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

Ivabradine Accord-Uk

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradine Accord-Uk (Ivabradine)

Ivabradine, the active ingredient in Ivabradine Accord-Uk, is a If channel inhibitor presented as an oral formulation for oral use. It is used to lower heart rate in patients with chronic stable angina and heart failure with reduced ejection fraction.
GNH India supplies Ivabradine Accord-Uk as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord-Uk Limited

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Indications & Clinical Uses

  • Ivabradine 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 lowers risk of hospitalization by decreasing myocardial oxygen demand.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which slows depolarisation of pacemaker cells. This reduction in automaticity lowers resting heart rate without affecting myocardial contractility or blood pressure, providing symptom relief in angina and improving cardiac efficiency in heart failure.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

  • Visual disturbances (phosphenes or luminous phenomena)
  • Bradycardia (resting heart rate <50 bpm)
  • Headache
  • Dizziness
  • Fatigue
  • Blurred vision

Serious or Rare Side Effects

  • Symptomatic bradycardia requiring medical intervention
  • Atrial fibrillation or other arrhythmias
  • Severe hypotension
  • Persistent visual impairment
  • Heart block or conduction abnormalities

Precautions & Warnings

  • Careful assessment and monitoring are required before and during therapy.
  • Monitor heart rate: ensure resting HR remains above 50 bpm.
  • Avoid in severe hepatic impairment: use is contraindicated or requires dose adjustment.
  • Caution in sick sinus syndrome: may exacerbate bradyarrhythmias.
  • Do not combine with strong CYP3A4 inhibitors: risk of excessive drug exposure.
  • Store at ambient temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Ivabradine may interact with several drug classes; some require avoidance while others need close monitoring.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)
  • Other bradycardic agents (beta‑blockers, digoxin, verapamil)
  • Concomitant use with other If channel inhibitors

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (diltiazem, erythromycin)
  • Antihypertensive agents that may enhance heart‑rate lowering
  • Drugs affecting electrolyte balance (e.g., diuretics) that could predispose to arrhythmias

Frequently Asked Questions

Ivabradine Accord-Uk is prescribed for chronic stable angina and for heart failure with reduced ejection fraction. In both conditions the drug lowers heart rate, which helps relieve chest pain in angina and improves cardiac efficiency in heart failure.

Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the heart’s natural pacemaker. By inhibiting this current, the drug slows the spontaneous depolarisation of pacemaker cells, resulting in a lower resting heart rate without decreasing the strength of heart contractions.

The dose of Ivabradine Accord-Uk is individualized by the prescribing clinician based on the patient’s heart‑rate, clinical condition, and tolerance. The prescriber determines the appropriate strength and dosing schedule for each patient.

Safety data for ivabradine in pregnancy and lactation are limited. It should only be used if the potential benefit justifies the potential 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, verifies trade or institutional credentials, and then provides 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 myocardial contractility or blood pressure. Beta‑blockers act on adrenergic receptors and have broader cardiovascular effects, which may be advantageous or limiting depending on the patient’s profile.

Ivabradine Accord-Uk should be stored at ambient temperature, below 25 °C. Keep the product in its original packaging, protect it from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability.

Ivabradine Accord-Uk 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.

The most serious risks include symptomatic bradycardia, atrial fibrillation, severe hypotension, and rare visual disturbances that may be persistent. Patients should be monitored for these events, especially when initiating therapy or adjusting the dose.

Ivabradine is contraindicated in patients with severe hepatic impairment, sick sinus syndrome, acute myocardial infarction, unstable angina, or those taking strong CYP3A4 inhibitors. It should also be avoided in individuals with a resting heart rate below 50 bpm unless closely supervised.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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