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 a tablet for oral use. It treats chronic stable angina and heart failure with reduced ejection fraction in adult patients.
GNH India supplies Ivabradine Amarox as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Amarox Limited

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Indications & Clinical Uses

  • Ivabradine acts on the cardiac If current to control heart rate in several cardiovascular conditions.
  • Chronic stable angina: reduces the frequency of angina attacks by lowering heart rate.
  • Heart failure with reduced ejection fraction: improves exercise capacity and lowers risk of hospitalization.
  • Inappropriate sinus tachycardia: decreases excessive heart rate when other therapies are unsuitable.

How It Works

  • Ivabradine selectively blocks the funny (If) current in the sinoatrial node, which slows spontaneous depolarisation. This reduction in pacemaker activity lowers heart rate without affecting myocardial contractility or blood pressure, helping to relieve angina and improve cardiac efficiency in heart failure.

Side Effects

Ivabradine may cause a range of adverse reactions.

Common Side Effects

  • Bradycardia: heart rate slower than intended.
  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Headache.
  • Dizziness.
  • Fatigue.
  • Nausea.

Serious or Rare Side Effects

  • Severe bradycardia requiring medical intervention.
  • Atrial fibrillation or other arrhythmias.
  • Symptomatic hypotension.
  • Persistent visual loss.
  • Hepatic dysfunction.
  • Allergic reactions such as rash or angioedema.

Precautions & Warnings

Before prescribing Ivabradine, clinicians should consider several safety aspects.

  • Cardiac monitoring: obtain baseline heart rate and ECG.
  • Avoid in patients with severe hypotension or sick‑sinus syndrome.
  • Use caution when combined with other heart‑rate‑lowering agents.
  • Not recommended for acute decompensated heart failure.
  • Pregnancy and lactation: safety unknown; prescribe only if benefits outweigh risks.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may markedly increase plasma concentrations.
  • Co‑administration with other heart‑rate‑lowering drugs (beta‑blockers, digoxin): risk of excessive bradycardia.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce therapeutic effect.
  • Verapamil: can raise ivabradine levels modestly.
  • Certain antidepressants that affect CYP3A4 (e.g., fluvoxamine): may require dose adjustment.

Frequently Asked Questions

Ivabradine Amarox is indicated for chronic stable angina and for heart failure with reduced ejection fraction. In both conditions it works by lowering heart rate, which helps relieve chest pain and improves cardiac efficiency during daily activities.

Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, the heart’s natural pacemaker. By blocking this current, the drug slows the spontaneous depolarisation of pacemaker cells, reducing heart rate without decreasing the strength of cardiac contraction.

The dose of Ivabradine Amarox is determined by the prescribing clinician based on the patient’s heart rate, clinical condition, and response to therapy. Dosage adjustments are made according to therapeutic goals and tolerability.

Safety of ivabradine in pregnancy and lactation has not been established. 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 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 blood pressure or myocardial contractility. Beta‑blockers act on adrenergic receptors and have broader cardiovascular effects, which may be advantageous or limiting depending on the patient’s overall condition.

Store at ambient temperature: keep the tablets in the original packaging, protect them from moisture and direct light, and ensure the container is tightly closed to maintain product stability.

Ivabradine Amarox is taken orally, usually with a glass of water. The tablet should be swallowed whole and not crushed or chewed. It is generally taken with or without food as directed by the prescriber.

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

Ivabradine should be avoided in patients with severe hypotension, sick‑sinus syndrome, acute decompensated heart failure, or those taking strong CYP3A4 inhibitors that could raise drug levels. It is also contraindicated in individuals with known hypersensitivity to ivabradine.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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