Ivables M 5mg/50mg Tablet

Tablet
Rs.194for 1 strip(s) (10 tablets each)
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Composition FOR Ivables M

Ivabradine(5mg),Metoprolol Tartrate(50mg)

food interaction for Ivables M

alcohol interaction for Ivables M

pregnancy interaction for Ivables M

lactation interaction for Ivables M

food
alcohol
pregnancy
lactation
Ivables M 5mg/50mg Tablet is to be taken with food.
None
CAUTION
It is unsafe to consume alcohol with Ivables M 5mg/50mg Tablet.
UNSAFE
Ivables M 5mg/50mg Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
CONSULT YOUR DOCTOR
Ivables M 5mg/50mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
SAFE IF PRESCRIBED

SALT INFORMATION FOR Ivables M

Ivabradine(5mg)

Uses

Ivabradine is used in the treatment of Angina (heart-related chest pain) and Heart failure.

How it works

Ivabradine is a heart rate lowering medication. It works by reducing the heart rate which lowers the oxygen requirement of the heart. As a result, the heart works more efficiently.

Common side effects

Slow heart rate, Luminous phenomena (Enhanced brightness), High blood pressure, Visual impairment, Atrial fibrillation, Increased white blood cell count (eosinophils), Angioedema (swelling of deeper layers of skin), Weakness, Increased creatinine level in blood, Itching, Heart block, Sick sinus syndrome
Metoprolol Tartrate(50mg)

Uses

How it works

Metoprolol Tartrate is a short-acting beta blocker that works specifically on the heart. It works by slowing down the heart rate and makes the heart more efficient at pumping blood around the body.

Common side effects

Orthostatic hypotension (sudden lowering of blood pressure on standing), Slow heart rate, Headache, Dizziness, Nausea, Fatigue, Constipation, Diarrhea, Exertional dyspnea, Vomiting, Abdominal pain, Depression, Nervousness, Anxiety, Impotence, Change in alertness, Sleepiness, Insomnia (difficulty in sleeping), Paresthesia (tingling or pricking sensation), Heart failure, Arrhythmia (irregular heartbeats), Palpitations, Edema (swelling), Raynaud's phenomenon, Bronchospasm, Skin rash, Muscle cramp, Nightmares

SUBSTITUTES FOR Ivables M

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Expert advice FOR Ivables M

  • Ivabradine may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
  • You may experience temporary changes in your vision such as enhanced visual brightness. These changes may occur within the initial 2 months of treatment and should gradually go away.
  • Monitor your blood pressure when taking Ivabradine as it can increase your blood pressure.
  • Monitor your heart rate when taking this medicine, as low heart rate is a common side effect. Inform your doctor if you experience symptoms of low heart rate such as dizziness, tiredness and low energy.

Frequently asked questions FOR Ivables M

Ivabradine

Q. What type of drug is Ivabradine?
Ivabradine is a heart medicine. It belongs to a class of medicine known as hyperpolarization-activated cyclic nucleotide-gated (HCN) channel blockers. It works by slowing the heart rate. This helps the heart to pump more blood through the body each time it beats.
Q. Does Ivabradine lower blood pressure?
No, Ivabradine commonly causes an increase in blood pressure as a side effect. This change is temporary and does not affect the treatment with Ivabradine. However, it should not be given to patients with severely low blood pressure (blood pressure < 90/50 mmHg).
Q. Is Ivabradine a beta-blocker?
No, Ivabradine is not a beta-blocker. It lowers the heart rate by selectively blocking the sodium channel present in heart pacemaker cells responsible for the increase in the heart rate.
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Q. What is the most important information that I should know about Ivabradine?
You should remember that Ivabradine may cause serious side effects in adults and children. Its use in pregnant women can harm the unborn baby. Some of the other serious side effects may include increased risk of irregular or rapid heartbeat (atrial fibrillation or heart rhythm problems) and slower than normal heart rate (bradycardia).
Q. How should I take Ivabradine?
Take Ivabradine exactly as directed by your doctor. It is usually prescribed to be taken twice a day with food. Some Ivabradine come with a line down the middle. If your doctor tells you to take half a tablet, break it carefully on the line. Take half the tablet as directed, and save the other half for your next dose.
Q. What are the symptoms of overdosage of Ivabradine?
The symptoms of overdosage of Ivabradine include slow heartbeat, dizziness, excessive tiredness and lack of energy. If you have taken higher than the recommended dose or experience any of these, consult your doctor immediately or seek emergency medical attention.
Q. Does Ivabradine affect vision?
Ivabradine may cause temporary brightness in the field of vision (luminous visual phenomena). This usually disappears with continuous use of Ivabradine. If this happens to you, be careful when driving or using machines at times when there could be sudden changes in light intensity, especially when driving at night.

Metoprolol Tartrate

Q. What is the difference between Metoprolol Succinate and Metoprolol Tartrate?
Metoprolol Succinate is an extended-release form of Metoprolol. This means it is released into your body slowly and only needs to be taken once a day. Metoprolol Tartrate, on the other hand, is available as an immediate-release tablet. It doesn’t stay in your body as long as Metoprolol Succinate does. Hence, multiple doses in a day may be required.
Q. Is Metoprolol Tartrate effective?
Metoprolol Tartrate is effective if used in the dose and duration advised by your doctor. Do not stop taking it even if you see improvement in your condition. If you stop using Metoprolol Tartrate too early, the symptoms may return or worsen.
Q. Which is better, Metoprolol Tartrate or Metoprolol Succinate?
Metoprolol Tartrate and Metoprolol Succinate are both effective depending on the condition being treated. Metoprolol Succinate is more effective for treating heart failure. Metoprolol Succinate may also be less likely to cause some side effects as compared to Metoprolol Tartrate.
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Q. What if I forget to take a dose of Metoprolol Tartrate?
If you have missed a dose of Metoprolol Tartrate, take it as soon as you remember it. However, if it is almost time for your next dose, take it in the regular schedule instead of taking the missed dose. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.
Q. Can I take alcohol while on treatment with Metoprolol Tartrate?
No, you should not take alcohol while on treatment with Metoprolol Tartrate. Drinking alcohol while taking Metoprolol Tartrate may increase the risk of drowsiness and dizziness. Therefore , it is generally not recommended to use Metoprolol Tartrate with alcohol. However, you may consult your doctor if you have any concerns regarding the same.
Q. Can you switch from Metoprolol Tartrate to Metoprolol Succinate?
Yes, in some cases, Metoprolol Tartrate may be switched to Metoprolol Succinate. Metoprolol Succinate may be preferred for its once-daily dosing. Consult a doctor to determine your treatment options when switching medications to know what suits you best and to get maximum benefit.
Q. When should you not take Metoprolol Tartrate?
Metoprolol Tartrate should not be taken if you experience very low heart rates, low blood pressure, or severe heart failure. It is important to discuss your medical history with a doctor to determine if you should be on Metoprolol Tartrate or not.
Q. What should I avoid while taking Metoprolol Tartrate?
Alcohol and certain medications should be avoided while taking Metoprolol Tartrate. Some medications including calcium channel blockers, certain antidepressants, and those processed in a similar way as Metoprolol Tartrate may increase the risk of adverse effects with Metoprolol Tartrate.
Q. Can I use Metoprolol Tartrate in pregnancy?
No, Metoprolol Tartrate should not be used in pregnancy. It may be used during pregnancy if the benefits clearly outweigh the risks. Not enough studies have been done to show that these medications are 100% safe during pregnancy. Consult a doctor if you are planning a baby, pregnant or breastfeeding to avoid any harmful effects on the baby.

Content on this page was last updated on 28 March, 2024, by Dr. Varun Gupta (MD Pharmacology)