Lancora

Lancora (ivabradine) is a heart rate-lowering medication used for managing chronic heart failure and angina. It works by inhibiting the pacemaker current in the heart to reduce the heart rate without affecting blood pressure or cardiac contractility.

Benefits:

• Improves symptoms of chronic heart failure
• Reduces hospitalizations due to heart-related events
• Helps control heart rate in patients with angina
• Can be used when beta-blockers are not tolerated or insufficient

Dosage:

• Usual starting dose: 5 mg twice daily
• Maintenance dose typically 5–7.5 mg twice daily based on heart rate response
• Dose adjustments made depending on tolerance and resting heart rate

Warnings and Precautions:

• Not suitable for patients with very low heart rate or severe liver disease
• Avoid in patients with acute heart failure or pacemaker dependency
• May cause visual disturbances; use caution when driving
• Not recommended during pregnancy or breastfeeding

Usage Instructions:

• Take with food at consistent times daily
• Swallow tablets whole with water
• If a dose is missed, take the next scheduled dose; do not double dose
• Monitor heart rate regularly as directed by your doctor

Storage Information:

• Store below 25°C (77°F) in a dry place
• Protect from moisture and light
• Keep out of children’s reach

Common Side Effects:

• Bradycardia (slow heart rate)
• Visual brightness (phosphenes)
• Fatigue
• Dizziness
• Headache