Eplerenone (Inspra) is an aldosterone receptor antagonist, mainly indicated for the treatment of patients with cardiac insufficiency following acute myocardial infarction, as well as the management of hypertension in adults.
What Are the Purchase Channels for Eplerenone (Inspra)?
Overseas Purchase
Patients may choose to consult and purchase the drug at hospital pharmacies or licensed retail pharmacies in countries or regions where eplerenone has been approved for marketing.
Since drug prices may be affected by factors such as regional differences and exchange rate fluctuations, patients are advised to make a budget and plan in advance before purchasing.
Purchase via Medical Service Institutions
Patients can consult domestic overseas medical service institutions that have partnerships with international pharmacies or pharmaceutical companies.
These institutions typically provide legal import channels, along with professional consultation and guidance services.
Precautions for Purchasing Eplerenone (Inspra)
Strictly Follow Medical Instructions for Medication Use
A formal prescription issued by a physician based on the patient’s specific condition is mandatory before purchase.
The dosage and treatment course must be strictly in accordance with medical advice. Particularly, patients with heart failure after myocardial infarction require complex dosage adjustments based on serum potassium levels, and dosage should never be altered without medical approval.
Verify Drug Suitability
According to the package insert, eplerenone has strict contraindications.
Prior to purchase and administration, it is essential to confirm that the patient does not have any of the following conditions: baseline serum potassium > 5.5 mEq/L, abnormal specific renal function indicators, or concurrent use of potent CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, etc.).
It is also contraindicated in hypertensive patients with conditions such as type 2 diabetes complicated by microalbuminuria. Full confirmation of suitability should be obtained from a physician before purchasing the drug.
Requirements for Medication Monitoring
The primary risk associated with this drug is hyperkalemia.
Serum potassium levels must be monitored before the initiation of treatment, within the first week of treatment, and one month after dosage adjustment, followed by regular re-examinations thereafter.
More frequent monitoring is required if the drug is used concomitantly with certain moderate CYP3A4 inhibitors, ACEI/ARB agents, or non-steroidal anti-inflammatory drugs (NSAIDs).
Ensure that the conditions for regular blood tests are available at the time of purchase.
How to Distinguish Authentic Eplerenone (Inspra) from Counterfeit Products?
Check the Outer Packaging and Label
Manufacturer Information: Genuine products are manufactured and distributed by Viatris Specialty LLC (formerly a subsidiary of Mylan). Clear details of the manufacturer and distributor must be displayed on the packaging.
Product Name and Specifications: Verify the brand name “Inspra” and the dosage strength (25 mg or 50 mg). Authentic tablets are yellow, diamond-shaped, film-coated tablets.
Batch Number and Expiry Date: Check that the Lot Number and Expiry Date are clearly printed and free of any alterations. The authenticity of the batch number can be verified through official channels, if such a service is available.
Examine the Tablet Appearance
25 mg Tablets: Yellow and diamond-shaped, with “VLE” engraved on one side and “NSR” overlaid on “25” on the other side.
50 mg Tablets: Yellow and diamond-shaped, with “VLE” engraved on one side and “NSR” overlaid on “50” on the other side.
Carefully check that the tablet shape, color, score lines, and engraved markings are completely consistent with the official descriptions. Any blurriness, misalignment, or discrepancies may indicate a counterfeit product.


