Product image of Ivabradina Krka (Ivabradine) supplied by GNH India

Ivabradina Krka

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradina Krka (Ivabradine)

Ivabradine, the active ingredient in Ivabradina Krka, is a selective If channel inhibitor presented as an oral tablet for oral use. It lowers heart rate to treat chronic stable angina and heart failure in adult patients.

GNH India supplies Ivabradina Krka as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Ivabradina Krka acts on the cardiac If current to manage conditions where heart‑rate reduction is therapeutic.

  • Chronic stable angina: reduces the frequency of angina attacks by lowering heart rate.
  • Heart failure with reduced ejection fraction: improves symptoms and may lower hospitalization risk by decreasing heart rate.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which slows the spontaneous depolarisation of pacemaker cells. By reducing this pacemaker activity, the drug lowers heart rate without affecting myocardial contractility or blood pressure, providing anti‑anginal and heart‑failure benefits.

Side Effects

Ivabradina Krka may cause adverse reactions that vary in frequency and severity.

Common Side Effects

  • Bradycardia: resting heart rate falls below the expected range.
  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Headache: mild to moderate intensity.
  • Dizziness or light‑headedness.

Serious or Rare Side Effects

  • Symptomatic bradycardia requiring medical intervention.
  • Atrial fibrillation or other arrhythmias.
  • Severe hypotension.
  • Persistent visual impairment or retinal disturbances.

Precautions & Warnings

Before prescribing Ivabradina Krka, clinicians should consider several safety measures.

  • Cardiac monitoring: assess baseline heart rate and rhythm.
  • Concomitant bradycardic agents: avoid excessive heart‑rate reduction when combined with beta‑blockers or digoxin.
  • Severe hepatic impairment: use with caution, dose adjustment may be required.
  • Pregnancy: safety not established; avoid unless clearly needed.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Ivabradina Krka can interact with other medicines that affect its metabolism or heart‑rate control.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase ivabradine exposure.
  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): markedly reduce efficacy.
  • Other bradycardic agents (e.g., beta‑blockers, digoxin): risk of excessive heart‑rate slowing.

Moderate Interactions (Monitor Closely)

  • Calcium‑channel blockers (verapamil, diltiazem): may raise plasma levels.
  • Moderate CYP3A4 inhibitors (e.g., fluoxetine, erythromycin): require careful monitoring.
  • Antacids or high‑fat meals: can affect absorption; observe therapeutic response.

Frequently Asked Questions

Ivabradina Krka 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 slowing the heart’s pacing, it helps relieve angina symptoms and can improve functional capacity in heart‑failure patients.

Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the natural pacemaker of the heart. This inhibition reduces the slope of spontaneous depolarisation, leading to a slower heart rate while preserving myocardial contractility and blood pressure, providing anti‑anginal and heart‑failure benefits.

The dose of Ivabradina Krka 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, following local prescribing guidelines.

Safety of ivabradine during pregnancy and lactation has not been established. It should be avoided unless 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 Ivabradina Krka, 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 (including any temperature requirements), and necessary import documentation.

Both ivabradine and beta‑blockers lower heart rate, but ivabradine does so by directly inhibiting the If current without affecting myocardial contractility or blood pressure. Beta‑blockers act on adrenergic receptors and can reduce contractility and blood pressure. Ivabradine may be preferred when a pure heart‑rate reduction is needed without additional haemodynamic effects.

Store Ivabradina Krka at room temperature, below 25 °C, in the original packaging to protect it from moisture and light. Keep the container tightly closed and out of reach of children. Do not store in bathrooms or near heat sources.

Ivabradina Krka is taken orally, usually with a glass of water. It can be taken with or without food, but consistency with respect to meals is recommended to maintain stable absorption. The tablet should be swallowed whole and not split or crushed unless specifically instructed by a pharmacist.

The most serious risks include symptomatic bradycardia that may require medical intervention, atrial fibrillation or other serious arrhythmias, and persistent visual disturbances such as retinal impairment. Patients should be monitored for these events, especially during dose initiation or when combined with other heart‑rate‑lowering agents.

Ivabradina Krka is contraindicated in patients with severe sinus bradycardia (resting heart rate <50 bpm), sick‑sinus syndrome, acute decompensated heart failure, uncontrolled hypotension, or those taking strong CYP3A4 inhibitors such as ketoconazole. It should also be avoided in individuals with known hypersensitivity to ivabradine or any excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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