Drug Name Ivabradine Coralan Classification: Antiarrythmitic

Dosage & Route Adults

Action

Indication Treatment of patients with tachycardia when rapid but shortterm control of ventricular rate is desirable.

Adverse Effects CNS: Headache, Dizziness, Weakness CV: Bradycardia GI: Nausea

Contraindication

Ivabradine is a heart rate 5 mg twice daily lowering agent. It acts by selective and specific inhibition of the cardiac pacemaker I current, an important ionic current that usually controls spontaneous diastolic depolarisation in the sinus node and thereby regulates heart rate.

Nursing Responsibility Contraindicated Assess for: on patients with 1. History: Cardiac disease, liver cerebrovascular dysfunction and disease is contraindicated 2. Physical: P, BP, ECG, orientation, in patients with reflexes, R, severe liver adventitious sounds, dysfunction. urinary output Teaching Point The tablets should be swallowed with a little water and taken with some food. Changes in vision may occur, but usually resolve with continued treatment.