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

Ivabradine Cristers

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradine Cristers (Ivabradine)

Ivabradine, the active ingredient in Ivabradine Cristers, is a If channel inhibitor presented as an oral formulation for oral use. It lowers heart rate and is indicated for chronic stable angina and heart failure with reduced ejection fraction in adult patients.

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

Manufacturer / TM Owner

Cristers

1
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Indications & Clinical Uses

Ivabradine acts on the cardiac If current to control heart rate, making it useful in specific cardiovascular conditions.

  • Chronic stable angina: reduces the frequency of angina attacks by lowering heart rate.
  • Heart failure with reduced ejection fraction: improves symptoms and may decrease hospitalisations related to heart failure.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which slows the spontaneous depolarisation of pacemaker cells. This reduction in automaticity leads to a lower resting heart rate without affecting myocardial contractility or blood pressure, thereby decreasing myocardial oxygen demand in patients with angina or heart failure.

Side Effects

Ivabradine may cause a range of adverse reactions, from mild to serious.

Common Side Effects

  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Bradycardia: slower than normal heart rate.
  • Headache: mild to moderate intensity.
  • Dizziness: sensation of light‑headedness.
  • Fatigue: reduced energy levels.

Serious or Rare Side Effects

  • Severe bradycardia requiring medical attention.
  • Atrial fibrillation or other significant arrhythmias.
  • Symptomatic hypotension.
  • Persistent visual loss.
  • Myocardial ischaemia exacerbation.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Baseline heart‑rate assessment: ensure resting rate is above the recommended threshold.
  • Concomitant bradycardic agents: monitor for excessive slowing when used with beta‑blockers or digoxin.
  • CYP3A4 inhibitors: avoid strong inhibitors or adjust therapy as needed.
  • Pregnancy and lactation: safety data are limited; use only if benefits outweigh risks.
  • Renal or hepatic impairment: evaluate function and consider dose modification.
  • Store at below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Ivabradine can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may markedly increase plasma levels.
  • Other heart‑rate‑lowering drugs (beta‑blockers, digoxin): risk of profound bradycardia.
  • Drugs that cause QT prolongation: additive risk of arrhythmias.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., diltiazem, verapamil): may require dose adjustment.
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce efficacy.
  • Nitrates or other anti‑anginal agents: monitor for overlapping cardiovascular effects.

Frequently Asked Questions

Ivabradine Cristers is prescribed to manage chronic stable angina and to treat heart failure with reduced ejection fraction. In both conditions it works by lowering the heart rate, which reduces myocardial oxygen demand and can improve symptoms such as chest pain and exercise intolerance.

Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the heart’s natural pacemaker. By inhibiting this current, the drug slows the spontaneous depolarisation of pacemaker cells, leading to a lower resting heart rate without affecting contractility or blood pressure.

The appropriate dose of Ivabradine Cristers is determined by the prescribing clinician based on the patient’s clinical condition, heart‑rate response, and any concomitant therapies. Dosage adjustments are made according to individual therapeutic goals and safety monitoring.

Safety data for Ivabradine Cristers in pregnancy and lactation are limited. It should only be used when the potential benefit justifies the possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an 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 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 overall condition.

Store Ivabradine Cristers at temperatures below 25 °C in a dry place. Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure they are out of reach of children.

Ivabradine Cristers is taken orally, usually with or without food as directed by the prescriber. The tablets should be swallowed whole with a glass of water and not chewed or crushed, unless otherwise instructed.

The most serious risks include severe bradycardia, symptomatic hypotension, atrial fibrillation, and rare visual disturbances that may lead to persistent vision loss. Patients should be monitored for these events, especially during dose initiation and when combined with other heart‑rate‑lowering agents.

Ivabradine Cristers is contraindicated in patients with severe hepatic impairment, acute decompensated heart failure, sick sinus syndrome, or a resting heart rate below the recommended threshold. It should also be avoided in individuals taking strong CYP3A4 inhibitors or other medications that could cause excessive bradycardia.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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