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

Levosimendan Stada

Active Ingredient:
Levosimendan
Origin:
EU

Levosimendan Stada (Levosimendan)

Levosimendan, the active ingredient in Levosimendan Stada, is a calcium sensitizer / inotropic agent presented as an intravenous solution for intravenous use. It treats acute decompensated heart failure in hospitalized adults and may be employed in cardiogenic shock in certain jurisdictions within the EU market.

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

Manufacturer / TM Owner

Stada Arzneimittel Ag

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Indications & Clinical Uses

  • Levosimendan is used in the management of acute heart failure syndromes where enhanced cardiac contractility is required.
  • Acute decompensated heart failure: improves cardiac output and relieves pulmonary congestion.
  • Cardiogenic shock (off‑label in some jurisdictions): provides hemodynamic support when conventional therapy is insufficient.
  • Acute heart failure following myocardial infarction: stabilises haemodynamics while other therapies take effect.

How It Works

  • Levosimendan binds to cardiac troponin C, increasing its sensitivity to calcium and thereby augmenting contractile force without raising intracellular calcium levels. Simultaneously, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation and reducing cardiac after‑load. These combined actions improve cardiac output while limiting oxygen demand.

Side Effects

Levosimendan may be associated with several adverse reactions that clinicians monitor during therapy.

Common Side Effects

  • Hypotension: reduction in systemic blood pressure.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Tachycardia: elevated heart rate.
  • Flushing: transient warmth and redness of skin.
  • Arrhythmias: non‑life‑threatening rhythm changes.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring intervention.
  • Ventricular arrhythmias: potentially life‑threatening rhythm disturbances.
  • Myocardial ischemia: reduced coronary blood flow.
  • Anaphylactic reactions: rare hypersensitivity.
  • Liver enzyme elevation: abnormal hepatic function tests.
  • Electrolyte disturbances: significant shifts in potassium or magnesium levels.

Precautions & Warnings

  • When using Levosimendan, several safety considerations should be observed.
  • Monitor blood pressure: watch for excessive hypotension.
  • Observe cardiac rhythm: detect arrhythmias promptly.
  • Adjust dose in renal or hepatic impairment: consider reduced clearance.
  • Avoid in severe hypotension: contraindicated if systolic pressure is very low.
  • Use cautiously with other vasodilators: risk of additive blood pressure effects.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Levosimendan can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Concurrent strong vasodilators (e.g., nitroglycerin): may cause profound hypotension.
  • Potent CYP450 inhibitors (e.g., ketoconazole): increase levosimendan plasma levels.
  • Other inotropes with arrhythmogenic potential: heighten risk of serious arrhythmias.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt therapeutic effect.
  • Diuretics: enhance electrolyte shifts.
  • ACE inhibitors or ARBs: additive blood pressure lowering.
  • Calcium channel blockers: possible synergistic vasodilation.
  • Digitalis glycosides: monitor for toxicity.

Frequently Asked Questions

Levosimendan Stada is an intravenous calcium sensitizer used primarily to treat acute decompensated heart failure and, in some regions, cardiogenic shock. It helps improve cardiac contractility and reduces vascular resistance, supporting patients with severe cardiac dysfunction who require rapid haemodynamic stabilization.

Levosimendan binds to cardiac troponin C, making the heart muscle more responsive to existing calcium, which enhances contractile force without increasing intracellular calcium. It also opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation and lowering after‑load, together improving cardiac output.

The specific dosing regimen for Levosimendan Stada is determined by the prescribing clinician based on the patient’s clinical status, weight, and response. Healthcare professionals calculate the infusion rate and duration according to established guidelines and individual patient needs.

Safety data for levosimendan in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

To order Levosimendan Stada, 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 any cold‑chain requirements), and necessary import documentation.

Unlike traditional catecholamine inotropes, levosimendan enhances contractility without raising intracellular calcium, which may reduce the risk of calcium‑mediated toxicity. It also provides vasodilation through potassium‑channel activation, offering a dual mechanism that can be advantageous over agents that solely increase heart rate or contractility.

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

Levosimendan Stada is administered intravenously by a healthcare professional. The infusion is typically started with a loading dose followed by a continuous maintenance infusion, with the exact rate and duration set by the treating physician based on the patient’s haemodynamic response.

The most serious risks include severe hypotension, ventricular arrhythmias, myocardial ischemia, and rare anaphylactic reactions. Continuous monitoring of blood pressure, cardiac rhythm, and cardiac biomarkers is essential during therapy to detect and manage these potential complications promptly.

Levosimendan is contraindicated in patients with severe hypotension (systolic blood pressure < 90 mmHg), uncontrolled ventricular arrhythmias, or known hypersensitivity to the drug or its excipients. Caution is also advised in patients with significant hepatic or renal impairment, where dose adjustments may be required.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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