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

Ivabradin Puren

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradin Puren (Ivabradine)

Ivabradine, the active ingredient in Ivabradin Puren, is a If channel inhibitor presented as an oral tablet for oral use. It lowers heart rate and is indicated for chronic stable angina and for heart failure in patients with reduced ejection fraction, improving symptoms and functional capacity.

GNH India supplies Ivabradin Puren 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 each batch, including certificates of analysis and import permits.

Manufacturer / TM Owner

Puren Pharma Gmbh & Co. Kg

1
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Indications & Clinical Uses

Ivabradine acts on the cardiac sinus node to reduce heart rate, and is used in specific cardiovascular conditions.

  • Chronic stable angina: reduces the frequency of angina attacks and improves exercise tolerance.
  • Heart failure (NYHA class II–III) with reduced ejection fraction: lowers heart rate, decreasing myocardial oxygen demand and may improve symptoms and functional capacity.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which slows the spontaneous depolarization of pacemaker cells. This reduction in pacemaker activity leads to a lower heart rate without affecting myocardial contractility, ventricular repolarisation, or blood pressure, providing a heart‑rate‑lowering effect that is independent of beta‑adrenergic pathways.

Side Effects

Adverse reactions may occur with ivabradine therapy.

Common Side Effects

  • Phosphenes (luminous phenomena)
  • Headache
  • Dizziness
  • Fatigue

Serious or Rare Side Effects

  • Symptomatic bradycardia
  • Atrial fibrillation
  • Severe visual disturbances

Precautions & Warnings

Before initiating therapy, consider the following precautions.

  • Heart‑rate monitoring: ensure resting heart rate is ≥60 bpm before starting.
  • Hepatic impairment: use with caution in moderate to severe liver disease.
  • Sick sinus syndrome: avoid in patients with known sinus node dysfunction.
  • Concomitant beta‑blockers: monitor for excessive bradycardia when combined.
  • Acute decompensated heart failure: contraindicated during unstable phases.
  • Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Ivabradine may interact with several medicines; review patient medication lists.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) – may increase plasma levels.
  • Calcium‑channel blockers that depress conduction (verapamil, diltiazem) – risk of pronounced bradycardia.
  • Other If‑channel inhibitors – additive heart‑rate reduction.

Moderate Interactions (Monitor Closely):\n- CYP3A4 inducers (e.g., rifampicin) – may reduce efficacy.

  • Digoxin – monitor for combined effects on heart rate.
  • Antihypertensive agents – watch for additive blood pressure lowering.

Frequently Asked Questions

Ivabradin Puren contains ivabradine, which is prescribed to lower heart rate in patients with chronic stable angina and in those with heart failure classified as NYHA class II–III with reduced ejection fraction. By reducing 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 primary pacemaker of the heart. Inhibition of this current slows the spontaneous depolarisation of pacemaker cells, leading to a reduction in heart rate without affecting myocardial contractility or blood pressure.

The dose of Ivabradin Puren is determined individually by a qualified prescriber based on the patient’s clinical condition, heart‑rate response, and tolerance. Physicians adjust the regimen according to therapeutic goals and safety monitoring, and patients should follow the prescribed instructions exactly.

Safety data for ivabradine in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should only be used when the potential benefit justifies the potential risk to the fetus or infant, and a healthcare professional must evaluate each case.

To place an order, submit an enquiry on the Ivabradin Puren 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 (including any cold‑chain requirements) and the necessary import documentation.

The primary alternative for heart‑rate reduction in angina and heart failure is beta‑blockers. Unlike beta‑blockers, ivabradine lowers heart rate without influencing beta‑adrenergic receptors, so it does not affect blood pressure or contractility and can be added when beta‑blockers are insufficient or not tolerated.

Store Ivabradin Puren tablets at room temperature, below 25 °C, in the original packaging. Keep the container tightly closed, protect it from moisture and direct sunlight, and keep it out of reach of children. Do not refrigerate or freeze the product.

Ivabradin Puren is taken orally as a whole tablet with a glass of water. It may be taken with or without food, but the dose should be swallowed whole and not split, crushed, or chewed unless otherwise directed by a healthcare professional.

Serious adverse events include symptomatic bradycardia, atrial fibrillation, and severe visual disturbances such as persistent phosphenes. Patients should report any unusually slow heart rate, palpitations, fainting, or new visual symptoms to their prescriber promptly.

Ivabradin Puren is contraindicated in patients with acute decompensated heart failure, severe hypotension, sick sinus syndrome, or a resting heart rate below 60 bpm. It should also be avoided in individuals with known hypersensitivity to ivabradine or any of the tablet’s excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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