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Lancora (Ivabradine)

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Lancora (Ivabradine)

Lancora (Ivabradine) is a prescription medication designed to help manage chronic heart failure in patients with a stable heart rhythm. It works by reducing the heart rate, which in turn helps the heart pump more efficiently. Lancora is typically used in combination with other heart failure medications, especially in patients who may not tolerate beta-blockers or need additional heart rate control.

Why Choose Lancora (Ivabradine)?

  • Helps improve heart function by lowering the heart rate.
  • Proven to reduce the risk of hospitalization due to heart failure.
  • Suitable for patients with stable heart rhythms who are unable to take high doses of beta-blockers.
  • Can enhance overall quality of life for patients with chronic heart failure.
  • Offers a well-tolerated alternative for those needing additional heart rate management.

How to Use Lancora (Ivabradine)?

  • Take exactly as prescribed: Always follow your healthcare provider’s instructions regarding dosage and timing.
  • Consume with meals: Ivabradine works best when taken with food to improve absorption.
  • Avoid sudden discontinuation: Stopping the medication abruptly can lead to worsening heart failure symptoms.
  • Regular monitoring: Attend all scheduled check-ups to monitor heart rate and overall progress.
  • Inform healthcare providers about other medications: Ivabradine may interact with certain drugs, including those for infections or seizures.
  • Limit grapefruit intake: Grapefruit or grapefruit juice can increase Ivabradine levels in the blood, leading to potential side effects.

Important Safety Information about Lancora

  • Not recommended for patients with low resting heart rate or severe liver issues.
  • Avoid use during pregnancy unless clearly necessary. Discuss contraception options with your doctor if applicable.
  • May cause temporary vision changes (brightness or halos). Exercise caution when driving or performing tasks requiring focus.
  • Inform your healthcare provider if you experience symptoms like dizziness, extreme fatigue, or worsening shortness of breath.
  • Do not take Lancora if you have severe low blood pressure or sick sinus syndrome without a pacemaker.

Fact Table

 
Facts Details
Generic Name Ivabradine
Brand Name Lancora
Drug Class Selective sinus node inhibitor (If current inhibitor)
Indication Treatment of chronic heart failure in patients with stable heart function and a heart rate of at least 70 bpm
Mechanism of Action Reduces heart rate by selectively inhibiting the If current in the sinoatrial node, leading to decreased cardiac workload and oxygen demand
Dosage Form Oral tablet
Strengths Available 5 mg, 7.5 mg tablets
Usual Dosage - Initial dose: 5 mg twice daily with meals - May be increased to 7.5 mg twice daily based on heart rate and tolerability
Administration Should be taken with food to enhance absorption
Key Benefits - Reduces hospitalization risk in heart failure patients - Improves symptoms and exercise tolerance in chronic heart failure
Warnings and Precautions - Bradycardia: Monitor for excessively low heart rate - Atrial fibrillation: Monitor for irregular heartbeat - Visual disturbances: Report any sudden visual brightness or blurred vision
Drug Interactions - Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) increase Ivabradine levels - Use with beta-blockers may increase the risk of bradycardia
Common Side Effects - Bradycardia (slow heart rate) - Temporary visual brightness (phosphenes) - Fatigue - Dizziness
Monitoring Parameters - Heart rate (resting and after dosage changes) - Blood pressure - Cardiac rhythm (via ECG, if necessary)
Storage Instructions Store at room temperature (15°C to 30°C) away from moisture and direct light

Common Side Effects

Like all medications, Lancora (Ivabradine) can cause side effects, although not everybody gets them. Understanding these side effects can help you use this medication safely and effectively.
  • Bradycardia (slow heart rate)
  • High blood pressure
  • Temporary visual disturbances (seeing bright lights or halos)
  • Dizziness or fatigue
  • Headache
If you experience any of these side effects or others, make sure to discuss them with your healthcare provider. They can offer advice and may adjust your treatment if necessary. Report any severe or unexpected side effects immediately.

How Can You Buy Lancora (Ivabradine)?

You can order Lancora (Ivabradine) using these methods on our website:
  1. Order Online
  2. Order by Phone
  3. Order by Fax
  4. Order your refills
Visit our How to order page.
Dr. Conor Sheehy, PharmD, BCPS

Dr. Conor Sheehy, PharmD, BCPS is a practicing clinical pharmacist that works in primary care. He supports other members of the healthcare team including physicians, mid-level providers, nurses, and other clinical staff. He also likes to use his drug knowledge to inform his patients and the public about the benefits and risks they can expect from their medications. His clinical specialties include: anticoagulation, diabetes management, and psychiatric care.

Please note that due to government rules and regulations, orders may not exceed 3 months in supply.
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