Inapure 5 Tablet

Inapure 5 Tablet contains ivabradine 5 mg in each tablet. It belongs to the anti-anginal class and is used to help reduce chest pain from stable angina in adults with a regular heart rhythm. In some patients, ivabradine is also used to lower a fast resting heart rate when a doctor decides it is appropriate. Inapure 5 Tablet is a prescription medicine from Sun Pharmaceutical Industries Ltd.

How it works: Ivabradine works by slowing the sinus node, the heart’s natural pacemaker, so the heart beats fewer times per minute. As a tablet, Inapure 5 Tablet is swallowed and absorbed through the stomach and intestines to help lower heart workload and oxygen demand.

Inapure 5 Tablet is a mid-strength tablet for patients whose doctor has already assessed their heart rate and symptoms, rather than a first choice for everyone. Compared with lower-strength ivabradine tablets, the 5 mg strength gives a fuller heart-rate-lowering effect and may be chosen when a smaller dose is not enough or when a doctor wants a standard maintenance dose. Because it can slow the heart too much in some people, the exact dose and timing should be set by a clinician.

• Stable angina pectoris
• Heart-rate reduction in selected adults
• Doctor-directed control of exertional chest pain
• Maintenance treatment when a lower heart rate is needed

• Swallow Inapure 5 Tablet whole with water; do not crush or chew unless your prescriber specifically tells you otherwise.
• Take it exactly at the times prescribed, usually with food to help consistent absorption.
• Try to take it at the same time each day.
• Do not take extra tablets if you miss a dose; follow your doctor’s missed-dose instructions.
• Avoid taking it right before strenuous activity unless your doctor has given that schedule.
• If the tablet looks damaged or expired, do not use it.

Each Inapure 5 Tablet provides ivabradine 5 mg. How often it is taken depends on the reason for treatment, your resting heart rate, and how you respond, but it is commonly prescribed twice daily in divided doses. The maximum daily dose is set by the doctor and should not be exceeded; some patients need a lower dose, while others may be kept at 5 mg twice daily or adjusted based on heart-rate response.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Ivabradine may include:

• Slower heart rate
• Temporary bright flashes or visual changes, especially at the 5 mg strength
• Dizziness
• Headache
• Tiredness
• Nausea

• Use only if a doctor has confirmed you are a suitable candidate for ivabradine and your heart rhythm is regular.
• Tell your prescriber if you already have a low resting heart rate, low blood pressure, or a history of conduction problems.
• Do not use with grapefruit or grapefruit juice, which can raise ivabradine levels.
• Use caution with driving or machinery until you know whether Inapure 5 Tablet causes visual brightness or dizziness.
• Tell your doctor about liver problems, because dose selection may need to change.
• Alcohol can worsen dizziness or lightheadedness in some people.
• Do not combine with other heart-rate-lowering medicines unless your prescriber specifically approves it.

• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin, or ritonavir
• Other medicines that slow heart rate, including beta-blockers, some calcium channel blockers, and digoxin
• Grapefruit and grapefruit juice
• Certain antiarrhythmics that may affect heart rhythm

Store Inapure 5 Tablet at room temperature in its original strip/box, protected from moisture and kept out of reach of children.