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

Ivabradine Zentiva

Active Ingredient:
Ivabradine
Origin:
EU

Ivabradine Zentiva (Ivabradine)

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

GNH India supplies Ivabradine Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with a focus on quality assurance, regulatory compliance and reliable global logistics.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Ivabradine Zentiva acts on the cardiac If current to manage specific cardiovascular conditions.

  • Chronic stable angina pectoris: reduces frequency of angina attacks by lowering heart rate.
  • Chronic heart failure with reduced ejection fraction (NYHA II–III): improves exercise capacity and may reduce hospitalization by controlling heart rate.
  • Heart rate control in patients with angina: provides heart‑rate reduction without affecting contractility.

How It Works

  • Ivabradine selectively binds to the hyperpolarization‑activated cyclic nucleotide‑gated (HCN) channels that generate the funny (If) current in sino‑atrial node cells. By inhibiting this inward Na⁺/K⁺ current, the drug slows spontaneous depolarization, leading to a dose‑dependent reduction in heart rate while preserving myocardial contractility and intracardiac conduction. The effect is reversible and proportional to plasma concentration, allowing titration based on clinical response.

Side Effects

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

Common Side Effects

  • Bradycardia: resting heart rate may fall below 60 bpm.
  • Visual disturbances: transient luminous phenomena (phosphenes) reported.
  • Headache: mild to moderate intensity.
  • Dizziness: especially on standing.

Serious or Rare Side Effects

  • Symptomatic bradycardia: may require medical intervention.
  • Atrial fibrillation: new‑onset arrhythmia observed in some patients.
  • Severe hypotension: marked drop in blood pressure.
  • Persistent visual impairment: rare cases of retinal issues.

Precautions & Warnings

Before initiating therapy, clinicians should consider several precautionary measures to ensure safe use of Ivabradine.

  • Assess baseline heart rate: confirm resting HR ≥ 60 bpm prior to start.
  • Monitor ECG: watch for excessive bradycardia during treatment.
  • Avoid strong CYP3A4 inhibitors: concomitant use can raise ivabradine levels.
  • Use with caution in hepatic impairment: dose adjustment may be needed.
  • Store at ambient temperature: keep in original packaging, protect from moisture.

Avoid Interactions

Ivabradine interacts with several medicines; awareness of major and moderate interactions helps prevent adverse events.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase ivabradine exposure.
  • Co‑administration with other heart‑rate lowering agents (beta‑blockers, digoxin): risk of excessive bradycardia.
  • Concurrent use of other If channel blockers (e.g., ranolazine): additive effect on heart rate.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., diltiazem, verapamil): may elevate plasma concentrations.
  • QT‑prolonging drugs (e.g., certain antiarrhythmics): monitor cardiac rhythm.

Frequently Asked Questions

Ivabradine Zentiva is prescribed to lower heart rate in adults with chronic stable angina pectoris and in patients with chronic heart failure with reduced ejection fraction (NYHA class II–III). By reducing the heart rate, it helps relieve angina symptoms and can improve exercise tolerance in heart‑failure patients.

Ivabradine works by selectively inhibiting the funny (If) current in the sino‑atrial node. This current drives spontaneous pacemaker activity; blocking it slows the depolarisation rate, resulting in a dose‑dependent reduction in heart rate while leaving myocardial contractility and conduction largely unchanged.

The dosage of Ivabradine Zentiva is individualized by the prescribing clinician based on the patient’s resting heart rate, clinical condition, and tolerance. The prescriber determines the appropriate starting dose and any subsequent adjustments; patients should follow the specific instructions provided by their healthcare professional.

Safety data for ivabradine during pregnancy and lactation are limited. The product is classified as having an unknown pregnancy category, and it should only be used if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should discuss risks with their physician, as the drug may be excreted in breast milk.

To order Ivabradine Zentiva, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including any cold‑chain requirements) and assists with import documentation.

The primary alternative for heart‑rate reduction in angina and heart‑failure is the beta‑blocker class. Beta‑blockers lower heart rate but also reduce myocardial contractility and can affect bronchial tone. Ivabradine specifically targets the If current, lowering heart rate without negative inotropic or bronchial effects, making it useful when beta‑blockers are contraindicated or not tolerated.

Ivabradine Zentiva tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in areas with high humidity or direct sunlight.

Ivabradine Zentiva is taken orally as a tablet. It may be swallowed with or without food, but patients should follow the prescriber’s instructions regarding timing relative to meals, as food can affect absorption. The tablet should be swallowed whole with water and not chewed or crushed.

Serious adverse events include symptomatic bradycardia, atrial fibrillation, severe hypotension, and rare persistent visual disturbances that may affect retinal function. Patients should seek immediate medical attention if they experience dizziness, fainting, palpitations, new‑onset arrhythmias, or any sudden change in vision.

Ivabradine is contraindicated in patients with a resting heart rate below 60 bpm, severe hypotension, sick sinus syndrome, second‑ or third‑degree atrioventricular block (unless a pacemaker is present), and in those taking strong CYP3A4 inhibitors. It should also be avoided in patients with known hypersensitivity to ivabradine or any of the tablet’s excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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