Based on Clinical Trials, Ivabradine on top of Beta blockers, like Metoprolol, have been advocated for the management of Chronic Stable Angina and Chronic Heart Failure, when the resting heart rate remains more than 70 beats per minute despite the patient taking sufficient doses of Beta blockade.
In your case, before adding Ivabrad, Metolar could have been increased to 50 mg twice a day, provided your clinical status allowed for that, which your doctor, I believe, must have considered.
Ivabrad 5 tablet is a heart rate lowering medication. It works by reducing the heart rate which lowers the oxygen requirement of the heart. As a result, heart works more efficiently. It has no direct effect on blood pressure.
Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Tell your doctor right away if you experience the symptoms listed in the Corlanor Warnings section above, or any of the following serious side effects:
Chest pain or pressure.
Dizziness or fainting.
Fast, slow, or irregular heartbeat.
Worsening shortness of breath.
Severe or persistent headache.
Severe tiredness or weakness.
Whenever you start taking treatment for high bp don't stop medicine immediately it will create more discomfort to u. Stop medicine in low dose or interval of days. I suggest to visit your Dr. and consult him to how and when to stop these medicine.
MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Lvabrad is not BP medicine, it is given for fast heart beating, sinus tachycardia. You probably don't need Ugandans. Beta blocker medicines are useful for BP and for fast heart beating. You can discuss with your Dr.
The flavedon MR, Ivabrad 5 mg, Zocon 100 DT will not increase bilirubin, S.G.P.T and creatinine . The flavedon MR, and Ivabrad 5 mg,are given for anginal pain ( chest pain due to heart )
Zocon 100 DT is an antifungal
You can take telvas beta 50 Telvas Beta 50 Tablet is a combination of two blood-pressure lowering medicines: Telmisartan and Metoprolol Succinate. Telmisartan is an angiotensin receptor blocker (ARB). It works by blocking the hormone angiotensin thereby relaxing blood vessels. Metoprolol Succinate is a beta blocker which works specifically on the heart to reduce heart rate and lower blood pressure. Together they allow the blood to flow more smoothly and the heart to pump more efficiently.