Addiction Recovery
Allergy Relief
Antibiotics
Antidepressants
Antifungals
Antiparasitics
Antivirals
Autoimmune Support
Bladder Health
Bone Health
Cholesterol Management
COVID-19 Support
Diabetes Management
Digestive Health
Erectile Dysfunction
Eye Care
Heart & Blood Pressure
HIV Management
Hormone Therapy
Men's Health
Mental Health
Neurology
Oncology Support
Pain Management
Premature Ejaculation
Respiratory Health
Skin Care
Sleep Management
Thyroid Health
Weight Management
Women's Health
Ivabradine slows the heart rate and is used in chronic heart failure and stable angina; PockDose stocks it as Procoralan 5mg tablets.
Ivabradine
5mg
Procoralan 5mg tablets contain ivabradine, used for chronic heart failure and chronic stable angina, and come in packs of 30 to 180.
Ivabradine is for adults whose resting heart rate is part of the problem. In chronic heart failure it lowers the chance of the condition getting worse enough to need hospital treatment. In stable angina, chest pain that comes on predictably with exertion, a slower pulse means the heart needs less oxygen for the same effort. The tablets act on the sinus node, the small area of tissue in the right atrium that starts each beat, and stretch the gap between beats so the heart refills more fully. Heart-muscle strength is untouched, which is why it is used alongside a beta-blocker or when a beta-blocker does not suit.
Tablets go in twice a day, morning and evening, with food, and at roughly the same times each day so the heart rate stays level rather than drifting up between doses. A starting dose is often adjusted after a couple of weeks, once it is clear how far the heart rate has come down and how you feel on it. Ivabradine eases symptoms rather than curing the underlying condition, so it is usually continued long term. Tablets scored down the middle can be broken along the line if half a tablet is needed.
Bright patches, flashes or a shimmering edge to your vision, known as phosphenes, are the most distinctive effect and show up most often in the first weeks. They are usually mild and often become less noticeable as treatment goes on. Blurred vision, headache and dizziness are also reported. Since the medicine slows the heart, an unusually slow pulse can occur, and an irregular heartbeat (atrial fibrillation) has been reported in people taking it for heart failure. Fainting, or a pulse much slower than usual, needs urgent treatment.
Grapefruit juice is worth leaving out of the diet while taking these tablets: it blocks the enzyme that clears ivabradine, so levels rise and the heart rate can drop further than intended. Some antifungal medicines, such as ketoconazole, and certain antibiotics, including clarithromycin, have the same effect. St John's wort works the other way and can leave too little of the drug in the body. Ivabradine is not used where the resting heart rate is already very slow, where blood pressure is very low, or where a pacemaker does the pacing; severe liver disease rules it out too.
The one listing is Procoralan 5mg tablets, and the tablet holds ivabradine alone, with no second ingredient. Pack sizes and prices are on its page. Other cardiac medicines, from rate control to blood pressure, are grouped in the heart and blood pressure category.
Ordering ivabradine online is possible from PockDose, with delivery to Hong Kong. The range here is 5mg tablets sold as generic Procoralan, a heart rate lowering medicine. Payment is taken by Visa, Mastercard or American Express on a secure encrypted payment page, or with Bitcoin or Ethereum.
The price depends on the strength and pack size you choose. The Procoralan page shows current prices in HKD or the currency you select.
PockDose does not ask you to upload a prescription when you order ivabradine. See the ordering FAQ for details.
Coralan, Corlanor and Procoralan are brand names of ivabradine. Here, ivabradine can be bought online as generic Procoralan. These are generics, not the original brand.
These are called phosphenes: patches of light, flashes or a shimmering outline that appear in part of the field of vision. They happen because the medicine acts on similar channels in the retina. They are usually mild, more common in the first weeks, and often become less noticeable as treatment continues.
Both slow the heart, but they work in different ways. Beta-blockers block adrenaline signals and also lower blood pressure and can affect the airways. Ivabradine acts on the sinus node's pacemaker current, so its effect is mostly on heart rate. It is used on top of a beta-blocker or when one is not suitable.
Procoralan is the brand name under which ivabradine is sold, and ivabradine is the active ingredient inside it. PockDose stocks the 5mg tablet, so the name on the box is Procoralan and the medicine in it is ivabradine.
No. It controls symptoms and lowers the risk of heart failure getting worse enough to need hospital treatment, but it does not cure the condition. Its effect lasts while you keep taking it, which is why treatment is usually long term rather than a short course.
Yes, the tablets are taken morning and evening with food. Splitting the dose keeps the heart rate steady across the day rather than letting it rise between doses. Keeping to roughly the same two times each day helps that steadiness.