FrancophonIA/ELRC3.0 huggingface dataset:
English: A randomised, double blind, placebo controlled study was performed in 116 paediatric patients (17 aged [6 - 12] months, 36 aged [1 - 3] years and 63 aged [3 - 18] years) with CHF and dilated cardiomyopathy (DCM) on top of optimal background treatment.
Slovenian: Randomizirana, dvojno slepa, s placebom nadzorovana študija je vključevala 116 pediatričnih bolnikov (17 bolnikov, starih [6-12] mesecev, 36 bolnikov, starih [1-3] leta in 63 bolnikov, starih [3-18] let) s kroničnim srčnim popuščanjem in dilatirano kardiomiopatijo (DKM), ki so prejemali ivabradin poleg optimalnega osnovnega zdravljenja.
English: Treatment must be discontinued if heart rate remains below 50 bpm or symptoms of bradycardia persist despite dose reduction.
Slovenian: Zdravljenje morate prekiniti, če ostane srčna frekvenca pod 50 utripov na minute ali če simptomi bradikardije vztrajajo kljub zmanjšanju odmerka.
English: The concomitant use of cardiovascular and non-cardiovascular QT prolonging medicinal products with ivabradine should be avoided since QT prolongation may be exacerbated by heart rate reduction.
Slovenian: Sočasni uporabi srčno-žilnih in nesrčno-žilnih zdravil, ki podaljšujejo interval QT, se morate ob ivabradinu izogibati, saj se podaljšanje intervala QT lahko poslabša z zniževanjem srčne frekvence.
English: In patients with mild hepatic impairment (Child Pugh score up to 7) unbound AUC of ivabradine and the main active metabolite were about 20% higher than in subjects with normal hepatic function.
Slovenian: Pri bolnikih z blagim jetrnim popuščanjem (Child-Pughov seštevek do 7) je nevezana površina pod krivuljo (AUC) ivabradina in poglavitnega aktivnega presnovka za približno 20 % večja, kot pri preiskovancih z normalnim delovanjem jeter.
English: The study demonstrated a clinically and statistically significant relative risk reduction of 18% in the rate of the primary composite endpoint of cardiovascular mortality and hospitalisation for worsening heart failure (hazard ratio: 0.82, 95% CI [0.75; 0.90], p < 0.0001) apparent within 3 months of initiation of treatment.
Slovenian: Študija je dokazala klinično in statistično značilno relativno zmanjšanje tveganja za 18 % za primarni končni izid, sestavljen iz srčno-žilne umrljivosti in hospitalizacije zaradi poslabšanja srčnega popuščanja (razmerje tveganja: 0,82, 95 % interval zaupanja [0,75;0,90] - p<0,0001), vidnega po 3 mesecih po začetku zdravljenja.
English: The use of ivabradine is not recommended immediately after a stroke since no data is available in these situations.
Slovenian: Možganska kap Jemanje ivabradina takoj po možganski kapi ni priporočljivo, ker ni podatkov o tovrstnih stanjih.
English: Symptomatic treatment of chronic stable angina pectoris It is recommended that the decision to initiate or titrate treatment takes place with the availability of serial heart rate measurements, ECG or ambulatory 24-hour monitoring.
Slovenian: Simptomatsko zdravljenje kronične stabilne angine pektoris Priporočljivo je, da se o uvedbi zdravljenja oz. povečanju odmerka odločate v skladu z razpoložljivimi serijskimi meritvami srčne frekvence, EKG oz. 24-urnim ambulantnim spremljanjem.
English: - Pacemaker dependent (heart rate imposed exclusively by the pacemaker).
Slovenian: - odvisnost od srčnega spodbujevalnika (srčna frekvenca, ki jo narekuje izključno srčni spodbujevalnik).
English: A 20% heart rate reduction, without bradycardia, was achieved by 69.9% of patients in the ivabradine group versus 12.2% in the placebo group during the titration period of 2 to 8 weeks (Odds Ratio: E = 17.24, 95% CI [5.91 ; 50.30]).
Slovenian: Znižanje srčne frekvence za 20 % brez bradikardije so dosegli pri 69,9 % bolnikov iz skupine, ki je prejemala ivabradin, v primerjavi z znižanjem za 12,2 % v skupini, ki je prejemala placebo med obdobjem povečevanja odmerka, ki je trajalo 2-8 tednov (razmerje obetov: E = 17,24, 95% IZ [5,91; 50,30]).
English: The study showed no difference in the rate of the primary composite outcome in the ivabradine group by comparison to the placebo group (relative risk ivabradine:placebo: 1.00, p = 0.945).
Slovenian: Študija ni pokazala razlik v stopnji poglavitnega sestavljenega izida med ivabradinom in placebom (sorazmerno tveganje ivabradin : placebo 1,00; p = 0,945).
English: Ivabradine Zentiva 5 mg film-coated tablets: EU/1/16/1144/001
Slovenian: Ivabradin Zentiva 5 mg filmsko obložene tablete EU/1/16/1144/001
English: Ivabradine is contra-indicated for use in patients with severe hepatic insufficiency, since it has not been studied in this population and a large increase in systemic exposure is anticipated (see sections 4.3 and 5.2).
Slovenian: Pri bolnikih s hudo jetrno okvaro je ivabradin kontraindiciran, saj ga pri njih niso proučevali in bi lahko pričakovali veliko povečanje sistemske izpostavljenosti (glejte poglavji 4.3 in 5.2).
English: Ivabradine Zentiva 5 mg film-coated tablets: 14, 28, 56, 84, 98, 100, 112 film-coated tablets Ivabradine Zentiva 7.5 mg: 14, 28, 56, 84, 98, 100, 112 film-coated tablets
Slovenian: Ivabradin Zentiva 5 mg filmsko obložene tablete: 14, 28, 56, 84, 98, 100, 112 filmsko obloženih tablet Ivabradin Zentiva 7,5 mg: 14, 28, 56, 84, 98, 100, 112 filmsko obloženih tablet Na trgu morda ni vseh navedenih pakiranj.
English: Symptomatic treatment of chronic stable angina pectoris Ivabradine is indicated for the symptomatic treatment of chronic stable angina pectoris in coronary artery disease adults with normal sinus rhythm and heart rate ≥ 70 bpm.
Slovenian: Simptomatsko zdravljenje kronične stabilne angine pectoris Ivabradin je indiciran za simptomatsko zdravljenje kronične stabilne angine pektoris pri odraslih s koronarno arterijsko boleznijo z normalnim sinusnim ritmom in srčno frekvenco ≥ 70 utripov na minuto.
English: What you need to know before you take Ivabradine Zentiva Do not take Ivabradine Zentiva
Slovenian: Kaj morate vedeti, preden boste vzeli zdravilo Ivabradin Zentiva Ne jemljite zdravila Ivabradin Zentiva
English: Uncommon (may affect up to 1 in 100 people) - Palpitations and cardiac extra beats, feeling sick (nausea), constipation, diarrhoea, abdominal pain, spinning sensation (vertigo), difficulty breathing (dyspnoea), muscle cramps, changes in laboratory parameters : high blood levels of uric acid, an excess of eosinophils (a type of white blood cell) and elevated creatinine in blood (a breakdown product of muscle), skin rash, angioedema (such as swollen face, tongue or throat, difficulty in breathing or swallowing), low blood pressure, fainting, feeling of tiredness, feeling of weakness, abnormal ECG heart tracing, double vision, impaired vision.
Slovenian: občutek vrtoglavosti (vertigo), oteženo dihanje (dispneja), mišični krči, spremembe laboratorijskih parametrov: visoke vrednosti sečne kisline v krvi, preveliko število eozinofilcev (vrsta belih krvnih celic) in povečanje kreatinina v krvi (razgradni produkt mišic), kožni izpuščaj, angioedem (kot je otečen obraz, jezik ali grlo, težave pri dihanju ali požiranju), nizek krvni tlak, omedlevica, občutek utrujenosti, občutek šibkosti, nepravilnosti v zapisu EKG srca, dvojni vid, okvara vida.
English: The use of ivabradine in patients with congenital QT syndrome or treated with QT prolonging medicinal products should be avoided (see section 4.5).
Slovenian: Uporabi ivabradina se moramo izogibati pri bolnikih, ki imajo prirojeni sindrom podaljšanega intervala QT ali jemljejo zdravila, ki ga podaljšujejo (glejte poglavje 4.5).
English: Moderate CYP3A4 inhibitors: specific interaction studies in healthy volunteers and patients have shown that the combination of ivabradine with the heart rate reducing agents diltiazem or verapamil resulted in an increase in ivabradine exposure (2 to 3-fold increase in AUC) and an additional heart rate reduction of 5 bpm.
Slovenian: Zmerni zaviralci citokroma P450 3A4: specifične študije o medsebojnih delovanjih pri zdravih prostovoljcih in bolnikih so pokazale, da je kombinacija ivabradina z zdravili, ki znižujejo srčno frekvenco, kot sta diltiazem ali verapamil, povečala izpostavljenost ivabradinu (2- do 3-kratno povečanje površine pod krivuljo (AUC)) ter dodatno znižala srčno frekvenco za 5 utripov na minuto.
English: Hypromellose Titanium dioxide Macrogol 400
Slovenian: Filmska obloga: hipromeloza titanov dioksid makrogol 400 glicerol
English: Very common (may affect more than 1 in 10 people) - Luminous visual phenomena (brief moments of increased brightness, most often caused by sudden changes in light intensity).
Slovenian: - Vidni pojavi svetlikanja (kratki trenutki povečane svetlosti, ki jih največkrat povzročajo nenadne spremembe jakosti svetlobe).
English: A significant effect was observed on the primary composite endpoint in the overall group of patients receiving beta-blocker therapy (hazard ratio: 0.85, 95% CI [0.76; 0.94]).
Slovenian: Znaten učinek je bil opažen pri primarnem sestavljenem izidu v celotni skupini bolnikov, ki je prejemala antagonist adrenergičnih receptorjev beta (razmerje tveganja: 0,85, 95 % interval zaupanja [0,76; 0,94]).
English: In a post-hoc subgroup of patients with symptomatic angina at randomisation (n = 1,507), no safety signal was identified regarding cardiovascular death, hospitalization for acute MI or heart failure (ivabradine 12.0% versus placebo 15.5%, p = 0.05).
Slovenian: V post-hoc podskupini bolnikov, ki so ob naključni razvrstitvi imeli simptomatsko angino pektoris (n = 1507), niso zaznali signala o varnosti glede srčno-žilne umrljivosti in hospitalizacije zaradi akutnega miokardnega infarkta ali srčnega popuščanja (ivabradin 12,0 %, placebo 15,5 %, p = 0,05).
English: Make sure to tell your doctor if you are taking any of the following medicines, as a dose adjustment of Ivabradine Zentiva or monitoring should be required: - Fluconazole (an antifungal medicine).
Slovenian: Vedno povejte zdravniku, če jemljete katero od naslednjih zdravil, saj je lahko potrebno prilagajanje odmerka zdravila Ivabradine Zentiva ali spremljanje:
English: Potassium-depleting diuretics (thiazide diuretics and loop diuretics) Hypokalaemia can increase the risk of arrhythmia.
Slovenian: Diuretiki, ki povzročijo izgubo kalija (tiazidni diuretiki in diuretiki zanke): hipokaliemija lahko poveča tveganje za aritmijo.
English: Uncommon Elevated creatinine in blood ECG prolonged QT interval Frequency calculated from clinical trials for adverse events detected from spontaneous report.
Slovenian: Preiskave občasni povečanje kreatinina v krvi podaljšanje intervala QT na EKG * Pogostnost neželenih učinkov iz spontanega poročanja je izračunana na podlagi podatkov iz kliničnih študij.
English: - The active substance is ivabradine (as hydrochloride).
Slovenian: - Zdravilna učinkovina je ivabradin (v obliki klorida).
English: - Acute myocardial infarction.
Slovenian: - akutni miokardni infarkt.
English: Visual function
Slovenian: Funkcija vida
English: In addition there was no clinically significant effect of ivabradine on the pharmacokinetics of simvastatin, amlodipine, lacidipine, on the pharmacokinetics and pharmacodynamics of digoxin, warfarin and on the pharmacodynamics of aspirin.
Slovenian: Poleg tega ivabradin ni imel klinično signifikantnega učinka na farmakokinetiko simvastatina, amlodipina in lacidipina, na farmakokinetiko ter farmakodinamiko digoksina in varfarina ter na farmakodinamiko acetilsalicilne kisline.
English: Pack size:
Slovenian: Velikosti pakiranja:
English: A large outcome study, BEAUTIFUL, was performed in 10,917 patients with coronary artery disease and left ventricular dysfunction (LVEF < 40%) on top of optimal background therapy with 86.9% of patients receiving beta-blockers.
Slovenian: Obsežna študija o izidih BEAUTIFUL je zajela 10.917 bolnikov s koronarno arterijsko boleznijo in disfunkcijo levega prekata (iztisni delež levega prekata < 40 %), ki so že prejemali optimalno osnovno zdravljenje, kar je pri 86,9 % bolnikov pomenilo antagoniste adrenergičnih receptorjev beta.
English: Do not take Ivabradine Zentiva if you are pregnant or are planning to have a baby (see “Do not take Ivabradine Zentiva”).
Slovenian: Ne jemljite zdravilaIvabradin Zentiva, če ste noseči ali če načrtujete nosečnost (glejte “Ne jemljite zdravila Ivabradin Zentiva”).
English: It may harm them, even if their signs of illness are the same as yours.
Slovenian: PON [sonce] PON [luna] TOR [sonce] TOR [luna] SRE [sonce] SRE [luna] ČET [sonce] ČET [luna] PET [sonce] PET [luna] SO [sonce] SO [luna] NE [sonce] NE [luna]
English: Ivabradine Zentiva 7.5 mg film-coated tablets: EU/1/16/1144/008
Slovenian: Ivabradin Zentiva 7,5 mg filmsko obložene tablete EU/1/16/1144/008
English: • Certain types of medicines to treat anxiety, schizophrenia or other psychoses (such as pimozide, ziprasidone, sertindole).
Slovenian: • določene vrste zdravil proti tesnobnosti, shizofreniji ali drugim psihozam (kot so pimozid,
English: What you need to know before you take Ivabradine Zentiva 3.
Slovenian: Kaj morate vedeti, preden boste vzeli zdravilo Ivabradin Zentiva 3.
English: In pivotal phase III clinical trials the following medicinal products were routinely combined with ivabradine with no evidence of safety concerns: angiotensin converting enzyme inhibitors, angiotensin II antagonists, beta-blockers, diuretics, anti-aldosterone agents, short and long acting nitrates, HMG CoA reductase inhibitors, fibrates, proton pump inhibitors, oral antidiabetics, aspirin and other antiplatelet medicinal products.
Slovenian: V ključnih kliničnih študijah III. faze so naslednja zdravila rutinsko kombinirali z ivabradinom, ne da bi opažali težave z varnostjo: zaviralci angiotenzinske konvertaze, antagonisti angiotenzina II, antagonisti adrenergičnih receptorjev beta, diuretiki, antagonisti aldosterona, kratko in dolgodelujoči nitrati, zaviralci hidroksimetilglutaril koencim A (HMG CoA) reduktaze, fibrati, zaviralci protonske črpalke, peroralni antidiabetiki, acetilsalicilna kislina ter druga antitrombocitna zdravila.
English: The starting dose should not exceed one tablet of Ivabradine Zentiva 5 mg twice daily.
Slovenian: Začetni odmerek ne sme presegati ene tablete zdravila Ivabradin Zentiva 5 mg dvakrat na dan.
English: - Phenytoin (for epilepsy).
Slovenian: - fenitoin (proti epilepsiji).
English: The main efficacy criterion was the composite of cardiovascular death or non-fatal MI.
Slovenian: Poglavitno merilo učinkovitosti je bil sestavljen izid srčnožilne umrljivosti ali neusodnega miokardnega infarkta.
English: No pharmacokinetic differences (AUC and Cmax) have been observed between elderly (≥ 65 years) or very elderly patients (≥ 75 years) and the overall population (see section 4.2).
Slovenian: Med starejšimi (≥ 65 let) ali najstarejšimi (≥ 75 let) bolniki in celotno populacijo niso opazili razlik v farmakokinetiki (površini pod krivuljo (AUC) ter največji koncentraciji v plazmi) (glejte poglavje 4.2).
English: Very rare (may affect up to 1 in 10,000 people) - Irregular heartbeats.
Slovenian: Zelo redki (pojavijo se lahko pri največ 1 od 10.000 bolnikov)
English: Ivabradine is extensively metabolised by the liver and the gut by oxidation through cytochrome P4503A4 (CYP3A4) only.
Slovenian: Ivabradin se obširno presnavlja v jetrih in črevesju z oksidacijo samo prek citokroma P450 3A4.
English: As ivabradine may cause bradycardia, the resulting combination of hypokalaemia and bradycardia is a predisposing factor to the onset of severe arrhythmias, especially in patients with long QT syndrome, whether congenital or substance-induced.
Slovenian: Ivabradin lahko povzroči bradikardijo, posledična kombinacija hipokaliemije in bradikardije pa je dejavnik tveganja za nastop hudih aritmij, še posebno pri bolnikih, ki imajo prirojeni sindrom podaljšanega intervala QT ali jemljejo zdravila, ki ga podaljšujejo.
English: - Moderate CYP3A4 inhibitors: the concomitant use of ivabradine with other moderate CYP3A4 inhibitors (e.g. fluconazole) may be considered at the starting dose of 2.5 mg twice daily and if resting heart rate is above 70 bpm, with monitoring of heart rate.
Slovenian: - Zmerni zaviralci citokroma P450 3A4: o sočasnem jemanju ivabradina z drugimi zmernimi zaviralci citokroma P450 3A4 (na primer flukonazolom) se lahko odločate ob začetnem odmerku 2,5 mg dvakrat na dan in če je srčna frekvenca med mirovanjem nad 70 utripov na minuto, obspremljanju srčne frekvence.
English: - Non-cardiovascular QT prolonging medicinal products (e.g. pimozide, ziprasidone, sertindole,
Slovenian: - nesrčno-žilna zdravila, ki podaljšujejo interval QT (na primer pimozid, ziprazidon, sertindol,
English: rd degree block Sick sinus syndrome
Slovenian: AV blok 2. stopnje, AV blok 3. stopnje sindrom bolnega sinusnega vozla
English: After two weeks of treatment, the dose can be increased to 7.5 mg twice daily if resting heart rate is persistently above 60 bpm or decreased to 2.5 mg twice daily (one half 5 mg tablet twice daily) if resting heart rate is persistently below 50 bpm or in case of symptoms related to bradycardia such as dizziness, fatigue or hypotension.
Slovenian: Po dveh tednih zdravljenja lahko odmerek povečate na 7,5 mg dvakrat na dan, če srčna frekvenca med mirovanjem vztraja nad 60 utripov na minuto, ali zmanjšate na 2,5 mg dvakrat na dan (eno polovico 5-mg tablete dvakrat na dan), če je srčna frekvenca med mirovanjem vztrajno pod 50 utripov na minuto ali se pojavijo simptomi, povezani z bradikardijo, kot so omotica, utrujenost ali hipotenzija.
English: Other medicines and Ivabradine Zentiva
Slovenian: Druga zdravila in zdravilo Ivabradin Zentiva
English: In a pooled analysis of all the Phase II/III double blind controlled clinical trials with a duration of at least 3 months including more than 40,000 patients, the incidence of atrial fibrillation was 4.86% in ivabradine treated patients compared to 4.08% in controls, corresponding to a hazard ratio of 1.26, 95% CI [1.15 - 1.39].
Slovenian: ali III. faze, ki so trajale najmanj 3 mesece in v katere je bilo vključenih več kot 40.000 bolnikov, je bila pojavnost atrijske fibrilacije 4,86% pri bolnikih, ki so jemali ivabradin v primerjavi s 4,08% pojavnostjo v kontrolni skupini, kar ustreza razmerju tveganja 1,26, 95% IZ [1,15-1,39].
English: - Combination with verapamil or diltiazem which are moderate CYP3A4 inhibitors with heart rate reducing properties (see section 4.5).
Slovenian: - kombinacija z verapamilom ali diltiazemom, zmernima zaviralcema citokroma P450 3A4, ki imata lastnosti zniževanja srčne frekvence (glejte poglavje 4.5).
English: Blood and lymphatic system disorders Uncommon Eosinophilia Metabolism and nutrition disorders
Slovenian: Bolezni krvi in limfatičnega sistema občasni eozinofilija
English: In the SHIFT trial more patients experienced episodes of increased blood pressure while treated with ivabradine (7.1%) compared to patients treated with placebo (6.1%).
Slovenian: Bolniki s hipertenzijo, ki potrebujejo spremembo zdravljenja zvišanega krvnega tlaka V študiji SHIFT je imelo več bolnikov med zdravljenjem z ivabradinom obdobja zvišanega krvnega tlaka (7,1 %) v primerjavi z bolniki, ki so prejemali placebo (6,1 %).
English: It is used in combination with standard therapy, including beta-blocker therapy or when beta-blockers are contraindicated or not tolerated.
Slovenian: Uporablja se v kombinaciji z običajnim zdravljenjem, vključno z zdravljenjem z antagonisti receptorjev beta oziroma ko je zdravljenje z antagonisti receptorjev beta kontraindicirano ali ga bolnik ne prenaša dobro.
English: The study showed no difference in the rate of the primary composite endpoint (PCE) in the ivabradine group by comparison to the placebo group (relative risk ivabradine/placebo 1.08, p = 0.197).
Slovenian: Študija ni pokazala razlik v stopnji primarnega sestavljenega končnega izida med skupino, ki je jemala ivabradin, in skupino, ki je jemala placebo (relativno tveganje ivabradin : placebo 1,08; p = 0,197).
English: Oblong, one side and both edges scored white tablets with dimensions 4.8×8.8 mm.
Slovenian: Podolgovate, z zarezo na eni strani in obeh robovih, bele tablete velikosti 4,8×8,8 mm. Tableta se lahko deli na enake odmerke.
English: - If you suffer from severe liver problems.
Slovenian: - če imate hude težave z jetri.
English: About stable angina pectoris (usually referred to as “angina”) Stable angina is a heart disease which happens when the heart does not receive enough oxygen.
Slovenian: Stabilna angina pektoris je bolezen srca, ki nastaja, ko srce ne dobiva dovolj kisika.
English: Ivabradine did not show additional efficacy on secondary endpoints of ETT parameters at the trough of drug activity while an additional efficacy was shown at peak (3 - 4 hours after oral ivabradine intake).
Slovenian: Ivabradin ni pokazal dodatne učinkovitosti na sekundarne končne izide parametrov obremenitvenega testiranja v času najmanjšega učinka, medtem ko so v času največjega učinka (3-4 ure po peroralnem jemanju) dodatno učinkovitost zasledili.
English: If you forget to take Ivabradine Zentiva
Slovenian: Če ste pozabili vzeti zdravilo Ivabradin Zentiva
English: The combination of ivabradine 10 mg twice daily with St. John's Wort was shown to reduce ivabradine AUC by half.
Slovenian: Opazili so, da kombinacija ivabradina 10 mg dvakrat na dan s šentjanževko zmanjšuje njegovo površino pod krivuljo (AUC) za polovico.
English: The absence of pharmacokinetic difference between the 2 formulations was shown in an open-label randomised two-period cross-over study in 24 adult healthy volunteers.
Slovenian: Odprta randomizirana navzkrižna študija z dvema periodama, v kateri je sodelovalo 24 odraslih zdravih prostovoljcev, je pokazala odsotnost farmakokinetičnih razlik med omenjenima dvema oblikama.
English: - St. John's Wort (Hypericum perforatum) (herbal treatment for depression).
Slovenian: - šentjanževko (Hypericum perforatum) (zdravilna rastlina proti depresiji).
English: Common (may affect up to 1 in 10 people) - Irregular rapid contraction of the heart, abnormal perception of heartbeat, uncontrolled blood pressure, headache, dizziness and blurred vision (cloudy vision).
Slovenian: - Neredne, hitre kontrakcije srčne mišice, nenormalno zaznavanje srčnega utripa, nenadzorovan krvni tlak, glavobol, omotica in zamegljen vid (nejasen vid).
English: A large outcome study, SIGNIFY, was performed in 19,102 patients with coronary artery disease and without clinical heart failure (LVEF > 40%), on top of optimal background therapy.
Slovenian: Obsežna študija o izidih SIGNIFY je zajela 19.102 bolnikov s koronarno arterijsko boleznijo in brez kliničnega srčnega popuščanja (iztisni delež levega prekata > 40 %), ki so že prejemali optimalno osnovno zdravljenje.
English: Concomitant use of ivabradine with heart rate reducing calcium channel blockers such as verapamil or diltiazem is contraindicated (see sections 4.3 and 4.5).
Slovenian: Sočasno jemanje ivabradina s kalcijevimi antagonisti, ki znižujejo srčno frekvenco, kot sta verapamil in diltiazem, je kontraindicirano (glejte poglavji 4.3 in 4.5).
English: In a 725-patients randomised placebo-controlled study, ivabradine did not show additional efficacy on top of amlodipine 10 mg o.d. at the trough of drug activity (12 hours after oral intake) while an additional efficacy was shown at peak (3 - 4 hours after oral intake).
Slovenian: V randomizirani, s placebom nadzorovani študiji pri 725 bolnikih ivabradin kot dodatek amlodipinu 10 mg enkrat na dan ni pokazal dodatne učinkovitosti v času najmanjšega učinka (12 ur po peroralnem jemanju), medtem ko so v času največjega učinka (3 do 4 ure po peroralnem jemanju) dodatno učinkovitost zasledili.
English: Do not take Ivabradine Zentiva if you are able to become pregnant unless you use reliable contraceptive measures (see “Do not take Ivabradine Zentiva”).
Slovenian: Če ste ženska v rodni dobi ne smete jemati zdravila Ivabradin Zentiva, razen če uporabljate zanesljive kontracepcijske metode (glejte “Ne jemljite zdravila Ivabradin Zentiva”).