User:Mr. Ibrahem/Ivabradine

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Mr. Ibrahem/Ivabradine
Clinical data
Pronunciation/ɪˈvæbrədn/
Trade namesCorlanor, Procoralan
Other namesIvabradine hydrochloride, S-16257
AHFS/Drugs.comMonograph
License data
Routes of
administration
By mouth
Legal status
Legal status
Pharmacokinetic data
Bioavailability40%
Protein binding70%
MetabolismLiver (first-pass) >50%, CYP3A4-mediated
Elimination half-life2 hours
ExcretionKidney and fecal
Identifiers
  • 3-[3-({[(7S)-3,4-dimethoxybicyclo[4.2.0]octa-1,3,5-trien-7-yl]methyl}(methyl)amino)propyl]-7,8-dimethoxy-2,3,4,5-tetrahydro-1H-3-benzazepin-2-one
Chemical and physical data
FormulaC27H36N2O5
Molar mass468.594 g·mol−1
3D model (JSmol)
  • O=C2N(CCc1cc(OC)c(OC)cc1C2)CCCN(C[C@@H]4c3cc(OC)c(OC)cc3C4)C
  • InChI=1S/C27H36N2O5/c1-28(17-21-11-20-14-25(33-4)26(34-5)16-22(20)21)8-6-9-29-10-7-18-12-23(31-2)24(32-3)13-19(18)15-27(29)30/h12-14,16,21H,6-11,15,17H2,1-5H3/t21-/m1/s1 checkY
  • Key:ACRHBAYQBXXRTO-OAQYLSRUSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Ivabradine, sold under the brand name Procoralan among others, is a medication used for long term stable heart-related chest pain and heart failure.[1] It may be used when the heart rate is at least 70 beats per minute and the condition is not fully managed by beta blockers.[1][2] It is taken by mouth.[3]

Common side effects include temporarily seeing brightness and slow heart rate.[1] Other side effects may include atrial fibrillation and angioedema.[3] Use during pregnancy may harm the baby.[3] It works by blocking If current in the sinus node which lowers the heart rate.[1]

Ivabradine was approved for medical use in Europe in 2005 and the United States in 2015.[1][3] It is available as a generic medication.[4][5] In the United Kingdom 4 weeks of medication costs the NHS about £5.[4] In the United States this amount costs about 450 USD.[6]

References[edit]

  1. ^ a b c d e f g h "Procoralan". Archived from the original on 10 November 2021. Retrieved 1 December 2021.
  2. ^ Yancy, CW; Jessup, M; Bozkurt, B; Butler, J; Casey, DE Jr; Colvin, MM; Drazner, MH; Filippatos, G; Fonarow, GC; Givertz, MM; Hollenberg, SM; Lindenfeld, J; Masoudi, FA; McBride, PE; Peterson, PN; Stevenson, LW; Westlake, C (20 May 2016). "2016 ACC/AHA/HFSA Focused Update on New Pharmacological Therapy for Heart Failure: An Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America". Circulation. 134 (13): e282–e293. doi:10.1161/CIR.0000000000000435. PMID 27208050.
  3. ^ a b c d "Ivabradine Monograph for Professionals". Drugs.com. Archived from the original on 21 January 2021. Retrieved 26 November 2021.
  4. ^ a b BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 227. ISBN 978-0857114105.
  5. ^ Research, Center for Drug Evaluation and (10 February 2022). "2021 First Generic Drug Approvals". FDA. Archived from the original on 21 June 2022. Retrieved 22 October 2022.
  6. ^ "Ivabradine Prices, Coupons & Savings Tips - GoodRx". GoodRx. Retrieved 1 December 2021.