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

Ivabradine Actavis

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradine Actavis (Ivabradine)

Ivabradine, the active ingredient in Ivabradine Actavis, is a selective If channel inhibitor presented as an oral tablet for oral use. It lowers heart rate without affecting contractility and is indicated for chronic stable angina and heart failure with reduced ejection fraction in adult patients.

GNH India supplies Ivabradine Actavis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with distribution aligned to EU regulatory standards and meeting stringent quality requirements.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

Ivabradine is used to manage conditions related to abnormal heart rate and angina.

  • 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. This results in a reduction of resting heart rate while preserving myocardial contractility and blood pressure, providing therapeutic benefit in angina and heart‑failure patients.

Side Effects

Adverse reactions may vary in frequency and severity.

Common Side Effects

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

Serious or Rare Side Effects

  • Symptomatic severe bradycardia requiring medical intervention
  • Atrial fibrillation or other significant arrhythmias
  • Marked hypotension
  • Persistent visual disturbances
  • Myocardial ischemia worsening

Precautions & Warnings

Careful assessment and monitoring are required before and during therapy.

  • Monitor heart rate: ensure resting heart rate >50 bpm before initiation.
  • Avoid in severe hepatic impairment: reduced clearance may increase exposure.
  • Caution in patients with sick sinus syndrome or atrioventricular block.
  • Do not combine with strong CYP3A4 inhibitors: risk of excessive drug levels.
  • Pregnancy and lactation: safety unknown; use only if clearly needed.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Ivabradine may interact with several drug classes, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): can markedly increase ivabradine plasma concentrations.
  • Co‑administration with other heart‑rate‑lowering agents (beta‑blockers, digoxin): may cause excessive bradycardia.
  • Verapamil: potentiate bradycardic effect and should be avoided.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce ivabradine efficacy.
  • QT‑prolonging medications: monitor ECG for additive arrhythmic risk.
  • Alcohol: can enhance bradycardic response, requiring observation.

Frequently Asked Questions

Ivabradine Actavis is prescribed for chronic stable angina and for heart failure with reduced ejection fraction in adult patients. In both conditions the drug works by lowering heart rate, which helps relieve chest pain and improves cardiac efficiency.

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

The dose of Ivabradine Actavis is determined by the prescribing clinician based on the patient’s clinical status, heart‑rate target, and tolerability. The prescriber will select the appropriate strength and dosing schedule according to current guidelines.

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 if the potential benefit justifies the potential risk to the fetus or infant, and a healthcare professional should be consulted.

To place an order, submit an enquiry on the product page at gnhindia.com indicating 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 condition.

Store at room temperature: keep the tablets in the original blister pack, protect them from moisture and direct sunlight, and avoid exposure to temperatures above 25 °C. Do not refrigerate or freeze the product.

Ivabradine Actavis is taken orally, usually with a glass of water. The tablet should be swallowed whole and not crushed or chewed. Dosing times are typically spaced 12 hours apart, but the exact schedule is set by the prescribing physician.

The most serious risks include symptomatic bradycardia, severe hypotension, atrial fibrillation, and persistent visual disturbances such as phosphenes. Patients should be educated to report any episodes of dizziness, fainting, or visual changes promptly.

Ivabradine should not be used in patients with a resting heart rate below 50 bpm, those with acute decompensated heart failure, severe hepatic impairment, sick sinus syndrome, or in combination with strong CYP3A4 inhibitors. Contra‑indications are confirmed by the treating physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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