Product image of Ivabradin Abz (Ivabradine) supplied by GNH India

Ivabradin Abz

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradin Abz (Ivabradine)

Ivabradine, the active ingredient in Ivabradin Abz, is a If channel inhibitor presented as an oral formulation for oral use. It reduces heart rate and is indicated for chronic stable angina pectoris and heart failure with reduced ejection fraction in adult patients.

GNH India supplies Ivabradin Abz as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Abz-Pharma Gmbh

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Indications & Clinical Uses

Ivabradin Abz acts on the cardiac If current to manage conditions where heart‑rate reduction is therapeutic.

  • Chronic stable angina pectoris: decreases the frequency of angina attacks by lowering heart rate without affecting contractility.
  • Heart failure with reduced ejection fraction: improves exercise capacity and reduces hospitalization risk by maintaining a lower resting heart rate.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which slows the spontaneous depolarisation of pacemaker cells. This results in a reduction of resting heart rate while preserving myocardial contractility and blood pressure, providing symptomatic relief in angina and improving outcomes in heart failure with reduced ejection fraction.

Side Effects

Adverse reactions may occur with ivabradine therapy.

Common Side Effects

  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Bradycardia: resting heart rate below 50 bpm.
  • Headache: mild to moderate intensity.
  • Dizziness or vertigo.
  • Fatigue or general weakness.
  • Blurred vision.

Serious or Rare Side Effects

  • Symptomatic severe bradycardia requiring medical intervention.
  • Atrial fibrillation or other clinically significant arrhythmias.
  • Persistent visual impairment or retinal abnormalities.
  • Hypotension with syncope.
  • Allergic reactions such as rash or angioedema.

Precautions & Warnings

Before initiating therapy, several safety considerations are recommended.

  • Monitor heart rate: ensure resting HR > 50 bpm prior to start and during dose adjustments.
  • Avoid in severe hepatic impairment: reduced clearance may increase exposure.
  • Caution with concomitant beta‑blockers: risk of excessive bradycardia.
  • Use carefully in patients with sick sinus syndrome or atrioventricular block.
  • Store at room temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Ivabradine may interact with other medicines that affect its metabolism or heart‑rate control.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): can markedly increase ivabradine plasma levels.
  • Co‑administration with other heart‑rate‑lowering agents (e.g., digoxin, verapamil): risk of severe bradycardia.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., erythromycin, clarithromycin): monitor heart rate and adjust dose if needed.
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce therapeutic effect.
  • Concurrent antihypertensives: observe blood pressure for additive hypotensive effect.

Frequently Asked Questions

Ivabradin Abz contains ivabradine and is prescribed to lower heart rate in adults with chronic stable angina pectoris and in patients with heart failure with reduced ejection fraction. By reducing the heart rate, it helps relieve angina symptoms and improves functional capacity in heart‑failure patients.

Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the pacemaker of the heart. This inhibition slows the spontaneous depolarisation of pacemaker cells, leading to a lower resting heart rate while preserving myocardial contractility and blood pressure.

The dose of ivabradine is individualized by the prescribing clinician based on the patient’s heart‑rate, clinical condition and tolerance. The prescriber determines the starting dose, any titration steps, and the maintenance regimen according to current therapeutic guidelines.

Safety of ivabradine in pregnancy and lactation has not been established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and it is generally avoided unless no suitable alternatives exist.

To place an order, submit an enquiry on the Ivabradin Abz 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 and any required import documentation.

Both ivabradine and beta‑blockers lower heart rate, but ivabradine does so by selectively inhibiting the If current without affecting myocardial contractility or blood pressure. Beta‑blockers act on beta‑adrenergic receptors and can reduce contractility and cause bronchospasm, making ivabradine a useful alternative when those effects are undesirable.

Store Ivabradin Abz at room temperature, preferably below 25 °C. Keep the tablets in the original container, protect them from moisture and direct light, and avoid exposure to excessive heat or humidity to maintain product stability.

Ivabradin Abz is taken orally as prescribed. The tablets should be swallowed whole with water, typically with or without food, according to the dosing schedule set by the treating physician.

The most serious adverse events include severe bradycardia (resting heart rate < 50 bpm), atrial fibrillation, symptomatic hypotension, and persistent visual disturbances such as retinal abnormalities. Patients should be monitored closely for these events, especially during dose initiation and titration.

Ivabradin Abz is contraindicated in patients with severe hepatic impairment, sick sinus syndrome, second‑ or third‑degree atrioventricular block, resting heart rate below 50 bpm, acute decompensated heart failure, or in those taking strong CYP3A4 inhibitors that cannot be discontinued.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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