Ivabradine 10mg

Ivabradine (10mg)

• Classification - Cardiovascular Medicine

Ivabradine?

It is a medicine used for cardiac failure.

Uses -

• Chronic heart failure
• Control heart rate
• Orthostatic tachycardia
• Chest pain
• Working of Ivabradine -
• It reduces the fast heartbeat and slows down the Sino-atrial node.

Common side effects

• Slows down the heart rate
• Visual effects
• Dizziness
• Headaches
• Tiredness

Serious side effects

• Severely slow heart rate
• Irregular heart rhythm
• Low blood pressure
• Worsened angina

Benefits

• Lowers heart rate without lowering blood pressure.
• Reduces chest pain
• Reduces the risk of hospitalization
• Improves exercise tolerance
• Well tolerated
• Can be used with other cardiac medicines

Precautions -

• Atrial fibrillation
• Severe bradycardia
• Severely low blood pressure
• Liver disorders
• Elderly patients
• Conduction abnormalities

Contraindications

• Sino-atrial block
• 3rd degree heart block
• External pacemaker
• Unstable heart failure
• Usage with other antiarrhythmic medications
• Allergy to the drug components.
• Pregnant and breastfeeding women

Warnings

• To be used under medical prescription.

Important monitoring considerations

• Regularly monitor -
• Heart rate
• Heart rhythm
• Blood pressure
• Effects on the eye

Drug Interactions

• Antifungals
• Rifampicin
• Phenytoin
• Antiarrhythmic
• Beta blockers
• Diuretics
• Barbiturates

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