Ivanode C 6.25mg/5mg Tablet: Comprehensive Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe dizziness or fainting
- Chest pain or difficulty breathing
- Irregular heartbeat
- Swelling in legs or ankles
- Sudden weight gain
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is ivabrad c 6.25mg/5mg tablet used for?
This medicine is a combination of Carvedilol and Ivabradine used to treat chronic heart failure and stable angina by reducing heart rate and improving cardiac function.
- Generic Name: Carvedilol (6.25mg) + Ivabradine (5mg)
- Manufacturer: Lupin Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ivabrad c 6.25mg/5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा कैर्वेडिलोल और आइवाब्राडीन का संयोजन है, जिसका उपयोग हृदय विफलता और एंजाइना के इलाज में किया जाता है। यह हृदय की गति को कम करके हृदय की कार्यक्षमता में सुधार करती है।
साइड इफेक्ट्स: सामान्य दुष्प्रभावों में चक्कर आना, थकान, सिरदर्द और निम्न रक्तचाप शामिल हैं। गंभीर दुष्प्रभावों में गंभीर ब्रैडीकार्डिया, हृदय ब्लॉक और हृदय विफलता का बिगड़ना शामिल है। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे अचानक बंद न करें। शराब से बचें। गाड़ी चलाने से पहले सावधानी बरतें। नियमित रूप से हृदय गति और रक्तचाप की जांच कराएं।
💊 ivabrad c 6.25mg/5mg tablet Uses & Benefits
[{"condition":"Chronic heart failure with reduced ejection fraction","description":"Used to reduce heart rate and improve cardiac output in patients with systolic heart failure who remain symptomatic despite standard therapy.","evidence":"Well-established"},{"condition":"Stable angina pectoris","description":"Helps reduce angina attacks by lowering heart rate and myocardial oxygen demand.","evidence":"Moderate"},{"condition":"Inappropriate sinus tachycardia","description":"Ivabradine component may be used to control heart rate when beta-blockers are insufficient or not tolerated.","evidence":"Limited"}]
Off-label uses: [{"condition":"Postural orthostatic tachycardia syndrome (POTS)","description":"Ivabradine has been used off-label to reduce heart rate in POTS, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Chronic heart failure with reduced ejection fraction
Also treats: Stable angina pectoris, Inappropriate sinus tachycardia
📋 Drug Information
| Generic Name(s) | Carvedilol (6.25mg) + Ivabradine (5mg) |
| Brand Name | ivabrad c 6.25mg/5mg tablet |
| Manufacturer | Lupin Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary mechanisms. Carvedilol blocks beta-1, beta-2, and alpha-1 adrenergic receptors, reducing heart rate, contractility, and vascular resistance. Ivabradine selectively inhibits the If (funny) current in the sinoatrial node, slowing the rate of diastolic depolarization and thereby reducing heart rate without affecting myocardial contractility or blood pressure.
Mechanism Steps
💡 How to Take ivabrad c 6.25mg/5mg tablet
Strength: Tablet containing Carvedilol 6.25 mg and Ivabradine 5 mg.
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on the patient's condition, heart rate, blood pressure, and renal/hepatic function. Typically, one tablet is taken twice daily with food. The dose may be adjusted gradually. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Dose adjustment may be required based on renal and hepatic function. Close monitoring is advised. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be necessary. Monitor renal function regularly. |
| Hepatic Impairment | Contraindicated in severe hepatic impairment. Use with caution in mild to moderate hepatic impairment. Dose adjustment may be required. |
| Maximum Daily Dose | The maximum daily dose should not exceed the prescribed amount. Typically, carvedilol up to 25 mg twice daily and ivabradine up to 7.5 mg twice daily, but individual limits apply. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ivabrad c 6.25mg/5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Verapamil | Major | |
| Clonidine | Major | |
| Ketoconazole | Major | |
| Digoxin | Moderate | |
| Insulin | Moderate | |
| NSAIDs | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- Verapamil, Diltiazem
- Clonidine
- CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)
⚡ Moderate Interactions
- Digoxin
- Insulin, oral hypoglycemics
- NSAIDs
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effects of this medicine, leading to dizziness and fainting. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe bradycardia (heart rate < 50 bpm)","Sick sinus syndrome","Sinoatrial block","Severe hypotension","Decompensated heart failure requiring IV inotropic support","Severe hepatic impairment","Hypersensitivity to carvedilol or ivabradine"]
⚠️ Warnings & Precautions
["Do not stop this medicine abruptly as it can worsen heart failure or cause chest pain.","Use with caution in patients with asthma or COPD due to risk of bronchospasm.","May mask symptoms of hypoglycemia in diabetic patients.","Avoid driving or operating machinery until you know how this medicine affects you.","Inform your doctor if you have liver or kidney disease.","Regular monitoring of heart rate and blood pressure is required."]
🤱 Lactation Safety
Not established from the available information. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose may cause severe bradycardia, hypotension, and heart failure. Seek immediate medical attention. Treatment is supportive and symptomatic, including atropine for bradycardia and intravenous fluids for hypotension.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Additional Safety Advice
Always take this medicine exactly as prescribed by your doctor. Do not stop or change the dose without medical advice, as abrupt withdrawal of Carvedilol can worsen heart failure or cause chest pain. Avoid driving or operating heavy machinery until you know how this medicine affects you. Inform your doctor if you have asthma, liver disease, or kidney problems. Avoid alcohol as it may enhance the blood pressure-lowering effect. Regular monitoring of heart rate, blood pressure, and kidney function is essential. Do not take this medicine if you are pregnant or planning pregnancy without consulting your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects of this medicine. Dose adjustment and close monitoring are advised.
🤰 Pregnancy Planning (TTC)
Consult your doctor before planning pregnancy. This medicine may not be safe during pregnancy.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before any surgery. It may interact with anesthetic agents.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may affect blood pressure and heart rate.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise until you know how this medicine affects you. It may cause dizziness or fatigue. Consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects, contact your doctor immediately.
📅 Long-Term Use Effects
Long-term use requires regular monitoring of heart rate, blood pressure, and renal/hepatic function. It may reduce heart failure hospitalizations and improve survival. Do not stop without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress management can complement medicine.
Evidence: Well-establishedStructured exercise and education programs for heart patients.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. Consult your doctor before any vaccination.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and avoid extreme heat. Adjust dosing times if crossing time zones, but consult your doctor first. Keep enough supply for your trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 1-2 hours, but full benefits may take several weeks.
A: No, do not stop without consulting your doctor. Abrupt withdrawal can worsen your condition.
🤔 Common Patient Concerns
🔄 Substitutes for ivabrad c 6.25mg/5mg tablet
View AllAlternative brands with exact same active ingredient:
-
cardivas in 6.25/5 tabletSun Pharmaceutical Industries Ltd ₹185.63 20.8% CHEAPER
-
ivanode c 6.25mg/5mg tabletTorrent Pharmaceuticals Ltd ₹185.63 20.8% CHEAPER
-
carloc i 6.25 tabletCipla Ltd ₹197.00 15.9% CHEAPER
-
irban beta 6.25mg/5mg tabletGlenmark Pharmaceuticals Ltd ₹215.63 8% CHEAPER
-
ivabid cv 6.25 tabletAbbott Healthcare Private Limited ₹256.88 9.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken without a prescription.
Fact: This medicine is a prescription drug and must only be taken under medical supervision. - Myth: It is safe to stop this medicine abruptly.
Fact: Abrupt withdrawal can worsen heart failure or cause chest pain. Always consult your doctor before stopping.
🔄 Alternative Options
Generic Alternatives
- Carvedilol + Ivabradine generic tablets
Brand Alternatives
- Ivanode C 6.25mg/5mg tablet