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 treats chronic stable angina and heart failure in appropriate adult patients by lowering heart rate without affecting myocardial contractility.

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

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Ivabradine Zentiva is an If channel inhibitor indicated for conditions where heart‑rate reduction improves outcomes.

  • Chronic stable angina: decreases the frequency of angina attacks by lowering resting heart rate.
  • Heart failure with reduced ejection fraction: improves exercise capacity and reduces hospitalization risk when added to standard therapy.
  • Symptomatic sinus tachycardia: controls excessive heart rate when other measures are insufficient.

How It Works

  • Ivabradine selectively inhibits the funny (If) current in the sinoatrial node, which slows the spontaneous depolarisation of pacemaker cells. This results in a dose‑dependent reduction of heart rate while preserving myocardial contractility and intracardiac conduction, thereby decreasing myocardial oxygen demand.

Side Effects

Adverse reactions may be observed with Ivabradine therapy.

Common Side Effects

  • Bradycardia: resting heart rate below 50 bpm.
  • Visual disturbances (phosphenes): transient luminous phenomena.
  • Headache: mild to moderate intensity.
  • Dizziness or vertigo.
  • Fatigue or general weakness.
  • Blurred vision.

Serious or Rare Side Effects

  • Symptomatic bradycardia requiring medical intervention.
  • Atrial fibrillation or other supraventricular arrhythmias.
  • Severe hypotension leading to syncope.
  • Heart block (second‑ or third‑degree).

Precautions & Warnings

When prescribing Ivabradine, clinicians should consider several safety measures.

  • Monitor heart rate: confirm resting heart rate ≥ 60 bpm before initiation.
  • Assess for concomitant bradycardic agents: adjust doses or discontinue as needed.
  • Evaluate for severe hepatic impairment: use with caution.
  • Review electrolyte status: correct abnormalities that may predispose to arrhythmia.
  • Counsel patients on visual symptoms: advise to report persistent or worsening disturbances.
  • Store at ambient temperature: keep below 25 °C in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Ivabradine may interact with several drug classes.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase plasma concentrations.
  • Other heart‑rate‑lowering agents (beta‑blockers, digoxin, diltiazem, verapamil): risk of excessive bradycardia.
  • Certain antiarrhythmics (amiodarone, quinidine): can potentiate bradycardic effects.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (rifampicin, carbamazepine): may reduce efficacy.
  • Diuretics and antihypertensives: monitor blood pressure and volume status.
  • Antidepressants with serotonergic activity: observe for rare visual disturbances.
  • Herbal supplements (St. John’s wort): possible reduction in drug exposure.

Frequently Asked Questions

Ivabradine Zentiva is prescribed to lower heart rate in adults with chronic stable angina or heart failure with reduced ejection fraction. By reducing the heart’s pacing, it lessens myocardial oxygen demand, helping to relieve angina symptoms and improve functional capacity in heart‑failure patients.

Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the primary pacemaker of the heart. Inhibition of this current slows the spontaneous depolarisation of pacemaker cells, producing a controlled reduction in heart rate without affecting contractility or blood pressure.

The specific dose of Ivabradine Zentiva is determined by the prescribing clinician based on the patient’s heart‑rate, clinical condition, and concomitant therapies. Dosage adjustments are made according to therapeutic response and tolerability, following local prescribing guidelines.

Safety data for Ivabradine during pregnancy and lactation are limited, and the product is classified as pregnancy category unknown. It should only be used if the potential benefit justifies the potential risk to the fetus, and breastfeeding mothers should consult their physician before use.

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 acts selectively on the If channel without affecting beta‑adrenergic receptors, preserving blood pressure and contractility. Beta‑blockers have broader cardiovascular effects, including reduction of contractility and blood pressure, which may be advantageous or limiting depending on the patient’s profile.

Store Ivabradine Zentiva tablets at ambient temperature, below 25 °C, in the original container to protect from moisture and light. Keep the product out of reach of children and avoid storing in bathrooms or other humid environments.

Ivabradine Zentiva is taken orally, usually with a glass of water. It is commonly prescribed to be taken twice daily, with the first dose taken at least 12 hours after the previous dose, but the exact schedule is set by the prescribing physician.

The most serious adverse events include symptomatic bradycardia, atrial fibrillation, severe hypotension, and heart block. Patients should be instructed to report any episodes of dizziness, fainting, palpitations, or visual disturbances promptly.

Ivabradine is contraindicated in patients with severe hepatic impairment, acute decompensated heart failure, sick sinus syndrome, or a resting heart rate below 60 bpm before treatment. It should also be avoided in individuals taking strong CYP3A4 inhibitors or other agents that markedly lower heart rate.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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