Ivabradine 5mg

Ivabradine

Classification – Heart Medicine

Ivabradine?

It is a cardiovascular medicine used to treat 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

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
• • Use 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
• • QT prolongation
• • Diuretics
• • Barbiturates

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