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

Levossimendano Reig Jofre

Active Ingredient:
Levosimendan
Origin:
EU

Levossimendano Reig Jofre (Levosimendan)

Levosimendan, the active ingredient in Levossimendano Reig Jofre, is a calcium sensitizer presented as an intravenous solution for intravenous use. It is employed to improve cardiac performance in patients with acute decompensated heart failure.
GNH India supplies Levossimendano Reig Jofre as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Laboratorio Reig Jofre, S.A.

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Indications & Clinical Uses

Levosimendan is used in the management of acute decompensated heart failure, a condition characterized by sudden worsening of cardiac function.

  • Acute decompensated heart failure: enhances myocardial contractility and reduces symptoms of low output, helping stabilize the patient.

How It Works

  • Levosimendan increases myocardial contractility by binding to troponin C and sensitizing it to calcium, which amplifies the contractile response without raising intracellular calcium levels. Simultaneously, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation and reducing cardiac afterload, thereby improving overall cardiac output.

Side Effects

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

Common Side Effects

  • Hypotension: drop in blood pressure, especially during initial infusion.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Tachycardia: increased heart rate.
  • Dizziness: feeling of light‑headedness.

Serious or Rare Side Effects

  • Arrhythmias: potentially life‑threatening rhythm disturbances.
  • Severe hypotension: marked blood pressure fall requiring intervention.
  • Myocardial ischemia: reduced blood flow to heart muscle.
  • Allergic reactions: rash, pruritus, or anaphylaxis.
  • Pulmonary edema: fluid accumulation in lungs.

Precautions & Warnings

Levosimendan requires careful patient assessment and monitoring before and during administration.

  • Cardiovascular monitoring: continuously observe blood pressure and heart rate.
  • Renal impairment: adjust infusion rate and monitor renal function.
  • Hepatic dysfunction: use with caution in patients with liver disease.
  • Concomitant vasodilators: increased risk of excessive hypotension.
  • Electrolyte imbalance: correct potassium and magnesium levels prior to infusion.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Levosimendan can interact with other cardiovascular agents, necessitating vigilance.

Major Interactions (Avoid)

  • Sodium nitroprusside: additive vasodilatory effect leading to profound hypotension.
  • Phosphodiesterase inhibitors: may cause severe hypotension and arrhythmias.
  • Other calcium sensitizers: risk of excessive inotropic stimulation.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt desired inotropic response.
  • ACE inhibitors: combined effect on blood pressure requires monitoring.
  • Diuretics: may exacerbate electrolyte disturbances and hypotension.

Frequently Asked Questions

Levossimendano Reig Jofre contains levosimendan, which is indicated for the treatment of acute decompensated heart failure. It helps improve cardiac output by increasing the strength of heart muscle contraction and reducing vascular resistance, thereby stabilizing patients experiencing sudden worsening of heart function.

Levosimendan works by sensitizing cardiac troponin C to calcium, which enhances the contractile force of the heart without raising intracellular calcium levels. In addition, it opens ATP‑sensitive potassium channels in vascular smooth muscle, causing vasodilation and lowering the workload on the heart.

The dosing regimen for levosimendan is determined by the prescribing physician based on the patient’s clinical condition, weight, and response to therapy. The prescriber sets the infusion rate and duration according to approved guidelines and individual patient needs.

Safety data for levosimendan in pregnancy and lactation are limited. 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 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 any cold‑chain requirements), and necessary import documentation.

Unlike traditional inotropes that increase intracellular calcium, levosimendan enhances contractility by calcium sensitization, which may reduce the risk of calcium‑related toxicity. It also provides vasodilation through potassium‑channel activation, offering a combined inotropic and afterload‑reducing effect that can be advantageous in certain heart‑failure scenarios.

The product should be stored at 2‑8 °C, protected from light, and must not be frozen. It should be kept in its original packaging to maintain stability and prevent contamination. Once removed from refrigeration, use the solution within the time frame specified by the manufacturer.

Levossimendano Reig Jofre is administered intravenously by a healthcare professional. The infusion is typically started with a loading dose followed by a continuous maintenance infusion, with careful monitoring of hemodynamic parameters throughout the treatment period.

The most serious risks include severe hypotension, life‑threatening arrhythmias, myocardial ischemia, and allergic reactions such as anaphylaxis. Continuous cardiovascular monitoring is essential to detect and manage these events promptly.

Levosimendan is contraindicated in patients with known hypersensitivity to the drug, severe hypotension, obstructive cardiac lesions, or those receiving other strong vasodilators that could cause dangerous blood‑pressure drops. It should also be used with caution in patients with significant renal or hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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