Corolan 5mg. 7.5mg Tablet
Clinical Summary
Quick overview from the medicine insert
Indication
Symptomatic treatment of chronic stable angina pectoris and chronic heart failure.
Dosage (summary)
Starting dose: 5 mg twice daily; may increase to 7.5 mg twice daily after 2-4 weeks if tolerated.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Contraindicated in pregnancy and lactation due to teratogenic effects.
Key Drug Interactions
- Strong CYP3A4 inhibitors
- Moderate CYP3A4 inhibitors
- QT-prolonging medicines
Contraindications
- Hypersensitivity to ivabradine
- 3rd degree AV Block
- Pacemaker dependence
- Resting heart rate < 70 bpm
- Severe hypotension
- Cardiogenic shock
- Unstable heart failure
Common side effects
- Phosphenes
- Bradycardia
- Headache
- Dizziness
- Increased blood pressure
Counselling Points
- Take with food
- Monitor for signs of bradycardia
- Use effective contraception during treatment
Serious warnings
- Discontinue if no improvement in angina after 3 months
- Monitor heart rate regularly
- Risk of atrial fibrillation
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