Ivabradine 5 mg 56 Tablets (Procoralan, Coralan)

Ivabradine 5 mg 56 Tablets (Procoralan, Coralan)
Product Code: PR94853
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Ivabradine 5 mg 56 Tablets (Procoralan, Coralan)

 

Coralan generally known as Procoralan are same medicines produced and marketed by Servier. Procoralan contains ivabradine active chemical ingredient. Procoralan is mostly used to treattreat stable angina pectoris which causes chest pain. Procoralan is used in adult patients who do not tolerate or cannot take heart medicines called beta-blockers. Procoralan is also used in combination with beta-blockers in adult patients whose condition is not fully controlled with a beta-blocker and whose heart rate is too high (over 60 beats per minute).

Procoralan Directions

Always take Procoralan exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. The usual recommended starting dose is one tablet of Procoralan 5 mg twice daily increasing if necessary to one tablet of Procoralan 7.5 mg twice daily. Your doctor will decide the right dose for you. The usual dose is one tablet in the morning and one tablet in the evening. In some cases (e.g. if you are elderly), your doctor may prescribe half the dose i.e., one half 5 mg tablet of Procoralan 5 mg (corresponding to 2.5 mg ivabradine) in the morning and one half 5 mg tablet in the evening.Procoralan should be taken during meals.

If you take more Procoralan than you should:

- A large dose of Procoralan could make you feel breathless or tired because your heart slows down too much. If this happens, contact your doctor immediately.
- If you forget to take Procoralan:
- If you forget to take a dose of Procoralan, take the next dose at the usual time. Do not take a double dose to make up for the forgotten dose.The calendar printed on the blister containing the tablets should help you remember when you last took a tablet of Procoralan.
- If you stop taking Procoralan:
As the treatment for angina is usually life-long, you should discuss with your doctor before stopping this medicinal product.
- If you think that the effect of Procoralan is too strong or too weak, talk to your doctor or pharmacist.
- If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Procoralan Cautions

Use with caution in:
People aged over 75 years.
People with moderately decreased liver function.
People with severely decreased kidney function (creatinine clearance rate below 15ml/min).
Mild to moderate low blood pressure (hypotension).
People with severe heart failure.
People with an abnormal heart rhythm present from birth, seen on a heart monitoring trace (ECG) as a 'prolonged QT interval'.
People with an eye disease called retinitis pigmentosa (overactivity of the pigmented retina cells).

Not to be used in:
Unstable or sudden heart failure.
Severe angina that occurs with or without exertion and is not well controlled by medical treatment (unstable angina).
People with a resting heart rate slower than 60 beats per minute before treatment is started.
People having a heart attack (acute myocardial infarction).
Failure of the heart to maintain adequate circulation of blood (cardiogenic shock).
A problem common in the elderly, related to poor control of the working of the heart (sick sinus syndrome).
People who have a failure of the electrical impulse that causes the heart to beat to leave the pacemaker of the heart, resulting in decreased heart function (sino-atrial heart block)
People with a serious defect in the heart's electrical message pathways resulting in decreased function of the heart (2nd or 3rd degree heart block).
People who have an artificial pacemaker.
People with very low blood pressure (below 90/50mmHg).
Severely decreased liver function.
Pregnancy.
Breastfeeding.

Rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption (Procoralan tablets contain lactose).
This medicine is not recommended for people with irregular heartbeats (arrhythmias) that interfere with the functioning of the pacemaker, or an irregular heartbeat called atrial fibrillation (AF).
This medicine is not recommended for people taking calcium-channel blockers that reduce heart rate, such as verapamil or diltiazem.
This medicine is not recommended for people who have recently had a stroke.
This medicine is not recommended for children and adolescents under 18 years of age because it has not been studied in this age group.
This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.
If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Procoralan Side Effects

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect.
Very common (affect more than 1 in 10 people):
•    Luminous visual phenomena (people experiencing this effect describe it as a brief moment of increased brightness in a limited area of their vision - see warning above).

Common (affect between 1 in 10 and 1 in 100 people):
•    Blurred vision.
•    Slow heart rate (bradycardia).
•    Slowed conduction of electrical messages between the chambers of the heart (1st degree atrioventricular block).
•    Headache (generally during the first month of treatment).
•    Dizziness.
•    Uncontrolled blood pressure.

Uncommon (affect between 1 in 100 and 1 in 1000 people):
•    Fainting.
•    Feeling weak.
•    Fatigue.
•    Low blood pressure (hypotension).
•    Awareness of your heartbeat (palpitations).
•    Extra heartbeats (supraventricular extrasystoles).
•    Shortness of breath.
•    Sensation of spinning (vertigo).
•    Disturbances of the gut, such as nausea, constipation, diarrhoea.
•    Rash.
•    Allergic reaction involving swelling of the face, tongue or throat (angioedema).
•    Muscle cramps.
•    Raised levels of white blood cells called eosinophils (eosinophilia).
•    Elevated levels of creatinine in the blood.
•    High blood uric acid level (hyperuricaemia).

Very rare (affect less than 1 in 10,000 people):
•    Heart problems such as 2nd or 3rd degree heart block, sick sinus syndrome or an irregular heart rhythm called atrial fibrillation.
The side effects listed above may not include all of the side effects reported by the medicine's manufacturer.
For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

Procoralan Active Ingredients

Ivabradine

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