GNH USA

Europe — EMA

Ivabradina Krka

GNH USA supplies Ivabradina Krka (Ivabradine), a selective If channel inhibitor for chronic stable angina and heart failure.

Ivabradine

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What is Ivabradine?

Ivabradine, the active ingredient in Ivabradina Krka, is a selective If channel inhibitor presented as an oral tablet for oral use. It lowers heart rate to treat chronic stable angina and heart failure in adult patients.

GNH USA supplies Ivabradina Krka as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

What is Ivabradine used for?

Ivabradina Krka acts on the cardiac If current to manage conditions where heart‑rate reduction is therapeutic. - Chronic stable angina: reduces the frequency of angina attacks by lowering heart rate. - Heart failure with reduced ejection fraction: improves symptoms and may lower hospitalization risk by decreasing heart rate.

What are the side effects of Ivabradine?

Ivabradina Krka may cause adverse reactions that vary in frequency and severity.

Common Side Effects: - Bradycardia: resting heart rate falls below the expected range. - Visual disturbances (phosphenes): transient luminous phenomena. - Headache: mild to moderate intensity. - Dizziness or light‑headedness.

Serious or Rare Side Effects: - Symptomatic bradycardia requiring medical intervention. - Atrial fibrillation or other arrhythmias. - Severe hypotension. - Persistent visual impairment or retinal disturbances.

What precautions apply to Ivabradine?

Before prescribing Ivabradina Krka, clinicians should consider several safety measures. - Cardiac monitoring: assess baseline heart rate and rhythm. - Concomitant bradycardic agents: avoid excessive heart‑rate reduction when combined with beta‑blockers or digoxin. - Severe hepatic impairment: use with caution, dose adjustment may be required. - Pregnancy: safety not established; avoid unless clearly needed. - Store at room temperature: keep in the original container, protect from moisture and light.

What does Ivabradine interact with?

Ivabradina Krka can interact with other medicines that affect its metabolism or heart‑rate control.

Major Interactions (Avoid): - Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase ivabradine exposure. - Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): markedly reduce efficacy. - Other bradycardic agents (e.g., beta‑blockers, digoxin): risk of excessive heart‑rate slowing.

Moderate Interactions (Monitor Closely): - Calcium‑channel blockers (verapamil, diltiazem): may raise plasma levels. - Moderate CYP3A4 inhibitors (e.g., fluoxetine, erythromycin): require careful monitoring. - Antacids or high‑fat meals: can affect absorption; observe therapeutic response.

Frequently asked questions

What is Ivabradina Krka used for?+
Ivabradina Krka contains ivabradine, which is prescribed to lower heart rate in adults with chronic stable angina and in patients with heart failure with reduced ejection fraction. By slowing the heart’s pacing, it helps relieve angina symptoms and can improve functional capacity in heart‑failure patients.
How does ivabradine work?+
Ivabradine selectively blocks the funny (If) current in the sinoatrial node, the natural pacemaker of the heart. This inhibition reduces the slope of spontaneous depolarisation, leading to a slower heart rate while preserving myocardial contractility and blood pressure, providing anti‑anginal and heart‑failure benefits.
What is the usual dose of Ivabradina Krka?+
The dose of Ivabradina Krka is individualized by the prescribing clinician based on the patient’s heart‑rate, clinical condition, and response to therapy. The prescriber determines the appropriate strength, frequency, and any necessary adjustments, following local prescribing guidelines.
Is Ivabradina Krka safe in pregnancy or breastfeeding?+
Safety of ivabradine during pregnancy and lactation has not been established. It should be avoided unless the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.
How do I order Ivabradina Krka from GNH USA?+
To request Ivabradina Krka, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any temperature requirements), and necessary import documentation.
How does Ivabradina Krka compare with beta‑blockers?+
Both ivabradine and beta‑blockers lower heart rate, but ivabradine does so by directly inhibiting the If current without affecting myocardial contractility or blood pressure. Beta‑blockers act on adrenergic receptors and can reduce contractility and blood pressure. Ivabradine may be preferred when a pure heart‑rate reduction is needed without additional haemodynamic effects.
How should Ivabradina Krka be stored and handled?+
Store Ivabradina Krka at room temperature, below 25 °C, in the original packaging to protect it from moisture and light. Keep the container tightly closed and out of reach of children. Do not store in bathrooms or near heat sources.
How is Ivabradina Krka administered?+
Ivabradina Krka is taken orally, usually with a glass of water. It can be taken with or without food, but consistency with respect to meals is recommended to maintain stable absorption. The tablet should be swallowed whole and not split or crushed unless specifically instructed by a pharmacist.
What are the most serious risks associated with Ivabradina Krka?+
The most serious risks include symptomatic bradycardia that may require medical intervention, atrial fibrillation or other serious arrhythmias, and persistent visual disturbances such as retinal impairment. Patients should be monitored for these events, especially during dose initiation or when combined with other heart‑rate‑lowering agents.
Who should not use Ivabradina Krka?+
Ivabradina Krka is contraindicated in patients with severe sinus bradycardia (resting heart rate <50 bpm), sick‑sinus syndrome, acute decompensated heart failure, uncontrolled hypotension, or those taking strong CYP3A4 inhibitors such as ketoconazole. It should also be avoided in individuals with known hypersensitivity to ivabradine or any excipients.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Ivabradine
Route
Oral Use
Manufacturer
Krka, D.D., Novo Mesto
Origin
EU

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