes lack, making it a distinct therapeutic option for acute heart failure.

Levosimendan injectable solution should be stored at 2‑8 °C, protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability and potency.

Levosimendan is given as an intravenous infusion. The preparation is added to a compatible infusion fluid and administered under continuous monitoring of blood pressure, heart rate, and cardiac rhythm, following the dosing instructions provided by the prescribing clinician.

The most serious risks include severe hypotension, ventricular arrhythmias, myocardial ischemia, and rare allergic reactions. Patients should be closely monitored for these events, especially during the initial infusion period.

Levosimendan is contraindicated in patients with severe hypotension (systolic blood pressure < 90 mmHg), significant ventricular arrhythmias, or known hypersensitivity to the drug or any of its excipients. Caution is also advised in patients with severe hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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