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 a tablet for oral use. It treats chronic stable angina pectoris and chronic heart failure in adults with reduced ejection fraction, helping to lower heart rate without affecting contractility.

GNH India supplies Ivabradine Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company provides quality‑assured batches under strict regulatory oversight to meet the needs of healthcare providers in multiple regions.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

  • Ivabradine is used to manage conditions related to cardiac ischemia and heart failure by reducing heart rate.
  • Chronic stable angina pectoris: reduces frequency of angina episodes and improves exercise tolerance.
  • Chronic heart failure (NYHA class II–III) with reduced ejection fraction: lowers heart rate, alleviates symptoms and may decrease hospital admissions.
  • Heart‑failure patients on maximally tolerated beta‑blockers: provides additional heart‑rate reduction when beta‑blocker dose cannot be increased.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sino‑atrial node by binding to HCN channels that generate the pacemaker current. This slows diastolic depolarisation, decreasing spontaneous firing of the SA node and thereby reducing heart rate. The effect occurs without significant influence on myocardial contractility, ventricular repolarisation, or systemic blood pressure, allowing heart‑rate control independent of beta‑adrenergic pathways.

Side Effects

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

Common Side Effects

  • Bradycardia: symptomatic slowing of heart rate.
  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Headache: mild to moderate intensity.
  • Dizziness: often related to reduced heart rate.

Serious or Rare Side Effects

  • Atrial fibrillation: irregular rapid heart rhythm.
  • Severe bradycardia leading to syncope.
  • Retinal visual loss: rare but potentially permanent.
  • High‑grade atrioventricular block.

Precautions & Warnings

  • When prescribing ivabradine, several safety considerations should be observed.
  • Heart rate monitoring: check baseline and periodic heart rate to avoid excessive bradycardia.
  • Concomitant beta‑blockers: use with caution, may cause profound bradycardia.
  • Severe hepatic impairment: dose adjustment may be required.
  • Pregnancy and lactation: safety not established; avoid unless clearly needed.
  • Patients with sick sinus syndrome or atrioventricular block: contraindicated.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture.

Avoid Interactions

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

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase plasma levels, risk of bradycardia.
  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): reduce efficacy.
  • Co‑administration with other heart‑rate‑lowering agents (beta‑blockers, digoxin) without monitoring: risk of severe bradycardia.

Moderate Interactions (Monitor Closely):\n- Verapamil and diltiazem: moderate CYP3A4 inhibition, may raise ivabradine concentrations.

  • CYP3A4‑modulating antidepressants (e.g., fluoxetine): modestly increase levels.
  • Electrolyte disturbances such as hypokalemia: may predispose to arrhythmias.

Frequently Asked Questions

Ivabradine Zentiva is indicated for the symptomatic treatment of chronic stable angina pectoris and for chronic heart failure in patients classified as NYHA class II or III with a reduced left‑ventricular ejection fraction. In both conditions the drug works by lowering heart rate, which helps relieve angina symptoms and improves heart‑failure outcomes.

Ivabradine selectively blocks the funny (If) current in the sino‑atrial node by binding to HCN channels. This inhibition slows the spontaneous depolarisation of pacemaker cells, resulting in a reduced heart‑rate without compromising myocardial contractility, blood pressure, or ventricular repolarisation.

The dosage of Ivabradine Zentiva is individualized by the prescribing clinician based on the patient’s heart‑rate, clinical status and tolerance. The prescriber determines the appropriate starting dose, titration schedule and maintenance dose, following local labeling and clinical guidelines.

Safety of ivabradine during pregnancy and lactation has not been established. 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 or infant. Breastfeeding mothers should consult their healthcare provider before use.

To place an order, submit an enquiry on the Ivabradine Zentiva 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 requirements) and the necessary import documentation.

The primary alternative for heart‑rate reduction in angina and heart failure is the beta‑blocker class. Unlike beta‑blockers, ivabradine lowers heart rate without affecting beta‑adrenergic receptors, so it does not influence blood pressure or contractility. This makes it useful when beta‑blockers are contraindicated, not tolerated, or already maximally dosed.

Store Ivabradine Zentiva tablets at ambient temperature, preferably below 25 °C. Keep the product in its original blister pack or container, protect it from moisture and direct sunlight, and ensure the packaging remains sealed until use.

Ivabradine Zentiva is taken orally as a tablet, usually with or without food. The tablet should be swallowed whole with a glass of water. Dosing times are typically spaced evenly (e.g., twice daily) as directed by the prescriber to maintain consistent heart‑rate control.

The most serious adverse events include severe bradycardia that may cause syncope, atrial fibrillation, high‑grade atrioventricular block, and rare cases of permanent visual loss. Patients should be instructed to report symptoms such as dizziness, fainting, palpitations, or sudden changes in vision promptly.

Ivabradine is contraindicated in patients with severe hepatic impairment, sick sinus syndrome, second‑ or third‑degree atrioventricular block, uncontrolled hypotension, or a resting heart rate below 50 beats per minute. 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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