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Levosimendan Mercapharm

Levosimendan Mercapharm

Ask a doctor about a prescription for Levosimendan Mercapharm

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Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Levosimendan Mercapharm

Package Leaflet: Information for the User

Levosimendan Mercapharm, 2.5 mg/mL, Concentrate for Solution for Infusion

Levosimendan

Read All of This Leaflet Carefully Before Using This Medicine.

  • Keep This Leaflet. You May Need to Read It Again.
  • If You Have Any Further Questions, Ask Your Doctor or Nurse.
  • If You Get Any Side Effects, Talk to Your Doctor or Nurse. This Includes Any Possible Side Effects Not Listed in This Leaflet. See Section 4.

Contents of the Pack

  • 1. What is Levosimendan Mercapharm and What It Is Used For
  • 2. Before You Use Levosimendan Mercapharm
  • 3. How to Use Levosimendan Mercapharm
  • 4. Possible Side Effects
  • 5. How to Store Levosimendan Mercapharm
  • 6. Contents of the Pack and Other Information

1. What is Levosimendan Mercapharm and What It Is Used For

Levosimendan Mercapharm is a medicine that is given as an infusion into a vein. It is used to treat adults with severe heart failure who are having trouble breathing despite receiving other treatments.

2. Before You Use Levosimendan Mercapharm

Do Not Use Levosimendan Mercapharm:

  • If You Are Allergic to Levosimendan or Any of the Other Ingredients of This Medicine;
  • If You Have Very Low Blood Pressure and a Fast Heart Rate;
  • If You Have a Heart Condition That Makes It Difficult for Your Heart to Fill or Empty Properly;
  • If You Have Severe Kidney Disease;
  • If You Have Severe Liver Disease;
  • If You Have Ever Been Told by a Doctor That You Have an Abnormal Heart Rhythm Called Torsades de Pointes.

Warnings and Precautions

You Should Discuss This with Your Doctor or Nurse Before Starting Treatment with This Medicine:

  • If You Have Low Blood Pressure;
  • If You Have a Low Blood Volume (Hypovolemia);
  • If You Have Any Kidney or Liver Disease;
  • If You Have Ever Been Told by a Doctor That You Have a Low Potassium Level in Your Blood;
  • If You Have a Low Red Blood Cell Count and Chest Pain;
  • If You Have a Fast Heart Rate, Abnormal Heart Rhythm, or Have Ever Been Told by a Doctor That You Have Atrial Fibrillation.

If You Have Any of These Conditions or Symptoms, You Should Discuss Them with Your Doctor or Nurse.

Children and Adolescents

The Safety and Efficacy of Levosimendan Mercapharm in Children and Adolescents Below 18 Years of Age Have Not Been Established.

Levosimendan Mercapharm and Other Medicines

Tell Your Doctor About All Medicines You Are Taking or Have Recently Taken, Including Those You Can Buy Without a Prescription.

Pregnancy and Breast-Feeding

If You Are Pregnant or Breast-Feeding, Think You May Be Pregnant or Are Planning to Have a Baby, Ask Your Doctor for Advice Before Taking This Medicine.

Levosimendan Mercapharm Contains Alcohol

This Medicine Contains 3925 mg of Alcohol (Anhydrous Ethanol) in Each 5 mL Vial, Which Is Equivalent to 98% V/V Alcohol.

3. How to Use Levosimendan Mercapharm

Levosimendan Mercapharm Is for Hospital Use Only. It Will Be Given to You by a Doctor or Nurse in a Hospital.

Overdose

If You Receive Too Much Levosimendan Mercapharm, You May Experience a Decrease in Blood Pressure and a Faster Heart Rate.

4. Possible Side Effects

Like All Medicines, This Medicine Can Cause Side Effects, Although Not Everybody Gets Them.

  • Very Common (May Affect More Than 1 in 10 People):
  • Fast Heart Rate
  • Headache
  • Low Blood Pressure

If You Experience Any Side Effects, Tell Your Doctor or Nurse Immediately.

Reporting of Side Effects

If You Get Any Side Effects, Talk to Your Doctor or Nurse. This Includes Any Possible Side Effects Not Listed in This Leaflet.

5. How to Store Levosimendan Mercapharm

Keep This Medicine Out of the Sight and Reach of Children.

Do Not Use This Medicine After the Expiry Date Which Is Stated on the Vial or Carton.

6. Contents of the Pack and Other Information

What Levosimendan Mercapharm Contains

  • The Active Substance Is Levosimendan 2.5 mg/mL.
  • The Other Ingredients Are Povidone, Citric Acid, and Anhydrous Ethanol.

What Levosimendan Mercapharm Looks Like and Contents of the Pack

Levosimendan Mercapharm Is a Clear, Yellow or Orange Solution.

  • 1 Vial (Type I Glass) of 5 mL, in a Cardboard Box.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Mercapharm Sp. z o.o.

Manufacturer

Pharmidea SIA, Rupnicu Iela 4, Olaine, Olaines Novads, 2114, Latvia

This Medicinal Product Is Authorised in the Member States of the European Economic Area Under the Following Names:

Estonia: Levosimendan Auxilia

France: Levosimendan Pharmidea 2.5 mg/ml, solution à diluer pour perfusion

Spain: Levosimendan ever pharma 2.5 mg/ml concentrado para solucion para perfusion efg

Poland: Levosimendan Mercapharm

Portugal: Levosimendano ever pharma 2.5 MG/ML Concentrado para solução para perfusão

Date of Last Revision of the Leaflet:

-----------------------------------------------------------------------------------------------------------

Information Intended for Healthcare Professionals Only:

Levosimendan Mercapharm, 2.5 mg/mL, Concentrate for Solution for Infusion

Instructions for Use and Handling

Levosimendan Mercapharm 2.5 mg/mL, Concentrate for Solution for Infusion Is for Single Use Only.

  • In Order to Prepare an Infusion Solution of 0.025 mg/mL, 5 mL of Levosimendan Mercapharm 2.5 mg/mL Concentrate for Solution for Infusion Should Be Mixed with 500 mL of 5% Glucose Solution.
  • In Order to Prepare an Infusion Solution of 0.05 mg/mL, 10 mL of Levosimendan Mercapharm 2.5 mg/mL Concentrate for Solution for Infusion Should Be Mixed with 500 mL of 5% Glucose Solution.

Levosimendan Mercapharm May Be Used in Combination with the Following Medicines at the Specified Concentrations, Administered Through the Same Intravenous Line:

  • Furosemide 10 mg/mL
  • Digoxin 0.25 mg/mL
  • Glyceryl Trinitrate 0.1 mg/mL

Alternatives to Levosimendan Mercapharm in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Levosimendan Mercapharm in Spain

Dosage form: INJECTABLE PERFUSION, 2.5 mg/ml
Active substance: levosimendan
Manufacturer: Waymade B.V.
Prescription required
Dosage form: INJECTABLE PERFUSION, 2.5 mg/ml
Active substance: levosimendan
Manufacturer: Eql Pharma Ab
Prescription required
Dosage form: INJECTABLE PERFUSION, 12.5 mg
Active substance: levosimendan
Manufacturer: Carinopharm Gmbh
Prescription required
Dosage form: INJECTABLE PERFUSION, 2.5 mg levosimendan/ml
Active substance: levosimendan
Manufacturer: Orion Corporation
Prescription required
Dosage form: INJECTABLE PERFUSION, 2.5 mg/ml
Active substance: levosimendan
Manufacturer: Zentiva K.S.
Prescription required
Dosage form: INJECTABLE PERFUSION, 2.5 mg/ml
Active substance: levosimendan
Prescription required

Alternative to Levosimendan Mercapharm in Ukraine

Dosage form: concentrate, 2.5 mg/ml; 5 ml in a vial
Active substance: levosimendan
Manufacturer: Orion Korporejsn
Prescription required
Dosage form: concentrate, 2.5 mg/ml, 5 ml in a vial
Active substance: levosimendan
Manufacturer: AT "Farmak
Prescription required
Dosage form: concentrate, 2.5 mg/ml, 5 ml in glass vial
Active substance: levosimendan
Manufacturer: TOV "Farmidea
Prescription required

Online doctors for Levosimendan Mercapharm

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Levosimendan Mercapharm – subject to medical assessment and local rules.

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Doctor

Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Doctor

Svetlana Kolomeeva

Cardiology17 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

CameraBook a video appointment
€50
November 309:00
November 310:05
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Doctor

Eteri Tabeshadze

Cardiology32 years of experience

Dr. Eteri Tabeshadze is a cardiologist with the highest qualification category and over 32 years of clinical experience. She also practises functional diagnostics, offering a comprehensive approach to cardiovascular care. Dr. Tabeshadze provides online consultations for adults with a wide range of heart-related conditions, from preventive screenings to acute and chronic disease management.

Areas of expertise include:

  • Diagnosis and treatment of hypertension, coronary artery disease, and chronic heart failure
  • Management of arrhythmias and conduction disorders, including paroxysmal events
  • Emergency care: myocardial infarction, acute left ventricular failure, acute pulmonary heart disease
  • Post-thromboembolism care and evaluation of cardiomyopathies
  • Treatment of vegetative dysfunction and autonomic disorders
  • Interpretation of cardiovascular tests: ECG, Holter monitoring, ambulatory blood pressure monitoring (ABPM), echocardiography (including transesophageal echo), stress echocardiography, exercise testing (VEM, treadmill test)
Dr. Tabeshadze combines extensive diagnostic experience with personalised care. She helps patients understand their cardiovascular health, navigate symptoms and diagnoses, and create tailored treatment plans to improve quality of life and reduce long-term risks.
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Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Doctor

Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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