Albadin 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, fainting, or extreme fatigue that does not improve with rest.
- Chest pain that is new, worsening, or not relieved by rest or usual angina medication.
- Palpitations or irregular heartbeat that feels fast or fluttering.
- Sudden shortness of breath, especially at rest or when lying down.
- Swelling of the face, lips, tongue, or throat, or difficulty breathing.
- Yellowing of the skin or eyes, or dark urine, which may indicate liver problems.
- Unusually slow pulse (less than 50 beats per minute) with weakness or confusion.
- Severe headache with visual disturbances that do not resolve.
If experiencing severe symptoms, call emergency services immediately.
What is ivazine 5 tablet used for?
This medicine is a prescription heart medicine containing ivabradine 5 mg. It slows the heart rate by blocking the If current in the heart's pacemaker, helping to treat stable angina and certain types of heart failure. It is taken twice daily with meals and must be used under medical supervision.
- Generic Name: Ivabradine (5mg)
- Manufacturer: Torrent Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ivazine 5 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा इवाब्राडीन 5 मिलीग्राम की एक प्रिस्क्रिप्शन टैबलेट है, जिसका उपयोग मुख्य रूप से स्थिर एनजाइना (दिल की धमनियों में रुकावट के कारण सीने में दर्द) और कुछ प्रकार के दिल की विफलता के इलाज के लिए किया जाता है। यह दिल की धड़कन को धीमा करके दिल की मांग को कम करती है और दिल को बेहतर तरीके से काम करने में मदद करती है। यह दवा केवल डॉक्टर की सलाह पर ही लेनी चाहिए और इसे अपने आप बंद नहीं करना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दृष्टि में चमक या रोशनी दिखना, सिरदर्द, चक्कर आना, धुंधली दृष्टि और दिल की धड़कन का धीमा होना शामिल हैं। कुछ गंभीर दुष्प्रभावों में बहुत धीमी हृदय गति, एट्रियल फिब्रिलेशन, और दिल की विफलता का बिगड़ना शामिल हो सकता है। यदि आपको बेहोशी, सीने में दर्द, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर दिन में दो बार भोजन के साथ। इसे चबाएं या तोड़ें नहीं। अचानक बंद न करें। अंगूर का जूस और अंगूर से बनी चीजों से बचें। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं। गर्भावस्था और स्तनपान के दौरान इसका उपयोग न करें। यदि खुराक भूल जाएं तो डॉक्टर की सलाह का पालन करें और दोहरी खुराक न लें।
💊 ivazine 5 tablet Uses & Benefits
[{"condition":"Stable angina pectoris","description":"This medicine is used to reduce the frequency of angina attacks in adults with stable coronary artery disease who cannot take beta-blockers or whose symptoms are not controlled by them.","evidence":"Well-established"},{"condition":"Chronic heart failure with reduced ejection fraction","description":"This medicine is used in adults with chronic heart failure and a heart rate of at least 70 beats per minute to reduce the risk of heart failure hospitalization and cardiovascular death, usually in combination with standard heart failure therapy.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Inappropriate sinus tachycardia","description":"This medicine is sometimes prescribed off-label to reduce abnormally high resting heart rate when other treatments are not effective or tolerated.","evidence":"Limited"},{"condition":"Postural orthostatic tachycardia syndrome (POTS)","description":"This medicine has been used off-label in some patients with POTS to control heart rate, but evidence is limited and it is not a standard treatment.","evidence":"Limited"}]
Primary treatment for: Stable angina pectoris and chronic heart failure with reduced ejection fraction
Also treats: Coronary artery disease, Heart failure with reduced ejection fraction, Inappropriate sinus tachycardia (off-label)
📋 Drug Information
| Generic Name(s) | Ivabradine (5mg) |
| Brand Name | ivazine 5 tablet |
| Manufacturer | Torrent Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | I F sodium channel (sinoatrial node) current blockers |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep the tablets in their original blister pack or container to protect from moisture and light. Do not refrigerate. Keep out of reach of children and pets. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. Do not use after the expiry date. |
| WHO Guideline | The World Health Organization does not provide specific guidelines for ivabradine. Management of angina and heart failure should follow local and international cardiology guidelines. |
| ICMR Guideline | The Indian Council of Medical Research has not issued specific guidelines for ivabradine. Treatment should be based on standard cardiology practice and guidelines from recognized bodies such as the American College of Cardiology and the European Society of Cardiology. |
👨⚕️ 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 selectively blocks the If funny current in the sinoatrial node of the heart. By inhibiting this pacemaker current, it slows the rate of spontaneous diastolic depolarization in the sinoatrial node, which reduces heart rate. This effect is use-dependent, meaning it works more when the heart rate is higher. Unlike beta-blockers, this medicine does not affect blood pressure, myocardial contractility, or coronary vasodilation, making it useful in patients who cannot tolerate beta-blockers.
Mechanism Steps
💡 How to Take ivazine 5 tablet
Strength: Ivabradine 5 mg immediate-release tablet for oral administration.
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for stable angina is 5 mg twice daily, which may be increased to 7.5 mg twice daily after 3 to 4 weeks based on heart rate and symptoms. For chronic heart failure, the starting dose is 5 mg twice daily, and it may be increased to 7.5 mg twice daily if the resting heart rate remains above 60 beats per minute and the patient tolerates the 5 mg dose. The dose must be individualized by a qualified clinician based on indication, age, heart rate, and hepatic function. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients based solely on age. However, elderly patients may be more sensitive to the heart rate-lowering effects and should be monitored closely. Dose should be individualized by a qualified clinician based on heart rate, renal and hepatic function, and concomitant medications. |
| Renal Impairment | No dose adjustment is required for patients with mild to moderate renal impairment (creatinine clearance 15-89 mL/min). In severe renal impairment (creatinine clearance less than 15 mL/min), this medicine should be used with caution and the dose should be individualized by a qualified clinician with close monitoring. |
| Hepatic Impairment | No dose adjustment is required for patients with mild hepatic impairment. In moderate hepatic impairment (Child-Pugh B), the starting dose should be reduced to 2.5 mg twice daily and the dose should be individualized by a qualified clinician. This medicine is contraindicated in severe hepatic impairment (Child-Pugh C). |
| Maximum Daily Dose | The maximum recommended dose is 7.5 mg twice daily (15 mg per day) for adults. Doses above this are not recommended due to increased risk of bradycardia and other side effects. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ivazine 5 tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Clarithromycin | Major | |
| Ritonavir | Major | |
| Rifampicin | Major | |
| Carbamazepine | Major | |
| Verapamil | Major | |
| Diltiazem | Major | |
| Erythromycin | Moderate | |
| Fluconazole | Moderate | |
| Beta-blockers | Moderate |
🚨 Major Interactions
- Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, clarithromycin, ritonavir)
- Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine, phenytoin, St. John's wort)
- Verapamil and diltiazem
⚡ Moderate Interactions
- Moderate CYP3A4 inhibitors (e.g., erythromycin, fluconazole, grapefruit juice)
- Beta-blockers
- Digoxin
🍷 Alcohol Interaction
Alcohol may increase the heart rate-lowering effect of this medicine and can worsen dizziness or lightheadedness. It is advisable to limit or avoid alcohol while taking this medicine, and to consult your doctor about safe limits.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to ivabradine or any component of the tablet","Severe bradycardia (heart rate less than 60 beats per minute before treatment)","Cardiogenic shock","Acute myocardial infarction","Severe hypotension (systolic blood pressure less than 90 mmHg)","Severe hepatic impairment (Child-Pugh C)","Sick sinus syndrome, sinoatrial block, or third-degree atrioventricular block (unless a pacemaker is present)","Concomitant use with strong CYP3A4 inhibitors","Pregnancy and breastfeeding","Unstable angina or recent heart attack"]
⚠️ Warnings & Precautions
["This medicine should only be prescribed by a cardiologist or a doctor experienced in treating heart conditions.","Do not stop this medicine abruptly without medical advice, as it may worsen angina or heart failure.","Regular monitoring of heart rate is essential, especially at the start of treatment and after dose adjustments.","Use with caution in patients with mild to moderate hypotension, as this medicine may further lower blood pressure in some cases.","Patients with visual problems should be monitored, as this medicine can cause phosphenes.","Avoid grapefruit juice and grapefruit products during treatment.","Inform your doctor if you have a history of arrhythmias, especially atrial fibrillation.","This medicine may cause dizziness; avoid driving or operating heavy machinery until you know how it affects you.","Use effective contraception during treatment and for at least one month after stopping.","Tell your doctor about all other medicines you are taking, including over-the-counter and herbal products."]
🤱 Lactation Safety
It is not known whether this medicine passes into human breast milk. Because of the potential for serious adverse reactions in nursing infants, breastfeeding is not recommended during treatment. Consult your doctor for alternative options.
💊 Overdose Management
Overdose of this medicine can cause severe and prolonged bradycardia, which may lead to dizziness, fainting, and low blood pressure. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and may include intravenous fluids, atropine, or temporary cardiac pacing if needed. There is no specific antidote. Do not try to induce vomiting unless instructed by a healthcare professional.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if it is less than 6 hours since the missed dose. If more than 6 hours have passed, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually twice daily with meals. Do not crush, chew, or split the tablet unless your doctor advises otherwise. Do not stop this medicine suddenly without consulting your doctor, as this can worsen your heart condition. Avoid grapefruit juice and grapefruit products while taking this medicine because they can increase the level of the medicine in your blood. Inform your doctor about all other medicines you take, especially blood thinners, blood pressure medicines, and certain antibiotics or antifungals. Use reliable contraception during treatment, as this medicine may harm an unborn baby. If you miss a dose, follow your doctor's instructions and never double the dose. Keep this medicine out of reach of children and store it at room temperature away from moisture and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the heart rate-lowering effects of this medicine. Start with a lower dose and monitor heart rate closely. Renal and hepatic function should be assessed before and during treatment. Falls due to dizziness or bradycardia are a concern; advise patients to rise slowly from sitting or lying positions.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated during pregnancy and should not be used by women planning to become pregnant. Use effective contraception while taking this medicine and for at least one month after stopping. If you are planning pregnancy, consult your doctor to switch to a safer alternative before conception.
🏥 Post-Surgery Considerations
After surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may affect heart rate during surgery and anesthesia. Your doctor may advise temporary discontinuation or dose adjustment. Do not stop the medicine on your own before surgery; follow your doctor's instructions.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may affect your heart rate and blood pressure during the procedure. Your dentist may consult your cardiologist to ensure safety. Local anesthesia is generally safe, but always disclose all medications.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine lowers heart rate, which may limit your maximum exercise capacity. Avoid strenuous activities until you know how the medicine affects you. If you experience dizziness, chest pain, or excessive shortness of breath during exercise, stop and consult your doctor. Your doctor may recommend a target heart rate for exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or visual disturbances, especially at the start of treatment. Avoid driving or operating heavy machinery until you know how it affects you. Most patients can continue their usual work after adjusting to the medicine. If your job involves shift work, consult your doctor about timing your doses.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects such as severe bradycardia, atrial fibrillation, or allergic reactions, seek immediate medical attention and your doctor will decide whether to discontinue. If you plan to stop for any reason, your doctor will provide a tapering schedule to avoid worsening of your heart condition.
📅 Long-Term Use Effects
Long-term use of this medicine is generally well-tolerated, but it requires regular monitoring of heart rate, blood pressure, and symptoms of heart failure. Some patients may develop tolerance to the heart rate-lowering effect over time. Periodic assessment of liver and kidney function is advised. Long-term use has been shown to reduce hospitalizations in chronic heart failure. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
First-line treatment for angina and heart failure, but may not be suitable for patients with asthma or severe bradycardia.
Evidence: Well-establishedCan be used for angina but may also lower heart rate and blood pressure.
Evidence: Well-establishedUsed for chronic angina when other treatments are not effective.
Evidence: Well-establishedHeart-healthy diet, exercise, smoking cessation, and stress management can complement medical therapy.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, always inform your healthcare provider about all medicines you are taking before receiving any vaccine. Routine vaccinations are generally safe while on this medicine, but consult your doctor for personalized advice.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate or freeze.
✅ DO
Keep in the original blister pack or container.
❌ DON'T
Do not transfer to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of reach of children and pets.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. Store at room temperature and protect from moisture and direct sunlight. If crossing time zones, consult your doctor about adjusting dosing times. Check local customs regulations for carrying prescription medicines. Always carry enough supply for your entire trip and a little extra in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts reducing heart rate within 1 to 2 hours after a dose, but its full benefits for angina and heart failure may take several weeks to become noticeable. Your doctor will monitor your progress and adjust the dose if needed.
A: Yes, this medicine should be taken with meals. Food delays absorption and increases its bioavailability, which can improve tolerability and effectiveness.
A: If you miss a dose and less than 6 hours have passed, take it as soon as you remember. If more than 6 hours have passed, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: No, this medicine is contraindicated during pregnancy as it may harm the unborn baby. Use effective contraception while taking it, and consult your doctor immediately if you become pregnant.
A: No, you should never stop this medicine suddenly without consulting your doctor. Abrupt discontinuation can worsen your heart condition. Your doctor will guide you on how to safely stop if needed.
🤔 Common Patient Concerns
🔄 Substitutes for ivazine 5 tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia ivabradine 5mg tabletDavaindia Generic Pharmacy ₹70.00 77.2% CHEAPER
-
ivasafe 5 tabletAcmedix Pharma LLP ₹79.69 74% CHEAPER
-
danavish ivabradine 5mg tabletDanavish Healthcare ₹84.38 72.5% CHEAPER
-
stayhappi ivabradine 5mg tabletSarvagunaushdhi Pvt Ltd ₹84.38 72.5% CHEAPER
-
ivables 5 tabletLloyd Healthcare Pvt Ltd ₹102.09 66.7% CHEAPER
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-only medicine and must only be taken under a doctor's supervision. - Myth: This medicine is a painkiller for chest pain.
Fact: This medicine is not a painkiller. It reduces heart rate to prevent angina, but it does not relieve acute chest pain. - Myth: You can stop this medicine once you feel better.
Fact: Never stop this medicine without consulting your doctor, as it can worsen your heart condition. - Myth: This medicine is safe to take during pregnancy.
Fact: This medicine is contraindicated during pregnancy as it may harm the unborn baby.
🔄 Alternative Options
Generic Alternatives
- Ivabradine 5 mg tablet
Brand Alternatives
- Albadin 5mg Tablet