Procoralan
Procoralan 5mg tablets contain ivabradine, used for chronic heart failure and chronic stable angina, and come in packs of 30 to 180.
All strengths and pack prices
| Strength | Pack | Price | Per tablet |
|---|---|---|---|
| 5mg | 30 tablets | $86.70 | $2.89 |
| 5mg | 60 tablets | $157.80 | $2.63 |
| 5mg | 90 tablets | $229.50 | $2.55 |
| 5mg | 120 tablets | $285.60 | $2.38 |
| 5mg | 180 tablets | $410.40 | $2.28 |
- Category
- Heart & Blood Pressure
- Active ingredient
- Ivabradine
- Route
- Oral
- Form
- Tablet
- Strengths
- 5mg
You will receive a quality generic equivalent, depending on stock.
Shipped in a discreet, unmarked envelope.
Details
- Conditions
- Chronic heart failure · Chronic stable angina
- Therapeutic Class
- Heart rate lowering agent
- Pharmacological Class
- If channel blocker
- Minor Side Effects
- Luminous phenomena (phosphenes), Slow heart rate (bradycardia)
- Moderate Side Effects
- Blurred vision, Dizziness
- Dosage Forms
- Tablet
- Administration Route
- Oral
- Originator
- Servier
- Onset Time
- 1 hour
- Duration
- 12 hours
- Storage Instructions
- Store below 25°C.
- Drug Interactions
- Verapamil, Diltiazem, Strong CYP3A4 inhibitors
- Age Restrictions
- Not recommended for children under 18.
What you will receive
Procoralan is the originator brand name, made by Servier. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Procoralan.
- The same active ingredient (Ivabradine) at the same strength.
- The exact brand supplied depends on what is in stock when your order ships.
FAQ
What Procoralan strengths and pack sizes can I order?
Procoralan comes as 5mg tablets in packs of 30, 60, 90, 120 or 180. The pack contains generic ivabradine, not the original Procoralan. Larger packs cost less per tablet.
How is Procoralan shipped to Hong Kong for a long course?
Procoralan tablets for a long course can be sent by tracked courier in 5 to 9 business days with online tracking, or by standard airmail in 14 to 21 business days, untracked. Very large orders may be split into several parcels.
What are the alternative names for Procoralan and ivabradine?
Procoralan, Coralan and Corlanor are brand names of ivabradine. Here, ivabradine can be bought online as generic Procoralan. These are generics, not the original brand.
How quickly does Procoralan start working?
The resting pulse is usually lower within the first days, and that is the easiest change to measure. Fewer heart failure flare-ups and less breathlessness or chest tightness on effort take weeks of tablets morning and evening. The dose is often reviewed around the two-week mark, against how far the pulse has fallen.
Why do lights seem brighter when taking Procoralan?
Ivabradine acts on a current in the eye's light-sensing cells as well as on the heart's pacemaker, so some people see a brighter patch, a shimmer or a brief flash, usually when the light changes suddenly. The effect is common, it is not damage to the eye, and it tends to fade as treatment continues.
Can I take Procoralan with a beta-blocker?
Yes, the two are often used together when a beta-blocker alone does not bring the resting pulse down far enough. They act on different parts of the heart's rhythm: beta-blockers damp the effect of adrenaline, while ivabradine works on the pacemaker current itself.
Does Procoralan lower blood pressure?
Not to any useful extent. Ivabradine works on the electrical current that sets the heart's rhythm rather than on the force of each beat or on the muscle in artery walls, so blood pressure stays roughly where it was. That difference is why it can be useful when blood pressure is already on the low side.
Can Procoralan stop an angina attack?
No. It is a preventive medicine taken every day to make attacks of chest tightness less frequent, not something to reach for while an attack is happening. It also takes time to work, so the benefit on angina builds over weeks rather than with the first tablet.
About Procoralan
What Procoralan tablets are used for
Procoralan is the brand name best known for ivabradine, and the 5mg tablets sold here are that ingredient. Two heart problems bring people to it. The first is chronic heart failure, where a weakened heart cannot move enough blood around the body; taken regularly, ivabradine lowers the chance of the condition getting worse and of a stay in hospital. The second is chronic stable angina — chest tightness that arrives with effort and eases with rest — in people whose resting pulse stays at 70 beats a minute or more. Both come back to the same aim: a slower resting heart rate.
How ivabradine slows a fast pulse
The heart's own pacemaker is a small patch of tissue called the sinoatrial node, and ivabradine, an HCN channel blocker, turns down the electrical current that makes it fire. Beats come further apart and the resting pulse drops. Only the rate changes: each beat squeezes as hard as before, and a heart that beats less often has longer to fill between beats.
Taking your 5mg tablets
Ivabradine is taken twice a day with food. Pick two times that fit your day — breakfast and the evening meal, say — and stick to them, because steady levels in the blood are what keep the pulse down. Swallow the tablet with water. Some medicines do not mix with it: the antifungals ketoconazole and itraconazole, the antibiotic clarithromycin and some HIV medicines block the liver enzyme that clears ivabradine and push its levels up, while St John's wort pushes them down. Check the date on the box before starting a new strip.
Side effects worth knowing
Vision changes are the ones people notice first: a brighter patch, a shimmer or a brief flash, often when the light suddenly changes. They are common, go by the name luminous phenomena, and usually settle as treatment continues. Headache, dizziness and a pulse that feels slower than usual are also reported. A heartbeat that turns very slow or irregular, fainting, or vision changes that do not pass need urgent treatment.
Sources
- Ivabradine: MedlinePlus Drug Information — National Library of Medicine
- Living with heart failure - BHF — British Heart Foundation