Product image of Ivabradine Amarox (Ivabradine Hydrochloride) supplied by GNH India

Ivabradine Amarox

Active Ingredient:
Ivabradine Hydrochloride
Origin:
EU

Ivabradine Amarox (Ivabradine Hydrochloride)

Ivabradine, the active ingredient in Ivabradine Amarox, is a If channel inhibitor presented as an oral tablet for oral use. It is employed in the management of chronic stable angina pectoris and heart failure with reduced ejection fraction in adult patients. It is indicated for patients who require heart‑rate reduction without negative inotropic effects.

GNH India supplies Ivabradine Amarox as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches to meet global demand.

Manufacturer / TM Owner

Amarox Pharma B.V.

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Indications & Clinical Uses

Ivabradine is used to manage conditions related to cardiac ischemia and heart failure by reducing heart rate.

  • Chronic stable angina pectoris: reduces frequency of angina attacks and improves exercise tolerance.
  • Heart failure with reduced ejection fraction: lowers heart rate, improving symptoms and decreasing hospitalization risk.
  • Stable angina: helps control chest pain by maintaining a lower heart rate.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sino‑atrial node, which slows spontaneous depolarization. By reducing the slope of phase 4 depolarization, it lowers the heart rate without affecting myocardial contractility or ventricular repolarisation, providing rate control independent of beta‑adrenergic pathways.

Side Effects

Adverse reactions may occur with ivabradine therapy.

Common Side Effects

  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Bradycardia: heart rate below the intended therapeutic range.
  • Headache: mild to moderate intensity.
  • Dizziness: sensation of light‑headedness.
  • Fatigue: reduced energy levels.
  • Blurred vision: temporary visual acuity changes.

Serious or Rare Side Effects

  • Symptomatic bradycardia requiring medical attention.
  • Atrial fibrillation or other arrhythmias.
  • Severe hypotension leading to syncope.
  • Persistent visual impairment or retinal toxicity.

Precautions & Warnings

Before initiating ivabradine, consider the following precautions.

  • Hepatic impairment: adjust dose in severe liver disease.
  • Baseline heart rate: ensure resting heart rate is ≥60 bpm before starting.
  • Sick sinus syndrome: avoid use in patients with this condition.
  • Concomitant bradycardic agents: monitor closely when combined with beta‑blockers or calcium‑channel blockers.
  • Hypotension: use caution in patients with low blood pressure.
  • Store at ambient temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Ivabradine may interact with several medicines; review patient medication lists.

Major Interactions (Avoid)

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

Moderate Interactions (Monitor Closely)

  • Verapamil or diltiazem: may modestly increase ivabradine exposure.
  • Amiodarone: potential additive effect on heart rate.
  • QT‑prolonging drugs: monitor ECG for interval changes.

Frequently Asked Questions

Ivabradine Amarox is indicated for chronic stable angina pectoris and heart failure with reduced ejection fraction. In both conditions it provides symptomatic relief by selectively lowering the heart rate without decreasing the strength of cardiac contraction.

Ivabradine blocks the funny (If) current in the sino‑atrial node, which is responsible for spontaneous pacemaker activity. By inhibiting this current, the drug slows the rate of depolarisation, leading to a reduced heart rate while preserving myocardial contractility.

The dose of Ivabradine Amarox is determined by the prescribing clinician based on the patient’s clinical condition, heart‑rate targets, and tolerance. Dosage adjustments may be required for renal or hepatic impairment, and the prescriber will provide specific instructions.

Safety data for ivabradine in pregnancy and lactation are limited. The product 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 request Ivabradine Amarox, 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 required 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. This makes it useful for patients who cannot tolerate beta‑blockers or need additional rate control beyond what beta‑blockers provide.

Store Ivabradine Amarox at ambient temperature, preferably below 25 °C. Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

Ivabradine Amarox is taken orally, usually with a glass of water. The tablet should be swallowed whole and not crushed or chewed. Administration timing (e.g., with meals) follows the prescriber’s instructions to maintain consistent plasma concentrations.

Serious risks include symptomatic bradycardia, atrial fibrillation, severe hypotension, and rare visual disturbances such as persistent phosphene phenomena. Patients should be educated to report any episodes of dizziness, fainting, or visual changes promptly.

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 60 bpm unless specifically directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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