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

Ivabradin Axiromed

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradin Axiromed (Ivabradine)

Ivabradine, the active ingredient in Ivabradin Axiomed, is a If channel inhibitor presented as an oral formulation for oral use. It is used to manage chronic stable angina and certain forms of heart failure in adult patients.

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

Manufacturer / TM Owner

Medical Valley Invest Ab

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Indications & Clinical Uses

Ivabradin Axiomed acts on the cardiac If current to reduce heart rate in conditions where heart‑rate control improves outcomes.

  • Chronic stable angina: lowers heart rate to decrease frequency of angina attacks.
  • Heart failure with reduced ejection fraction: improves symptoms and may reduce hospitalisations.
  • Patients intolerant to beta‑blockers: provides an alternative method of heart‑rate reduction.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which slows the spontaneous depolarisation of pacemaker cells. By reducing the slope of phase 4 depolarisation, the drug lowers resting heart rate without affecting myocardial contractility or blood pressure, thereby improving myocardial oxygen balance in angina and supporting ventricular function in heart failure.

Side Effects

Adverse reactions have been reported with ivabradine use.

Common Side Effects

  • Bradycardia: slowed resting heart rate.
  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Headache.
  • Dizziness.

Serious or Rare Side Effects

  • Symptomatic severe bradycardia or syncope.
  • Atrioventricular block.
  • Worsening of heart failure or decompensation.

Precautions & Warnings

Ivabradin Axiomed requires careful patient assessment and monitoring.

  • Cardiac monitoring: obtain baseline ECG and heart‑rate measurement before initiation.
  • Avoid in patients with resting heart rate below 60 bpm.
  • Caution in severe hepatic impairment: dose may need adjustment.
  • Concomitant use with strong CYP3A4 inhibitors: increased exposure may occur.
  • Pregnancy and lactation: safety not established; use only if benefits outweigh risks.
  • Store at ambient temperature (below 25°C): keep in the original pack, protect from moisture.

Avoid Interactions

Ivabradin Axiomed can interact with several drug classes.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may raise ivabradine plasma levels.
  • Other bradycardic agents (beta‑blockers, digoxin, diltiazem, verapamil): risk of excessive heart‑rate reduction.
  • Pacemaker‑dependent patients: potential interference with device function.

Moderate Interactions (Monitor Closely):\n- CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce therapeutic effect.

  • Antihypertensives that cause hypotension: monitor blood pressure for additive effects.

Frequently Asked Questions

Ivabradin Axiomed contains ivabradine, which is prescribed to lower heart rate in adults with chronic stable angina and in patients with heart failure with reduced ejection fraction. By reducing the heart rate, it helps relieve angina symptoms and may improve 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 reduction in resting heart rate without affecting contractility or blood pressure, thereby improving myocardial oxygen supply‑demand balance.

The exact dose of Ivabradin Axiomed is determined by the prescribing clinician based on the individual’s clinical condition, heart‑rate targets, and tolerance. Physicians typically start with a low dose and may titrate upward, but the specific regimen should always follow the prescriber’s instructions.

Safety data for ivabradine in pregnancy and lactation are limited. It is classified as contraindicated or to be used only when the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To request Ivabradin Axiomed, submit an enquiry on the product page at gnhindia.com indicating 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 necessary import documentation.

The primary alternative for heart‑rate reduction in angina and heart failure is the beta‑blocker class. Unlike beta‑blockers, ivabradine lowers heart rate without affecting myocardial contractility or blood pressure, making it useful when beta‑blockers are contraindicated or not tolerated. However, beta‑blockers also provide anti‑arrhythmic and anti‑ischemic benefits that ivabradine does not.

Store Ivabradin Axiomed at ambient temperature, preferably below 25 °C. Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure the packaging remains sealed until use. Do not store in a refrigerator or freezer.

Ivabradin Axiomed is taken orally, usually with a glass of water. The tablets are swallowed whole and should be taken at the same times each day as directed by the prescriber. Food does not significantly affect absorption, but patients should follow any specific timing instructions given by their clinician.

The most serious adverse events include symptomatic severe bradycardia, syncope, atrioventricular block, and worsening heart failure. Patients should be educated to report any episodes of fainting, unusually slow heart rate, or sudden worsening of heart‑failure symptoms such as increased shortness of breath or swelling.

Ivabradin Axiomed should be avoided in patients with a resting heart rate below 60 bpm, those with severe hepatic impairment, patients dependent on pacemakers, and individuals taking strong CYP3A4 inhibitors without dose adjustment. It is also contraindicated in patients with acute decompensated heart failure or unstable angina.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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