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

Ivabradina Doc Generici

Active Ingredient:
Ivabradine Hydrochloride
Origin:
EU

Ivabradina Doc Generici (Ivabradine Hydrochloride)

Ivabradine, the active ingredient in Ivabradina Doc Generici, is an If channel inhibitor presented as a generic oral tablet for oral use. It lowers heart rate and is used in chronic stable angina and heart failure with reduced ejection fraction in adult patients.
GNH India supplies Ivabradina Doc Generici as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Doc Generici S.R.L.

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Indications & Clinical Uses

  • Ivabradine acts on the cardiac sinus node to control heart rate, making it useful in specific cardiovascular conditions.
  • Chronic stable angina: reduces the frequency of angina attacks by lowering heart rate without affecting contractility.
  • Heart failure with reduced ejection fraction: improves symptoms and reduces hospitalization by decreasing myocardial oxygen demand.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sino‑atrial node, which slows spontaneous depolarisation. This reduction in pacemaker activity lowers heart rate while preserving myocardial contractility and blood pressure, thereby decreasing cardiac workload and oxygen consumption.

Side Effects

Adverse reactions may occur with ivabradine therapy.

Common Side Effects

  • Visual disturbances such as luminous phenomena (phosphenes).
  • Bradycardia (slow heart rate).
  • Headache.
  • Dizziness.
  • Fatigue.
  • Blurred vision.

Serious or Rare Side Effects

  • Severe bradycardia requiring medical attention.
  • Symptomatic atrial fibrillation.
  • Persistent visual impairment.
  • Hypotension leading to syncope.

Precautions & Warnings

  • Before initiating ivabradine, consider the following precautions.
  • Heart rate monitoring: ensure resting heart rate is ≥60 bpm before starting therapy.
  • Severe hepatic impairment: avoid or use with caution as clearance is reduced.
  • Sick sinus syndrome: contraindicated due to risk of excessive bradycardia.
  • Concurrent bradycardic agents: adjust dose or monitor closely when combined with beta‑blockers or digoxin.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk.
  • Store below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Ivabradine may interact with several medicines; awareness of interaction severity is essential.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole) – may increase ivabradine plasma levels.
  • Concomitant use with other heart‑rate‑lowering agents (beta‑blockers, digoxin) – risk of severe bradycardia.
  • Certain antiarrhythmic drugs (e.g., amiodarone) – can potentiate bradycardic effects.

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

  • Calcium‑channel blockers (e.g., diltiazem, verapamil) – may modestly increase ivabradine exposure.
  • Antihypertensive agents – monitor blood pressure and heart rate for additive effects.

Frequently Asked Questions

Ivabradina Doc Generici 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 improves heart failure outcomes without affecting contractility.

Ivabradine selectively blocks the funny (If) current in the sino‑atrial node, the primary pacemaker of the heart. This inhibition slows the spontaneous depolarisation of pacemaker cells, leading to a reduction in heart rate while preserving myocardial contractile force and blood pressure.

The dosage of ivabradine is individualized by the prescribing clinician based on the patient’s heart rate, clinical condition, and response to therapy. The prescriber determines the appropriate strength, frequency, and any necessary adjustments.

Safety data for ivabradine in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Both ivabradine and beta‑blockers lower heart rate, but ivabradine does so by selectively inhibiting the If current without affecting beta‑adrenergic receptors, preserving contractility and blood pressure. Beta‑blockers have broader cardiovascular effects, including reduced contractility and blood pressure, which may be advantageous or limiting depending on the patient’s condition.

Ivabradine tablets should be stored below 25 °C in a dry place. Keep them in the original packaging to protect from moisture and light. Do not store in the bathroom or near heat sources, and keep out of reach of children.

Ivabradine is taken orally, usually with or without food, as directed by the prescriber. The tablets should be swallowed whole with a glass of water and not chewed or crushed, to ensure consistent absorption.

The most serious risks include severe bradycardia, which can cause dizziness, fatigue, or syncope, and atrial fibrillation, which may require medical intervention. Persistent visual disturbances and hypotension are also considered serious and should be reported promptly.

Ivabradine is contraindicated in patients with severe hepatic impairment, sick sinus syndrome, acute decompensated heart failure, or a resting heart rate below 60 bpm. It should also be avoided in individuals taking strong CYP3A4 inhibitors unless dose adjustments are made under medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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