{"id":57793,"date":"2024-02-27T18:00:17","date_gmt":"2024-02-27T18:00:17","guid":{"rendered":"https:\/\/medsname.com\/ivabrad\/"},"modified":"2026-05-01T10:49:14","modified_gmt":"2026-05-01T10:49:14","slug":"ivabrad","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/ivabrad\/","title":{"rendered":"Ivabrad"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Ivabrad?<\/h3>\n<p style=\"margin:0;\"><strong>Ivabrad<\/strong> is 7.5 mg ivabradine tablets from a WHO-GMP certified manufacturer &mdash; a selective inhibitor of the <strong>I<sub>f<\/sub> (&#8220;funny&#8221;) current<\/strong> in the sinoatrial node. Ivabradine was introduced by Servier in 2005 as <strong>Procoralan<\/strong> &mdash; the first drug to selectively slow heart rate without affecting blood pressure, myocardial contractility, or other ion channels. Targets the hyperpolarization-activated cyclic nucleotide-gated (HCN) channels that generate the I<sub>f<\/sub> current responsible for spontaneous SA node depolarisation. selectively blocks I<sub>f<\/sub> in the sinoatrial node, reducing the slope of spontaneous diastolic depolarisation and slowing heart rate. Unlike beta-blockers and non-DHP CCBs, ivabradine has no effect on cardiac contractility, BP, or AV node conduction &mdash; it is a &#8220;pure&#8221; bradycardia agent. Dosing: Start 5 mg twice daily with food; titrate to 7.5 mg twice daily at 2 weeks if resting HR &gt;60 bpm and tolerated. Reduce to 2.5 mg twice daily if HR falls below 50 bpm or symptoms develop. In elderly (&gt;75 yr) start 2.5 mg twice daily. Arrhythmia management is a cardiology-led discipline &mdash; diagnosis, drug selection, and monitoring typically require specialist input. This is not a drug for self-initiated therapy.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Mit kapsz a MedsBase-n\u00e1l:<\/strong> WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 \u00b7 Diszkr\u00e9t csomagol\u00e1s \u00b7 Vil\u00e1gszerte sz\u00e1ll\u00edt\u00e1s \u00b7 1.400+ hiteles\u00edtett <a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">v\u00e1s\u00e1rl\u00f3i v\u00e9lem\u00e9ny<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Minden rendel\u00e9st fedez a <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\"><strong>\u00dajrak\u00fcld\u00e9si Garancia<\/strong><\/a> \u2014 ha a csomagod nem \u00e9rkezik meg 20 munkanapon bel\u00fcl, \u00fajrak\u00fcldj\u00fck.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>Generikus gy\u00f3gyszereink WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3kt\u00f3l sz\u00e1rmaznak, \u00e9s diszkr\u00e9t, egyszer\u0171 csomagol\u00e1sban sz\u00e1ll\u00edtjuk \u0151ket vil\u00e1gszerte \u2014 a csomagon nem szerepel a gy\u00f3gyszer neve. A k\u00e1rty\u00e1s fizet\u00e9sek egy szab\u00e1lyozott feldolgoz\u00f3n kereszt\u00fcl t\u00f6rt\u00e9nnek (a sz\u00e1mlale\u00edr\u00e1sok egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3t tartalmaznak \u2014 soha nem \u201cMedsBase\u201d vagy b\u00e1rmilyen gy\u00f3gyszer neve). Kriptovalut\u00e1t \u00e9s SEPA banki \u00e1tutal\u00e1st is elfogadunk. Minden rendel\u00e9st a Reshipment Assurance Policy biztos\u00edt\u00e9k fedez.<\/p>\n<h2 class=\"wp-block-heading\">What Is Ivabrad?<\/h2>\n<p>Ivabrad is 7.5 mg ivabradine tablets from a WHO-GMP certified manufacturer, supplied in 30-180 tablets. Ivabradine was introduced by Servier in 2005 as <strong>Procoralan<\/strong> &mdash; the first drug to selectively slow heart rate without affecting blood pressure, myocardial contractility, or other ion channels. Targets the hyperpolarization-activated cyclic nucleotide-gated (HCN) channels that generate the I<sub>f<\/sub> current responsible for spontaneous SA node depolarisation.<\/p>\n<h2 class=\"wp-block-heading\">How Ivabradine Works<\/h2>\n<p>Ivabradine selectively blocks I<sub>f<\/sub> in the sinoatrial node, reducing the slope of spontaneous diastolic depolarisation and slowing heart rate. Unlike beta-blockers and non-DHP CCBs, ivabradine has no effect on cardiac contractility, BP, or AV node conduction &mdash; it is a &#8220;pure&#8221; bradycardia agent.<\/p>\n<h2 class=\"wp-block-heading\">J\u00f3v\u00e1hagyott alkalmaz\u00e1si ter\u00fcletek<\/h2>\n<ul>\n<li><strong>Chronic symptomatic heart failure with reduced ejection fraction (HF-REF)<\/strong> &mdash; in patients with EF &le;35%, sinus rhythm, and heart rate &gt;70 bpm despite maximum-tolerated beta-blocker (or beta-blocker intolerance). <strong>SHIFT trial evidence.<\/strong><\/li>\n<li><strong>Kr\u00f3nikus stabil angina<\/strong> &mdash; add-on to beta-blocker or alone where beta-blockers are contraindicated. <strong>BEAUTIFUL and SIGNIFY trials.<\/strong><\/li>\n<li>Inappropriate sinus tachycardia (off-label)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">D\u00f3zis \u00e9s monitoroz\u00e1s<\/h2>\n<p><strong>D\u00f3zisbe\u00e1ll\u00edt\u00e1s:<\/strong> Start 5 mg twice daily with food; titrate to 7.5 mg twice daily at 2 weeks if resting HR &gt;60 bpm and tolerated. Reduce to 2.5 mg twice daily if HR falls below 50 bpm or symptoms develop. In elderly (&gt;75 yr) start 2.5 mg twice daily.<\/p>\n<p><strong>Monitoroz\u00e1s:<\/strong><\/p>\n<ul>\n<li><strong>Alapvizsg\u00e1lat:<\/strong> 12-lead ECG (confirm sinus rhythm, assess HR and QT), BP, U&amp;E.<\/li>\n<li><strong>2-4 weeks:<\/strong> HR review; titrate up or down.<\/li>\n<li><strong>Folyamatos k\u00f6vet\u00e9s:<\/strong> periodic HR and ECG; target resting HR 50-60 bpm in HF-REF.<\/li>\n<li><strong>Megszak\u00edt\u00e1s a k\u00f6vetkez\u0151k eset\u00e9n:<\/strong> symptomatic bradycardia (HR &lt;50 with symptoms), new AF (ivabradine efficacy is sinus-rhythm dependent), visual phenomena severe enough to affect driving\/work.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Mell\u00e9khat\u00e1sok<\/h2>\n<ul>\n<li><strong>Luminous phenomena (phosphenes)<\/strong> &mdash; transient enhanced brightness in peripheral vision (15%); usually improves spontaneously. Mechanism: ivabradine also weakly blocks I<sub>h<\/sub> current in retinal photoreceptors.<\/li>\n<li><strong>Bradikardia<\/strong> &mdash; dose-limiting (5-10%)<\/li>\n<li><strong>Atri\u00e1lis fibrill\u00e1ci\u00f3<\/strong> &mdash; modest excess vs placebo in trials; the drug is not effective once sinus rhythm is lost<\/li>\n<li><strong>Fejf\u00e1j\u00e1s, sz\u00e9d\u00fcl\u00e9s<\/strong><\/li>\n<li><strong>First-degree AV block, ventricular extrasystoles<\/strong><\/li>\n<li><strong>Ki\u00fct\u00e9s<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Ellenjavallatok<\/h2>\n<ul>\n<li>Resting HR &lt;70 bpm before starting<\/li>\n<li>Cardiogenic shock, acute MI<\/li>\n<li>S\u00falyos hypot\u00f3nia<\/li>\n<li>Sick sinus syndrome, sinoatrial block, third-degree AV block without pacemaker<\/li>\n<li>Unstable or acute heart failure<\/li>\n<li>Atrial fibrillation (not effective; may worsen rate control)<\/li>\n<li>Pacemaker-dependent<\/li>\n<li>S\u00falyos m\u00e1jel\u00e9gtelens\u00e9g<\/li>\n<li>Strong CYP3A4 inhibitor co-therapy<\/li>\n<li>Terhess\u00e9g \u00e9s szoptat\u00e1s<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok<\/h2>\n<ul>\n<li><strong>Er\u0151s CYP3A4-g\u00e1tl\u00f3k \u2014 KRITIKUS.<\/strong> Contraindicated: clarithromycin, itraconazole, ketoconazole, ritonavir, nefazodone, nelfinavir. Caution with moderate inhibitors (diltiazem, verapamil \u2014 note these also add bradycardia independently).<\/li>\n<li><strong>Diltiazem, verapamil<\/strong> &mdash; avoid (additive bradycardia + CYP3A4 inhibition).<\/li>\n<li><strong>QT-intervallumot meghosszabb\u00edt\u00f3 gy\u00f3gyszerek<\/strong> &mdash; caution; ivabradine has minimal intrinsic QT effect but combined risk rises.<\/li>\n<li><strong>Grapefruitl\u00e9<\/strong> &mdash; raises ivabradine levels.<\/li>\n<li><strong>B\u00e9ta-blokkol\u00f3k<\/strong> &mdash; combination is standard in HF-REF where beta-blocker alone is inadequate; watch for additive bradycardia.<\/li>\n<\/ul>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3 class=\"wp-block-heading\">What are the visual phosphenes?<\/h3>\n<p>About 15% of patients experience transient enhanced brightness in peripheral vision &mdash; particularly when looking from dim to bright light. They are benign (ivabradine weakly blocks a similar current in retinal photoreceptors) and usually adapt over weeks. Severe phenomena that affect driving or work are indication to stop.<\/p>\n<h3 class=\"wp-block-heading\">Can I take ivabradine if I have atrial fibrillation?<\/h3>\n<p>No &mdash; ivabradine only slows the sinoatrial node, so it has no effect on AF and may even make rate control worse. In AF use beta-blockers, non-DHP CCBs, or digoxin instead.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Ivabrad in pregnancy?<\/h3>\n<p>Generally no. Ivabradine has animal teratogenicity data; pregnancy is contraindicated in the licensed indications.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Ivabrad online?<\/h3>\n<p>You can buy Ivabrad (ivabradine 7.5 mg, 30-180 tablets) from MedsBase with discreet packaging and worldwide shipping.<\/p>\n<h2 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 kardiovaszkul\u00e1ris gy\u00f3gyszerek<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/abana\/\">Abana \u2014 ayurv\u00e9dikus sz\u00edvformula<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/aldactone\/\">Aldactone \u2014 Spironolakton<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/cardace\/\">Cardace \u2014 Ramipril (ACE-g\u00e1tl\u00f3)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/ecosprin\/\">Ecosprin \u2014 Aspirin 75\/150 mg (aggreg\u00e1ci\u00f3g\u00e1tl\u00f3)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/lonitab\/\">Lonitab \u2014 Minoxidil 5 mg (or\u00e1lis vasodilat\u00e1tor)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/vymada\/\">Vymada \u2014 Sacubitril\/Valsartan ARNI<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/high-blood-pressure-medication\/\"><strong>\u00d6sszes magas v\u00e9rnyom\u00e1sra szolg\u00e1l\u00f3 gy\u00f3gyszer b\u00f6ng\u00e9sz\u00e9se<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Orvosi nyilatkozat.<\/strong> Ez az oldal t\u00e1j\u00e9koztat\u00f3 jelleg\u0171, \u00e9s nem helyettes\u00edti a k\u00e9pzett eg\u00e9szs\u00e9g\u00fcgyi szakember tan\u00e1cs\u00e1t. A hypertonia, sz\u00edvel\u00e9gtelens\u00e9g \u00e9s sz\u00edvritmuszavarok diagnosztiz\u00e1l\u00e1st, monitoroz\u00e1st \u00e9s d\u00f3zis-individualiz\u00e1l\u00e1st ig\u00e9nyelnek orvosi r\u00e9sz\u00e9r\u0151l \u2014 mindig orvosi utas\u00edt\u00e1s szerint haszn\u00e1ljon b\u00e9ta-blokkol\u00f3kat.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Kapcsol\u00f3d\u00f3 alternat\u00edv\u00e1k<\/h3>\n<p>Egy\u00e9b term\u00e9kek a <strong>Kr\u00f3nikus betegs\u00e9gek<\/strong> v\u00e1s\u00e1rl\u00f3k \u00e1ltal szint\u00e9n megtekintett term\u00e9kek:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/prilox-cream\/\">Prilox kr\u00e9m<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/rozucor\/\">Rozucor<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/lasix\/\">Lasix<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/meftal\/\">Meftal<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/carvego\/\">Carvego<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ivabrad is ivabradine 7.5 mg tablets \u2014 the first selective I-f current inhibitor, acting at the sinoatrial node to slow heart rate without affecting blood pressure, contractility, or AV conduction. Originally Servier Procoralan (2005). SHIFT trial validated in HF-REF with HR >70 despite beta-blocker; BEAUTIFUL\/SIGNIFY extended evidence to chronic stable angina. Only effective in sinus rhythm \u2014 not for atrial fibrillation. Contraindicated with strong CYP3A4 inhibitors.<\/p>","protected":false},"featured_media":57794,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260,3356],"product_tag":[4359,4360],"class_list":{"0":"post-57793","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_cat-high-blood-pressure-medication","10":"product_tag-ivabrad","11":"product_tag-ivabradine","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/57793","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/comments?post=57793"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/57794"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=57793"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=57793"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=57793"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=57793"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}