Carvedilol (12.5mg) + Ivabradine (5mg)

Carvedilol (12.5mg) + Ivabradine (5mg) — Uses and Benefits

This medicine combination is mainly used in the treatment of chronic heart failure and related heart conditions where both blood pressure/heart workload control and heart rate reduction are required.

WHAT THIS MEDICINE IS USED FOR

• Management of chronic heart failure, along with other standard heart failure medicines
• Control of heart rate in patients with certain heart rhythm conditions, as decided by a cardiologist
• Improving heart function symptoms such as breathlessness and fatigue over time

HOW IT WORKS

• Carvedilol is a beta-blocker that relaxes blood vessels and reduces the workload on the heart
• Ivabradine slows down the heart rate by acting on the heart's natural pacemaker cells, without lowering blood pressure much
• Together they help the heart pump more efficiently and reduce strain

WHAT IT IS NOT USED FOR

• Not used for immediate relief of chest pain or heart attack
• Not a first-line treatment for high blood pressure alone
• Not to be used for irregular heart rhythms without doctor evaluation
• Not suitable for general fatigue or tiredness unrelated to heart disease

How to Use Carvedilol (12.5mg) + Ivabradine (5mg)

HOW TO TAKE IT

• Take this medicine exactly as prescribed by your doctor, usually with food to reduce stomach upset
• Swallow the tablet whole with water; do not crush or chew unless advised
• Take it at the same time(s) each day to maintain steady levels in the body
• Do not stop the medicine suddenly without consulting your doctor, as this can worsen your heart condition
• Continue regular follow-up visits and monitoring of heart rate and blood pressure as advised

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember
• If it is almost time for your next dose, skip the missed dose and continue your normal schedule
• Do not take two doses together to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep out of reach of children and pets
• Do not use the medicine after the expiry date printed on the pack

Carvedilol (12.5mg) + Ivabradine (5mg) — Side Effects

COMMON SIDE EFFECTS

• Dizziness
• Tiredness or weakness
• Slow heart rate
• Low blood pressure
• Headache

LESS COMMON SIDE EFFECTS

• Blurred vision or visual brightness changes (halos)
• Nausea
• Diarrhoea or constipation
• Swelling in legs or ankles

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Fainting or severe dizziness
• Very slow or irregular heartbeat
• Difficulty breathing or worsening shortness of breath
• Chest pain
• Signs of liver problems such as yellowing of skin or eyes
• Severe allergic reaction such as swelling of face, lips, or throat, or skin rash

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Carvedilol (12.5mg) + Ivabradine (5mg) — Safety Information and Precautions

This medicine is available only with a doctor's prescription in India and should not be used without medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Have a very slow heart rate or certain heart block conditions
• Have severe liver disease
• Have uncontrolled heart failure requiring hospitalisation
• Are allergic to Carvedilol, Ivabradine, or any other ingredient
• Have very low blood pressure

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have asthma or breathing problems
• Have diabetes, as this medicine can mask low blood sugar symptoms
• Have kidney or liver problems
• Are pregnant, planning pregnancy, or breastfeeding
• Have a history of fainting or slow heart rhythm

MEDICINES THAT CAN INTERACT

• Other heart rate lowering medicines such as certain calcium channel blockers
• Certain antifungal or antibiotic medicines
• Medicines for irregular heart rhythm
• Other blood pressure lowering medicines
• Grapefruit juice may affect how this medicine works

FREQUENTLY ASKED QUESTIONS

Can I stop this medicine once I feel better?

No, stopping suddenly can worsen your heart condition; always consult your doctor before making changes.

Can I drive after taking this medicine?

Avoid driving or operating machinery if you feel dizzy or experience visual disturbances after taking this medicine.

Is this medicine safe during pregnancy?

• It should only be used in pregnancy if clearly necessary and under close doctor supervision.
• Doctor ya pharmacist se salah lein.