Product image of Ivabradina Cinfa (Ivabradine Hydrochloride) supplied by GNH India

Ivabradina Cinfa

Active Ingredient:
Ivabradine Hydrochloride
Origin:
EU

Ivabradina Cinfa (Ivabradine Hydrochloride)

Ivabradine, the active ingredient in Ivabradina Cinfa, is an If channel inhibitor presented as an oral tablet for oral use. It is employed to lower heart rate in patients with chronic stable angina pectoris and in those with heart failure with reduced ejection fraction.

GNH India supplies Ivabradina Cinfa as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to stringent quality standards and providing regulatory documentation for global distribution, including batch release certificates and stability data.

Manufacturer / TM Owner

Laboratorios Cinfa S.A.

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Indications & Clinical Uses

Ivabradine acts on the cardiac sinus node to reduce heart rate, benefiting conditions where heart‑rate control improves outcomes.

  • Chronic stable angina pectoris: reduces myocardial oxygen demand by lowering heart rate, relieving anginal symptoms.
  • Heart failure with reduced ejection fraction: improves left‑ventricular function and lowers hospitalization risk by controlling heart rate.
  • Exercise‑induced angina: facilitates better exercise tolerance by preventing excessive heart‑rate rise.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which modulates spontaneous depolarisation. By blocking this inward sodium/potassium mixed current, the drug slows the pacemaker activity without affecting myocardial contractility, resulting in a reduced resting heart rate while preserving ventricular performance.

Side Effects

Common Side Effects

  • Bradycardia: slowed heart rate that may cause fatigue.
  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Headache: mild to moderate pain.
  • Dizziness: sensation of light‑headedness.

Serious or Rare Side Effects

  • Severe bradycardia: symptomatic heart‑rate <50 bpm requiring medical attention.
  • Atrial fibrillation: irregular rhythm that may need treatment.
  • Allergic reaction: rash, swelling, or anaphylaxis.

Precautions & Warnings

When prescribing Ivabradina Cinfa, clinicians should consider the following precautions:

  • Heart‑rate monitoring: check resting heart rate before initiation and periodically thereafter.
  • Contraindication in sick sinus syndrome: avoid use in patients with intrinsic sinus node dysfunction.
  • Severe hepatic impairment: use with caution or avoid.
  • Concurrent strong CYP3A4 inhibitors: avoid co‑administration.
  • Pregnancy and lactation: safety not established; weigh risks and benefits.

Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Ivabradina Cinfa may interact with several drug classes.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may markedly increase ivabradine exposure.
  • Other bradycardic agents (e.g., beta‑blockers, digoxin): combined use can cause excessive heart‑rate reduction.
  • Concomitant use with other If channel inhibitors: avoid.

Moderate Interactions (Monitor Closely)

  • Calcium‑channel blockers (verapamil, diltiazem): may modestly raise ivabradine levels.
  • CYP3A4 inducers (rifampicin, carbamazepine): may reduce efficacy.
  • Antihypertensives (ACE inhibitors, ARBs): monitor blood pressure.

Frequently Asked Questions

Ivabradina Cinfa contains ivabradine, which is used to lower heart rate in adults with chronic stable angina pectoris and in patients with heart failure with reduced ejection fraction, helping to relieve chest pain and improve cardiac efficiency.

Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the pacemaker of the heart. This inhibition slows spontaneous depolarisation, reducing resting heart rate without decreasing the strength of cardiac contraction.

The appropriate dose is determined by the prescribing clinician based on the patient’s clinical condition, heart‑rate response, and tolerability. Dosage adjustments are made according to therapeutic goals and safety monitoring.

Safety data for ivabradine during pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by the treating physician.

Submit an enquiry on the 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 beta‑blockers also reduce myocardial contractility and blood pressure. Ivabradine specifically targets the If current, offering heart‑rate reduction without affecting contractile force, which can be advantageous when beta‑blocker tolerance is limited.

Store the tablets below 25 °C in the original container, protected from moisture and direct sunlight. Keep out of reach of children and do not use after the expiry date printed on the packaging.

The medication is taken orally, usually with a glass of water. It should be swallowed whole and not crushed or chewed. Dosing times are typically spaced evenly, often twice daily, as directed by the prescriber.

The most serious adverse events include severe bradycardia (heart rate <50 bpm), atrial fibrillation, and persistent visual disturbances that may indicate retinal toxicity. Prompt medical evaluation is required if any of these symptoms occur.

Ivabradina Cinfa is contraindicated in patients with sick sinus syndrome, severe hepatic impairment, acute decompensated heart failure, or those taking strong CYP3A4 inhibitors. It should also be avoided in individuals with known hypersensitivity to ivabradine.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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