Product image of Levosimendan Reig Jofre (Levosimendan) supplied by GNH India

Levosimendan Reig Jofre

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendan Reig Jofre (Levosimendan)

Levosimendan, the active ingredient in Levosimendan Reig Jofre, is a calcium sensitizer / inotropic agent presented as an intravenous solution for intravenous use. It treats acute decompensated heart failure and may be used in cardiogenic shock under specialist supervision.

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

Manufacturer / TM Owner

Reig Jofre Sp. Z O.O.

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Indications & Clinical Uses

  • Levosimendan is used in the management of acute heart failure and related circulatory emergencies.
  • Acute decompensated heart failure: improves cardiac output and relieves pulmonary congestion.
  • Cardiogenic shock (off‑label): provides inotropic support when conventional therapy is insufficient.
  • Severe left ventricular dysfunction: enhances myocardial contractility to stabilize hemodynamics.

How It Works

  • Levosimendan increases cardiac contractility by binding to troponin C and sensitizing it to calcium, while simultaneously opening ATP‑sensitive potassium channels in vascular smooth muscle, leading to vasodilation. This dual action improves stroke volume and reduces afterload without markedly increasing intracellular calcium concentrations.

Side Effects

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

Common Side Effects

  • Headache: mild to moderate intensity.
  • Hypotension: transient drop in blood pressure.
  • Nausea or vomiting: gastrointestinal discomfort.
  • Tachycardia: increased heart rate.
  • Dizziness: sensation of light‑headedness.
  • Arrhythmias: occasional premature beats.

Serious or Rare Side Effects

  • Severe hypotension: may require vasopressor support.
  • Life‑threatening arrhythmias: ventricular tachycardia or fibrillation.
  • Myocardial ischemia: chest pain or ECG changes.
  • Anaphylactic reactions: rash, swelling, respiratory distress.
  • Hepatic enzyme elevation: significant increase in transaminases.
  • Thrombocytopenia: marked reduction in platelet count.

Precautions & Warnings

  • Levosimendan requires careful clinical monitoring and consideration of patient‑specific factors.
  • Hemodynamic monitoring: continuous blood pressure and cardiac output assessment is essential.
  • Renal impairment: dose adjustment may be needed in severe renal dysfunction.
  • Hepatic dysfunction: use with caution; monitor liver enzymes.
  • Concomitant vasodilators: increased risk of additive hypotension.
  • Pregnancy: safety not established; avoid unless benefit outweighs risk.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with several drug classes, necessitating vigilance.

Major Interactions (Avoid)

  • Potent vasodilators (e.g., nitroprusside): may cause profound hypotension.
  • Strong CYP450 inhibitors (e.g., ketoconazole): can raise plasma concentrations.
  • Other inotropes (e.g., dobutamine) without monitoring: risk of excessive cardiac stimulation.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt the desired inotropic effect.
  • Diuretics: can enhance hypotensive response.
  • Anticoagulants: monitor for bleeding if severe hypotension occurs.

Frequently Asked Questions

Levosimendan Reig Jofre is indicated for the treatment of acute decompensated heart failure and, in specialist settings, for cardiogenic shock. It works by improving cardiac contractility and reducing vascular resistance, helping to restore adequate circulation in critically ill patients.

Levosimendan binds to troponin C, increasing the sensitivity of the contractile proteins to calcium, which enhances myocardial contractility. At the same time, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation and lowering afterload without a large rise in intracellular calcium.

The dosing regimen for Levosimendan Reig Jofre is determined by the prescribing clinician based on the patient’s clinical status, weight, and response. The product is supplied as an intravenous solution that is administered under continuous hemodynamic monitoring.

Safety data for Levosimendan in pregnancy and lactation are limited. The drug should be avoided during pregnancy and breastfeeding unless the potential benefit justifies the potential risk to the fetus or infant, and only under specialist supervision.

To 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.

Compared with traditional inotropes such as dobutamine, Levosimendan increases contractility without a large rise in intracellular calcium, potentially reducing the risk of calcium‑mediated arrhythmias. Unlike phosphodiesterase inhibitors like milrinone, it also provides vasodilation through potassium‑channel activation, offering a dual hemodynamic benefit.

Levosimendan should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. The solution should be kept in its original packaging until use, and any unused portion should be discarded according to local regulations.

Levosimendan is given as an intravenous infusion. After reconstitution according to the label, the infusion is started under continuous cardiac monitoring, typically with an initial loading dose followed by a maintenance infusion, as directed by the treating physician.

The most serious adverse events include severe hypotension, life‑threatening arrhythmias such as ventricular tachycardia, myocardial ischemia, and rare anaphylactic reactions. Prompt recognition and management of these events are essential during therapy.

Levosimendan is contraindicated in patients with severe uncontrolled hypotension, obstructive cardiac lesions (e.g., severe aortic stenosis), or known hypersensitivity to the drug. Caution is also advised in individuals with significant hepatic or renal impairment, and it should be avoided in pregnancy unless absolutely necessary.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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