Ted Rogers Heart Failure Patient Education

Learn about heart failure, treatment options and how to better manage your health and live with heart failure.

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  • Heart Failure
    • The Heart and How It Works
    • What Is Heart Failure?
    • What Causes Heart Failure?
    • What Are the Symptoms of Heart Failure?
    • How Is Heart Failure Diagnosed?
  • Treatments
    • Introduction to Treatments
    • Sodium Restriction
    • Fluid Restriction
    • Medications
      • Introduction to Medications
      • Beta-Blockers
      • ACEIs & ARBs
      • Sacubitril/valsartan (Entresto™)
      • Ivabradine (Lancora™)
      • Diuretics
      • Aldosterone Antagonists
      • Vasodilators and Nitrates
      • Digoxin
      • Potassium Supplements
      • Intravenous Iron
    • Device Therapies
      • Introduction to Device Therapies
      • ICD
      • CRT
      • LVADs
    • Heart Transplantation
    • End-of-Life Planning
  • Healthy Living
    • Introduction to Heart Healthy Living
    • Nutrition Guide for Heart Failure
    • Potassium and Heart Failure
    • Avoiding Alcohol
    • Exercise and Heart Failure
    • Energy Conservation
    • Working with Heart Failure
    • Coping with Stress
  • Other Conditions
    • Coronary Artery Disease
    • Atrial Fibrillation
    • ARVC
    • Cardiac Amyloidosis
    • Hypertrophic Cardiomyopathy
    • Sarcoidosis
    • Sleep Apnea
  • Patient Tools
    • Preparing for Clinic Appointment
    • Heart Failure Zones
    • Daily Weight Record
    • Expressive Writing Workshop
    • vCHAT-ODYSSEE COVID-19 Study on Quality of Life & Well-Being
    • Heart and Stroke Foundation Report on Heart Failure
    • Additional Resources
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Ivabradine (Lancora™)

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Why It’s Important To Take This Medication?

Ivabradine (Lancora™) is a new drug that has been approved for the treatment of heart failure. It has been shown to help people with heart failure live longer, feel better and lower the need to be hospitalized to treat heart failure. It is meant to be used in addition to other classes of medication that are useful in heart failure.

Action Of Ivabradine

Ivabradine is a new class of medication. It works by slowing the heart rate. It has no other effects on the heart or blood vessels. It acts only on the sinus node, which is the body’s own natural pacemaker. The sinus node sets the heart rate. Ivabradine affects channels in the sinus node and cause it to fire more slowly. It is only used in patients in sinus rhythm who have a resting heart rate of 70 beats per minute or faster.

How Ivabradine Should Be Taken?

Ivabradine is a tablet that is taken twice a day. It can be taken with or without food. It should be taken the same times each day. It is used with other medications to treat heart failure.

It comes in three different strengths. It is started at a low dose and is usually increased over a few weeks by your health care provider.

The Most Common Side Effects Of Ivabradine Include:

  • Dizziness due to a very slow heart rate
  • Feeling fatigued or tired
  • Vision problems like seeing flashes of light (called phosphenes) or halos

Severe Side Effects May Include:

Call your health care provider immediately if you develop any of these side effects:

  • Feeling like you might faint or pass out
  • Feeling very weak
  • Developing atrial fibrillation (a fast irregular heart beat)

What Should I Remember While Taking This Medication?

  • To avoid getting dizzy, stand up slowly from a sitting position or when lying down.
  • Tell your health care provider or pharmacist of any prescription and non-prescription medications you are taking, including vitamins/minerals and herbal supplements.

What Should I Do If I Miss A Dose?

Take the missed dose as soon as you remember.  However, if it is almost time for the next dose, skip the dose you missed. Take the next dose at the regular time. Do not take 2 doses at the same time. If you are unsure of what to do, speak to your health care provider or pharmacist.

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In This Section:

  • Introduction to Treatments
  • Sodium Restriction
  • Fluid Restriction
  • Introduction to Medications
    • Beta-Blockers
    • ACEIs & ARBs
    • Sacubitril/valsartan (Entresto™)
    • Ivabradine (Lancora™)
    • Diuretics
    • Aldosterone Antagonists
    • Vasodilators and Nitrates
    • Digoxin
    • Potassium Supplements
    • Intravenous Iron
  • Introduction to Device Therapies
    • Implantable Cardioverter-Defibrillator (ICD)
    • Cardiac Resynchronization Therapy (CRT)
    • Left Ventricular Assist Devices (LVADs)
  • Heart Transplantation
  • End-of-Life Planning

About Ted Rogers Centre for Heart Research

Through an integrated program of outstanding research, world-class education, and exceptional clinical care, the Ted Rogers Centre for Heart Research will provide the world with new diagnoses, treatments and tools to help people prevent, manage and survive the devastating consequences of heart failure.

Go to the Ted Rogers Centre for Heart Research Site

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