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

Ivabradin Ratiopharm

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradin Ratiopharm (Ivabradine)

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

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

Manufacturer / TM Owner

Ratiopharm Gmbh

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Indications & Clinical Uses

  • Ivabradine is indicated for cardiovascular conditions where heart‑rate reduction is beneficial.
  • Chronic stable angina pectoris: reduces the frequency of angina attacks by lowering heart rate.
  • Heart failure with reduced ejection fraction: improves symptoms and reduces hospitalisation by decreasing heart rate.
  • Elevated resting heart rate: helps achieve target heart rate when beta‑blockers are unsuitable.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node by binding to HCN channels that generate pacemaker activity. This reduces the slope of diastolic depolarisation, slowing spontaneous firing of the node and consequently lowering heart rate without affecting myocardial contractility or ventricular repolarisation. The drug does not interfere with adrenergic signalling, allowing blood pressure to remain stable while providing rate control.

Side Effects

Ivabradine may cause a range of adverse reactions, which are categorised by frequency and severity.

Common Side Effects

  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Bradycardia: heart rate below prescribed target.
  • Headache.
  • Dizziness.

Serious or Rare Side Effects

  • Symptomatic bradycardia leading to syncope.
  • Atrial fibrillation.
  • Severe hypotension or heart block.

Precautions & Warnings

When prescribing Ivabradine, clinicians should consider several safety precautions.

  • Cardiovascular assessment: evaluate baseline heart rate and rhythm before initiation.
  • Monitoring: check heart rate regularly after starting therapy and after dose adjustments.
  • Contraindications: avoid use in patients with severe hepatic impairment.
  • Concomitant medications: use caution with other heart‑rate lowering agents (e.g., beta‑blockers, calcium channel blockers).
  • Pregnancy and lactation: safety not established; weigh risks and benefits.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Ivabradine interacts with several medicines that can alter its plasma concentration or additive heart‑rate effects.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, itraconazole): may increase ivabradine levels and cause excessive bradycardia.
  • Other heart‑rate lowering agents (beta‑blockers, diltiazem, verapamil, digoxin): risk of severe bradycardia.
  • Concomitant use with other If channel inhibitors: additive effect on sinoatrial node.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., fluconazole, erythromycin): may require dose adjustment.
  • Diuretics causing electrolyte imbalance: can predispose to arrhythmias.
  • Antihypertensive agents (ACE inhibitors, ARBs): monitor blood pressure and heart rate.

Frequently Asked Questions

Ivabradin Ratiopharm contains ivabradine, which 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 works by selectively blocking the funny (If) current in the sinoatrial node. This current controls the pacemaker activity that sets the heart’s rhythm. Inhibition slows the spontaneous depolarisation of the node, leading to a lower heart rate while leaving contractility and blood pressure largely unchanged.

The appropriate dose of Ivabradin Ratiopharm is determined by the prescribing clinician based on the individual’s clinical condition, baseline heart rate, and response to therapy. Dosage adjustments are made according to therapeutic goals and tolerability, and patients should follow the prescriber’s instructions precisely.

Safety data for ivabradine during pregnancy and lactation are limited. The drug should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers usually advise avoiding use unless absolutely necessary and may consider alternative therapies.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Ivabradin Ratiopharm. 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 is the beta‑blocker class. Unlike beta‑blockers, ivabradine lowers heart rate without affecting beta‑adrenergic receptors, so it does not influence blood pressure or cause bronchospasm. This makes it useful when beta‑blockers are contraindicated or not tolerated, though beta‑blockers also provide additional anti‑ischemic benefits.

Ivabradin Ratiopharm should be stored at ambient temperature below 25 °C. Keep the tablets in the original packaging, protect them from moisture and direct sunlight, and keep them out of reach of children. No refrigeration is required.

The medication is taken orally, usually with or without food, as directed by the prescriber. Tablets should be swallowed whole with a glass of water. Patients are advised to take the dose at the same times each day to maintain consistent blood levels.

Serious risks include symptomatic bradycardia that can lead to dizziness or fainting, atrial fibrillation, and severe hypotension or heart block. Patients should report any episodes of fainting, palpitations, or unusually slow heartbeats to their healthcare provider promptly.

Ivabradin Ratiopharm is contraindicated in patients with severe hepatic impairment, those with a resting heart rate below 50 beats per minute, and individuals with sick sinus syndrome or second‑ or third‑degree atrioventricular block unless they have a permanent pacemaker. It should also be avoided in patients taking strong CYP3A4 inhibitors without dose adjustment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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