Product image of Ivabradine Accord (Ivabradine) supplied by GNH India

Ivabradine Accord

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradine Accord (Ivabradine)

Ivabradine, the active ingredient in Ivabradine Accord, is a If channel inhibitor presented as an oral tablet for oral use. It is indicated for chronic stable angina and heart failure with reduced ejection fraction, helping to lower heart rate in patients who remain symptomatic despite optimal therapy.

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

Manufacturer / TM Owner

Accord Healthcare S.L.U.

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Indications & Clinical Uses

  • Ivabradine acts on the cardiac If current to control heart rate in specific cardiovascular conditions.
  • Chronic stable angina: reduces the frequency of angina attacks and improves exercise tolerance.
  • Heart failure with reduced ejection fraction: lowers heart rate, improves symptoms and may reduce hospitalisations.

How It Works

  • Ivabradine selectively binds to the funny (If) channels in the sinoatrial node, inhibiting the inward sodium/potassium current that drives spontaneous depolarisation. By reducing this pacemaker current, the drug slows the heart rate without affecting myocardial contractility or blood pressure, providing rate control in patients with angina or systolic heart failure.

Side Effects

Ivabradine may cause a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Bradycardia
  • Visual disturbances (phosphenes)
  • Headache
  • Dizziness
  • Fatigue
  • Blurred vision

Serious or Rare Side Effects

  • Symptomatic bradycardia requiring medical intervention
  • Atrial fibrillation or other arrhythmias
  • Severe hypotension
  • Worsening heart failure
  • Persistent visual loss or retinal abnormalities

Precautions & Warnings

Before initiating therapy, clinicians should assess cardiac status and potential drug interactions.

  • Heart rate monitoring: ensure resting heart rate remains above 60 bpm before starting.
  • Hepatic impairment: consider dose reduction in moderate liver dysfunction.
  • Concomitant bradycardic agents: avoid combining with beta‑blockers or digoxin without careful monitoring.
  • Contraindications: do not use in patients with sick‑sinus syndrome, acute decompensated heart failure, or severe hypotension.
  • Pregnancy and lactation: safety unknown; use only if benefits outweigh risks.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Ivabradine can interact with several medicines that affect heart rate or its metabolism.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) – may increase plasma levels.
  • Other If‑channel inhibitors – additive bradycardia risk.
  • Drugs that cause marked bradycardia (beta‑blockers, digoxin) – may lead to severe heart‑rate reduction.

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

  • Antihypertensives – monitor blood pressure and heart rate.
  • Diuretics affecting electrolytes – watch for arrhythmia risk.
  • Certain antiarrhythmics (e.g., amiodarone) – may require dose adjustment.

Frequently Asked Questions

Ivabradine Accord is prescribed to manage chronic stable angina and to treat heart failure with reduced ejection fraction. In both conditions it helps lower the heart rate, reducing the frequency of angina episodes and improving symptoms of heart failure when standard therapies are insufficient.

Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, the electrical pathway that sets the heart’s natural pacemaker activity. By blocking this current, the drug slows the heart rate without affecting contractility or blood pressure, providing targeted rate control for angina and systolic heart failure.

The exact dose of Ivabradine Accord is determined by the prescribing clinician based on the patient’s heart rate, clinical condition, and response to therapy. Physicians typically start with a low dose and may adjust it during follow‑up visits to achieve the desired heart‑rate target.

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 it is generally avoided unless absolutely necessary.

To order Ivabradine Accord, submit an enquiry on the product page at gnhindia.com with 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 needs) and the necessary import documentation.

Beta‑blockers lower heart rate by blocking adrenergic receptors, affecting both heart rate and contractility, whereas Ivabradine specifically targets the If channel, reducing heart rate without influencing contractile force or blood pressure. This makes Ivabradine a useful add‑on when beta‑blockers alone do not achieve target heart‑rate control or are not tolerated.

Ivabradine Accord tablets should be stored below 25 °C in their original packaging, protected from moisture and direct sunlight. Keep the container tightly closed and out of reach of children. Do not store in a refrigerator or freezer, as temperature extremes can affect tablet integrity.

Ivabradine Accord is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the prescriber’s instructions regarding timing relative to meals to ensure consistent absorption.

The most serious risks include symptomatic bradycardia, atrial fibrillation, severe hypotension, worsening heart failure, and rare visual disturbances that may lead to persistent visual loss. Patients should be educated to report any sudden vision changes, dizziness, or unusually slow heartbeats promptly.

Ivabradine Accord is contraindicated in patients with sick‑sinus syndrome, severe hypotension, acute decompensated heart failure, or those taking strong CYP3A4 inhibitors such as ketoconazole or clarithromycin. It should also be avoided in individuals with known hypersensitivity to ivabradine or any of the tablet excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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