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Indications / Uses
CORALAN Ivabradine 5mg is used for the symptomatic treatment of chronic stable angina pectoris in adults with normal sinus rhythm who have a contraindication or intolerance to beta-blockers. It is also indicated in patients with chronic heart failure (NYHA class II to IV) with systolic dysfunction, in combination with standard therapy, to reduce the risk of cardiovascular mortality and hospitalization. This medication works by selectively lowering the heart rate through inhibition of the cardiac pacemaker current.
Formulation / Ingredients
CORALAN Ivabradine 5mg contains: Ivabradine 5mg
Do I need prescription to buy CORALAN Ivabradine 5mg?
Yes, you need a prescription. But if you don't have one, you can get a free teleconsultation from MedsGo Physician. Just make an order and our Physician will call you back.
Side Effects
CORALAN Ivabradine 5mg common side effects include: Luminous phenomena (phosphenes) described as temporary enhanced brightness in limited areas of the visual field, blurred vision, bradycardia, first-degree AV block, ventricular extrasystoles, and headache. Some patients may also experience dizziness or uncontrolled blood pressure.
Directions and Dosage
- Adults (18+ years): Starting dose is 5 mg twice daily. After 3 to 4 weeks, the dose may be increased to 7.5 mg twice daily depending on therapeutic response. For patients over 75 years, consider a lower starting dose of 2.5 mg twice daily.
Maximum daily dosage is 15 mg (7.5 mg twice daily). Not recommended for children and adolescents under 18 years. Treatment duration is typically long-term for chronic conditions.
Contraindications
Resting heart rate below 70 bpm prior to treatment, cardiogenic shock, acute myocardial infarction, severe hypotension (blood pressure < 90/50 mmHg), severe hepatic insufficiency, sick sinus syndrome, sino-atrial block, unstable heart failure, and pacemaker dependence. Avoid if hypersensitive to any components.
Special Precautions
- Regular monitoring for atrial fibrillation is necessary during treatment.
- Caution is advised in patients with retinitis pigmentosa.
- Not recommended in patients with recent stroke or intraventricular conduction defects.
- Monitor heart rate frequently; treatment must be adjusted or discontinued if heart rate falls below 50 bpm.
Is it safe to take it with other medications?
Concurrent use with potent cytochrome P450 3A4 inhibitors like azole antifungals or macrolide antibiotics is strictly prohibited. Avoid combining with heart rate-reducing calcium channel blockers such as verapamil or diltiazem.
How should I store it?
Store in a cool, dry place at temperatures not exceeding 30°C. Keep the tablets in the original packaging to protect from moisture.
Used For
- Angina, Heart Failure
Age
- 18 years & up
Features
- Ivabradine
Reviews
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Pharmacist answers to questions about CORALAN Ivabradine 5mg - 1 Tablet
