Ivabradine

Ivabradine (7.5mg)

Classification - Cardiovascular medicine

Ivabradine?

It is a medicine used for a fast cardiac rhythm or heart failure.

Uses -

Chronic heart failure

Control heart rate

Orthostatic tachycardia

Chest pain

Working of Ivabradine -

It works on the Sino-Atrial node, slowing down the fast heart rate.

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

QT prolongation

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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