Product image of Milrinon Tillomed (Milrinone) supplied by GNH India

Milrinon Tillomed

Active Ingredient:
Milrinone
Origin:
EU

Milrinon Tillomed (Milrinone)

Milrinone, the active ingredient in Milrinon Tillomed, is a phosphodiesterase‑3 (PDE3) inhibitor presented as an intravenous solution for use in acute cardiac care. It increases cardiac contractility and promotes vasodilation, making it useful in the management of acute decompensated heart failure and cardiogenic shock in adult patients. Administration is performed under strict medical supervision in a monitored setting.

GNH India supplies Milrinon Tillomed as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and intensive‑care units worldwide, ensuring quality‑assured product availability for critical care settings.

Manufacturer / TM Owner

Tillomed Pharma Gmbh

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Indications & Clinical Uses

Milrinone is a phosphodiesterase‑3 inhibitor used in acute cardiac failure management.

  • Acute decompensated heart failure: improves cardiac output and reduces filling pressures.
  • Cardiogenic shock: provides inotropic support and systemic vasodilation.
  • Low cardiac output syndrome after cardiac surgery: enhances myocardial performance.

How It Works

  • Milrinone selectively inhibits phosphodiesterase‑3 enzymes in cardiac and vascular smooth‑muscle cells, leading to accumulation of cyclic adenosine monophosphate (cAMP). Elevated cAMP enhances calcium influx during systole, producing a positive inotropic effect, while also causing relaxation of vascular smooth muscle, resulting in vasodilation and reduced afterload.

Side Effects

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

Common Side Effects

  • Hypotension: drop in blood pressure due to vasodilation.
  • Headache: often related to vascular changes.
  • Arrhythmias: premature beats or tachycardia.
  • Nausea: gastrointestinal discomfort.

Serious or Rare Side Effects

  • Severe hypotension: potentially life‑threatening drop in pressure.
  • Ventricular arrhythmias: dangerous heart rhythm disturbances.
  • Myocardial ischemia: reduced blood flow to heart muscle.
  • Allergic reactions: rash, bronchospasm, or anaphylaxis.

Precautions & Warnings

Milrinon Tillomed requires careful clinical monitoring and adherence to safety guidelines.

  • Blood pressure monitoring: watch for hypotension during infusion.
  • Cardiac rhythm surveillance: detect arrhythmias promptly.
  • Dose adjustment in renal impairment: reduce infusion rate as needed.
  • Caution in recent myocardial infarction: assess risk of ischemia.
  • Contraindicated in severe aortic stenosis: avoid due to fixed outflow obstruction.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze.

Avoid Interactions

Milrinone can interact with several drug classes, influencing its safety and efficacy.

Major Interactions (Avoid)

  • Other PDE3 inhibitors: additive inotropic effect and profound hypotension.
  • Strong CYP3A4 inhibitors: increased plasma concentrations of milrinone.
  • Concurrent vasodilators (e.g., nitroglycerin): risk of severe hypotension.
  • Antiarrhythmic agents (e.g., amiodarone): potential for pro‑arrhythmic events.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt the desired inotropic response.
  • Diuretics: can exacerbate electrolyte shifts and volume depletion.
  • Anticoagulants: monitor bleeding risk due to possible platelet effects.

Frequently Asked Questions

Milrinon Tillomed contains milrinone, an intravenous phosphodiesterase‑3 inhibitor indicated for the short‑term treatment of acute decompensated heart failure and cardiogenic shock in adult patients who require rapid improvement in cardiac output.

Milrinone blocks the enzyme phosphodiesterase‑3, leading to increased intracellular cyclic AMP. Higher cAMP levels enhance calcium entry into cardiac cells, boosting contractility, while also causing relaxation of vascular smooth muscle, which reduces systemic vascular resistance and improves cardiac output.

The dosing regimen for Milrinon Tillomed is determined by the prescribing clinician based on the patient’s clinical status, weight, renal function, and response to therapy. The prescriber sets the infusion rate and duration according to established guidelines.

Safety data for milrinone 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 the treating physician.

To request Milrinon Tillomed, 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 import documentation.

Milrinone differs from catecholamine inotropes such as dobutamine by acting via phosphodiesterase‑3 inhibition rather than beta‑adrenergic stimulation. This mechanism provides both inotropic support and vasodilation, which can be advantageous in patients with high systemic vascular resistance, but it may also increase the risk of hypotension.

Milrinon Tillomed should be stored at 2‑8 °C, protected from light, and must not be frozen. The solution should be kept in its original packaging until use and handled with aseptic technique to maintain sterility.

Milrinon Tillomed is administered intravenously, typically as a continuous infusion after an initial loading dose. Administration occurs in a monitored setting such as an intensive‑care unit, with continuous observation of blood pressure, heart rate, and cardiac rhythm.

The most serious risks include severe hypotension, life‑threatening ventricular arrhythmias, myocardial ischemia, and rare allergic reactions. Patients should be closely monitored for these events, and therapy should be stopped immediately if they occur.

Milrinon Tillomed is contraindicated in patients with severe aortic stenosis, uncontrolled ventricular arrhythmias, or known hypersensitivity to milrinone or any formulation component. Caution is also advised in recent myocardial infarction and severe renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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