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

Ivabradine Aurovitas

Active Ingredient:
Ivabradine Hydrochloride
Origin:
EU

Ivabradine Aurovitas (Ivabradine Hydrochloride)

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

GNH India supplies Ivabradine Aurovitas as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Aurovitas Pharma Polska Sp. Z O.O

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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 pectoris: reduces the frequency of angina attacks and improves exercise tolerance.
  • Heart failure with reduced ejection fraction: lowers resting heart rate to alleviate symptoms and support ventricular function.
  • Patients intolerant to beta‑blockers: provides an alternative heart‑rate‑lowering strategy when beta‑blockade is not feasible.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, decreasing spontaneous depolarisation. This results in a dose‑dependent reduction of heart rate while preserving myocardial contractility and blood pressure, thereby improving myocardial oxygen balance in angina and reducing cardiac workload in heart failure.

Side Effects

Ivabradine may cause a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Bradycardia: resting heart rate below 50 bpm.
  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Headache and dizziness.
  • Fatigue or general weakness.
  • Nausea or mild gastrointestinal upset.

Serious or Rare Side Effects

  • Symptomatic bradycardia requiring medical intervention.
  • Atrial fibrillation or other significant arrhythmias.
  • Severe hypotension leading to syncope.
  • Persistent visual impairment or retinal changes.
  • Hepatic enzyme elevation indicating possible liver injury.

Precautions & Warnings

Before initiating therapy, clinicians should assess patient‑specific risk factors and monitor appropriately.

  • Cardiac conduction disease: avoid in patients with severe sinus node dysfunction or second‑degree AV block.
  • Resting heart rate: do not start if baseline HR is below 60 bpm.
  • Hepatic impairment: use with caution and consider dose adjustment.
  • Concomitant bradycardic agents: monitor for excessive heart‑rate reduction when combined with beta‑blockers or digoxin.
  • Pregnancy and lactation: safety not established; weigh benefits against potential risks.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Ivabradine can interact with several drug classes, influencing its efficacy and safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): markedly increase plasma levels.
  • Combined use with other bradycardic agents (beta‑blockers, digoxin): may cause excessive heart‑rate reduction.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., diltiazem, verapamil): may raise concentrations modestly.
  • Drugs that prolong QT interval: increase risk of arrhythmias.
  • Antihypertensives: additive blood‑pressure‑lowering effect requiring BP monitoring.

Frequently Asked Questions

Ivabradine Aurovitas is prescribed for chronic stable angina pectoris and for heart failure with reduced ejection fraction. In both settings the drug lowers heart rate, helping to reduce angina episodes and improve symptoms of heart failure while preserving cardiac contractility.

Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the pacemaker of the heart. By inhibiting this current, the drug slows the spontaneous depolarisation of pacemaker cells, resulting in a controlled reduction of resting heart rate without affecting myocardial contractile force.

The appropriate dose of ivabradine is determined by the prescribing clinician based on the individual’s clinical condition, heart‑rate target, and tolerance. Dosage adjustments may be required during therapy, and patients should follow the specific instructions provided by their healthcare professional.

Safety data for ivabradine in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any possible risk to the fetus or infant. Healthcare providers must evaluate each case individually and discuss alternatives when appropriate.

To request Ivabradine Aurovitas, 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 (including any cold‑chain needs), and necessary 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 may be chosen when beta‑blockers are contraindicated or not tolerated.

Ivabradine Aurovitas tablets should be stored at temperatures below 25 °C. Keep them in the original container, protect from moisture and direct sunlight, and ensure the packaging remains sealed until use to maintain product stability.

Ivabradine Aurovitas is taken orally, usually with a glass of water. The tablet should be swallowed whole and not split, chewed, or crushed. Dosing times are typically scheduled to maintain consistent plasma concentrations, as directed by the prescribing clinician.

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 during dose initiation and when combined with other heart‑rate‑lowering agents.

Ivabradine is contraindicated in patients with severe sinus node dysfunction, second‑degree or higher atrioventricular block, a resting heart rate below 60 bpm, acute decompensated heart failure, or in those taking strong CYP3A4 inhibitors. It should also be avoided in individuals with known hypersensitivity to ivabradine or any of its excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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