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

Ivabradin Al

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradin Al (Ivabradine)

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

GNH India supplies Ivabradin Al as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for importers. Its global logistics network ensures timely delivery across Europe, Asia, Africa and the Americas.

Manufacturer / TM Owner

Aliud Pharma Gmbh

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Indications & Clinical Uses

Ivabradine acts on the cardiac conduction system by selectively inhibiting the If current, and is used in specific cardiovascular conditions.

  • Chronic stable angina pectoris: reduces frequency of angina attacks by lowering heart rate.
  • Heart failure (NYHA class II‑III): improves exercise capacity and reduces hospitalization risk by decreasing heart rate in patients with reduced ejection fraction.

How It Works

  • Ivabradine selectively binds to the hyperpolarization‑activated cyclic nucleotide‑gated (HCN) channels that generate the funny (If) current in the sinoatrial node. By inhibiting this inward Na⁺/K⁺ mixed current, it slows spontaneous depolarization, reducing heart rate without affecting myocardial contractility or ventricular repolarisation. The drug does not interfere with β‑adrenergic receptors, calcium channels, or the conduction system, allowing a pure chronotropic effect.

Side Effects

Ivabradine may be associated with several adverse reactions, which are categorized by frequency.

Common Side Effects

  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Bradycardia: symptomatic slowing of heart rate.
  • Headache: mild to moderate intensity.

Serious or Rare Side Effects

  • Atrial fibrillation: new onset arrhythmia.
  • Severe bradycardia requiring medical intervention.
  • Allergic reactions: rash, pruritus, or angioedema.

Precautions & Warnings

When prescribing ivabradine, clinicians should observe several precautionary measures to minimise risk.

  • Indication verification: ensure patient has chronic stable angina or heart failure with elevated heart rate.
  • Concomitant beta‑blocker use: avoid excessive heart‑rate reduction; adjust doses accordingly.
  • Visual assessment: screen for retinal disease before initiating therapy.
  • Hepatic impairment: use with caution in moderate to severe liver dysfunction.
  • Pregnancy and lactation: avoid use unless potential benefit justifies potential risk.
  • Store at ambient temperature: keep tablets in original packaging, protect from moisture and light.

Avoid Interactions

Ivabradine interacts with several medicines that can alter its plasma concentration or additive cardiac effects.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase ivabradine levels and risk of bradycardia.
  • Concomitant use with other heart‑rate‑lowering agents (e.g., digoxin, non‑DHP calcium channel blockers): can cause excessive bradycardia.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., diltiazem, verapamil): may require dose adjustment.
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce efficacy.
  • Antihypertensive agents: monitor blood pressure for additive hypotensive effect.

Frequently Asked Questions

Ivabradin Al contains ivabradine, an If channel inhibitor indicated for the treatment of chronic stable angina pectoris and for symptomatic management of heart failure in patients classified as NYHA class II‑III with reduced ejection fraction. It works by lowering heart rate without affecting contractility, helping to relieve angina symptoms and improve exercise tolerance in heart‑failure patients.

Ivabradine selectively blocks the hyperpolarization‑activated cyclic nucleotide‑gated (HCN) channels that generate the funny (If) current in the sinoatrial node. Inhibition of this inward Na⁺/K⁺ mixed current slows spontaneous depolarisation, producing a pure heart‑rate‑lowering (chronotropic) effect while leaving myocardial contractility and ventricular repolarisation unchanged.

The appropriate dose of ivabradine is determined by the prescribing physician based on the patient’s clinical condition, heart‑rate target, renal and hepatic function, and concomitant medications. Dosage adjustments are made according to therapeutic response and tolerability, and the medication is taken orally as directed on the prescription label.

The safety of ivabradine during pregnancy and lactation has not been established; it is classified as pregnancy category unknown. It should be used only if the potential maternal benefit justifies any possible risk to the fetus, and breastfeeding mothers should consult their healthcare provider before initiating therapy.

To request Ivabradin Al, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and assistance with import documentation.

Both ivabradine and beta‑blockers lower heart rate, but ivabradine acts selectively on the If current without influencing β‑adrenergic receptors, myocardial contractility, or bronchial tone. This makes it useful when beta‑blockers are contraindicated, not tolerated, or when additional heart‑rate reduction is needed beyond what beta‑blockers provide.

Store tablets at ambient temperature, preferably below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and do not use after the expiry date printed on the packaging.

Ivabradin Al is taken orally, usually with meals to improve absorption. The tablet should be swallowed whole with a glass of water and not crushed or chewed. Dosing frequency and timing are prescribed by the treating physician.

The most serious adverse events include symptomatic bradycardia, atrial fibrillation, severe hypotension, and allergic reactions such as rash or angioedema. Patients should be monitored for these events, especially when initiating therapy or adjusting dose, and seek immediate medical attention if they experience fainting, palpitations, or signs of an allergic reaction.

Ivabradine is contraindicated in patients with severe hepatic impairment, acute decompensated heart failure, sick sinus syndrome, sino‑atrial block, or resting heart rate below 50 beats per minute. It should also be avoided in individuals taking strong CYP3A4 inhibitors unless dose adjustments and close monitoring are implemented.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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