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

Ivabradine Aspire

Active Ingredient:
Ivabradine Hydrochloride
Origin:
EU

Ivabradine Aspire (Ivabradine Hydrochloride)

Ivabradine, the active ingredient in Ivabradine Aspire, is a If channel inhibitor presented as an oral tablet for oral use. It selectively lowers heart rate and is indicated for chronic stable angina and certain forms of heart failure in adult patients who remain symptomatic despite optimal therapy.

GNH India supplies Ivabradine Aspire as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product meets European Union quality standards and is manufactured under GMP conditions. Our global distribution network ensures reliable delivery to authorized healthcare providers.

Manufacturer / TM Owner

Aspire Pharma Limited

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Indications & Clinical Uses

Ivabradine acts on the cardiac If current to manage conditions characterized by excessive heart rate.

  • Chronic stable angina: reduces frequency of angina attacks and improves exercise tolerance.
  • Heart failure with reduced ejection fraction: lowers heart rate, decreasing myocardial oxygen demand and may reduce hospitalizations.
  • Patients with elevated resting heart rate despite beta‑blocker therapy: provides additional heart‑rate control to improve symptoms.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which slows the spontaneous depolarization of pacemaker cells. By reducing the slope of phase 4 depolarization, the drug lowers the heart rate without affecting myocardial contractility, ventricular repolarisation, or blood pressure, thereby decreasing cardiac oxygen consumption.

Side Effects

Ivabradine may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Bradycardia: resting heart rate below 50 bpm.
  • Headache.
  • Dizziness.
  • Fatigue.
  • Blurred vision.

Serious or Rare Side Effects

  • Symptomatic severe bradycardia requiring medical intervention.
  • Atrial fibrillation or other arrhythmias.
  • Severe hypotension.
  • Vision loss or persistent visual impairment.
  • Allergic reactions such as rash, angioedema, or anaphylaxis.

Precautions & Warnings

When prescribing Ivabradine, clinicians should observe several safety considerations.

  • Heart rate monitoring: check resting heart rate before initiation and periodically thereafter.
  • Severe hepatic impairment: use with caution or avoid due to altered metabolism.
  • Sick sinus syndrome or atrioventricular block: contraindicated unless a pacemaker is present.
  • Concomitant bradycardic agents: avoid combining with other drugs that lower heart rate, such as beta‑blockers or digoxin, without monitoring.
  • Acute decompensated heart failure: not indicated during unstable phases.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Ivabradine interacts with several medicines that can alter its plasma concentration or additive cardiac effects.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): may increase ivabradine levels and risk of bradycardia.
  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce efficacy by lowering drug concentrations.
  • Other bradycardic agents (e.g., digoxin, beta‑blockers, verapamil, diltiazem): can cause severe bradycardia or heart block.
  • Concomitant use with other If channel inhibitors: not recommended.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., erythromycin, clarithromycin): may modestly increase exposure.
  • Antacids containing aluminum or magnesium: may affect absorption if taken simultaneously.
  • QT‑prolonging drugs: monitor ECG as combined effect may increase arrhythmia risk.

Frequently Asked Questions

Ivabradine Aspire contains ivabradine, which is prescribed to lower heart rate in adults with chronic stable angina and in patients with heart failure with reduced ejection fraction who remain symptomatic despite standard therapy. By reducing cardiac workload, it helps relieve angina symptoms and may improve functional capacity in heart‑failure patients.

Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the pacemaker of the heart. Inhibition of this current slows the spontaneous depolarisation of pacemaker cells, resulting in a lower resting heart rate without affecting contractility, blood pressure, or ventricular repolarisation.

The dose of ivabradine is individualized by the prescribing clinician based on the patient’s resting heart rate, clinical condition, and response to therapy. The prescriber determines the appropriate strength, frequency, and any titration schedule according to current clinical guidelines.

Safety of ivabradine during pregnancy and lactation has not been established. It is classified as pregnancy category unknown, and the drug should be used only if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should consult their healthcare provider before use.

To request Ivabradine Aspire, submit an enquiry on the product page at gnhindia.com indicating the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will verify trade or institutional credentials before providing pricing, availability, shipping details and any required import documentation.

Both ivabradine and beta‑blockers lower heart rate, but they act via different mechanisms. Beta‑blockers reduce heart rate by blocking adrenergic receptors and also lower blood pressure, whereas ivabradine selectively inhibits the If current without affecting contractility or blood pressure. Ivabradine is often added when beta‑blockers alone do not achieve target heart‑rate control.

Store Ivabradine Aspire at room temperature, below 25 °C, in the original blister pack or container. Protect the tablets from moisture, excessive heat and direct sunlight. Do not store in a refrigerator or freezer, and keep out of reach of children.

Ivabradine Aspire is taken orally as a whole tablet with or without food. The tablet should be swallowed with a glass of water and not chewed, crushed, or split unless specifically instructed by the prescriber. Dosing times are usually spaced evenly, often twice daily, as directed by the treating physician.

The most serious adverse events include symptomatic severe bradycardia (heart rate < 50 bpm), atrial fibrillation, marked hypotension, and visual disturbances such as persistent luminous phenomena or vision loss. Patients should seek immediate medical attention if they experience dizziness, fainting, palpitations, or any sudden change in vision.

Ivabradine is contraindicated in patients with severe hepatic impairment, sick sinus syndrome, second‑ or third‑degree atrioventricular block (unless a pacemaker is present), acute decompensated heart failure, and in those taking strong CYP3A4 inhibitors without dose adjustment. It should also be avoided in individuals with known hypersensitivity to ivabradine or any excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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