Lancora, also referred to as Ivabradine, is a medication that belongs to a class of drugs known as hyperpolarization-activated cyclic nucleotide-gated (HCN) channel blockers. It is used primarily to treat specific heart conditions, particularly chronic heart failure and angina (chest pain).

Lancora works by selectively inhibiting the “funny” or If current in the sinus node of the heart. This reduction in the If current slows down the heart rate, which can be beneficial in certain cardiovascular conditions. By lowering the heart rate, Lancora reduces the workload on the heart, enhances diastolic perfusion, and improves oxygen supply to the heart muscle.

Lancora is prescribed to patients with chronic heart failure who have a reduced ejection fraction, to reduce the risk of hospitalization and improve symptoms. It is also used in patients with stable angina pectoris who cannot tolerate beta-blockers or for whom they are not suitable.

Warnings and Precautions

Lancora can provide numerous benefits, but it is essential to use it responsibly and be aware of the associated warnings and precautions.

  1. Watch for Allergic Symptoms: Before taking Lancora, be aware of potential allergic reactions. Look out for symptoms such as skin rash, itching, swelling of the face or throat, severe dizziness, or difficulty breathing.
  2. Immediate Medical Attention: If you experience any allergic reactions after taking Lancora, seek immediate medical attention. Inform healthcare professionals about your allergy history.
  3. Pre-Existing Medical Conditions: Disclose all pre-existing medical conditions to your doctor, especially liver, kidney, or heart issues, to ensure Lancora is safe for you.
  4. Pregnancy and Breastfeeding: Pregnant or breastfeeding individuals should consult their doctors before using Lancora, as it may pose risks to the fetus or nursing baby.
  5. Strictly Follow Dosage Instructions: Adhere to the prescribed Lancora dosage provided by your healthcare professional. Avoid self-adjusting the dose without medical guidance.
  6. Timely Administration: Take Lancora at the recommended times to maintain consistent blood levels and optimize its therapeutic effects.
  7. Regular Check-ups: Attend scheduled follow-up appointments with your doctor to monitor your response to Lancora and adjust the treatment if necessary.
  8. Lab Tests and Monitoring: Your doctor may order specific lab tests to assess how your body is responding to Lancora. Comply with these tests to ensure your safety.
  9. Caution with Impaired Alertness: Lancora may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how the medication affects you.
  10. Non-Transferable Prescription: Lancora is prescribed to you and should not be shared with others, even if they have similar medical conditions.
  11. Proper Disposal: Dispose of unused or expired Lancora medication safely, following local guidelines.
  12. Sun Sensitivity: Lancora may increase your sensitivity to sunlight. Use protective clothing and sunscreen to prevent sunburns.
  13. Avoid Repeated Exposure: If you have experienced an allergic reaction to Lancora in the past, avoid taking it again, and inform your doctor immediately.
  14. Gradual Discontinuation: If your doctor advises you to stop taking Lancora, follow their instructions for a gradual reduction in dosage to minimize withdrawal symptoms.
  15. Inform Healthcare Providers: If you are undergoing surgery or dental procedures, inform healthcare providers about your Lancora use to avoid interactions with other medications.

Side Effects

Lancora is a revolutionary medication that has shown great promise in treating various medical conditions. However, like any other drug, it comes with its set of side effects.

Common Side Effects

  1. Nausea and Vomiting: Among the most common side effects reported with Lancora use are mild nausea and occasional vomiting. These symptoms often subside with time as the body adjusts to the medication.
  2. Headache: Some individuals may experience mild to moderate headaches during the initial days of Lancora treatment. This is usually a temporary reaction and tends to diminish with continued use.
  3. Dizziness: Feeling lightheaded or dizzy can occur in some patients. It is crucial to avoid activities that require focus and attention until these symptoms resolve.
  4. Fatigue: Lancora can cause fatigue or a general sense of tiredness, especially during the first few weeks of use. This is a common reaction and should not be a cause for concern.
  5. Dry Mouth: Dryness in the mouth is another common side effect that may occur with Lancora. Staying well-hydrated can help alleviate this discomfort.

Rare Side Effects

  1. Allergic Reactions: While rare, some individuals may develop allergic reactions to Lancora. Symptoms may include skin rashes, itching, swelling, or difficulty breathing. If any signs of an allergic reaction are observed, seek immediate medical attention.
  2. Gastrointestinal Disturbances: In rare cases, Lancora may lead to more severe gastrointestinal issues like gastritis or ulcerations. These conditions require prompt medical evaluation and intervention.
  3. Mood Changes: Some patients may experience mood swings, anxiety, or depression when taking Lancora. If these symptoms persist or worsen, it is essential to consult a healthcare professional.
  4. Liver and Kidney Issues: Lancora can, in rare instances, affect liver and kidney function. Regular monitoring is necessary to identify any potential abnormalities early on.
  5. Vision Problems: Rarely, Lancora may lead to visual disturbances, such as blurred vision or sensitivity to light. If these symptoms occur, consult an eye specialist promptly.

Severe Side Effects

  1. Cardiovascular Complications: In some cases, Lancora may lead to cardiovascular issues, such as irregular heartbeat, chest pain, or high blood pressure. Immediate medical attention is vital if any of these symptoms arise.
  2. Severe Allergic Reactions: Although extremely rare, severe allergic reactions like anaphylaxis can occur with Lancora use. Anaphylaxis is a life-threatening condition that requires immediate emergency care.
  3. Neurological Effects: Lancora has been associated with rare instances of neurological effects, such as seizures or confusion. If these occur, medical attention should be sought without delay.
  4. Blood Disorders: Lancora may, in severe cases, cause blood-related disorders, including abnormal clotting or low blood cell counts. Regular blood tests are crucial for monitoring these potential risks.
  5. Respiratory Distress: Some patients may experience difficulty breathing or respiratory distress while on Lancora. This requires immediate medical intervention.


Lancora is a widely used medication that has proven to be effective in treating various medical conditions. However, it is essential to understand the potential interactions this drug may have with other substances, such as other medications, herbal supplements, and even certain foods.

Drug Interactions

  1. Diuretics (Water Pills): Combining Lancora with diuretics can enhance the blood pressure-lowering effect, leading to excessively low blood pressure. Close monitoring is necessary when using these medications together.
  2. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs, such as ibuprofen and aspirin, may reduce the blood pressure-lowering effects of Lancora. Avoid prolonged use of NSAIDs without consulting your healthcare provider.
  3. Potassium-Sparing Diuretics: The combination of Lancora with potassium-sparing diuretics, like spironolactone, can increase potassium levels in the blood. This may lead to a condition called hyperkalemia, which can be dangerous.
  4. Angiotensin II Receptor Blockers (ARBs): Concurrent use of Lancora with ARBs may increase the risk of low blood pressure, kidney problems, and high potassium levels. Combining these medications requires careful monitoring.
  5. Lithium: Lancora can reduce the excretion of lithium, leading to increased lithium levels in the body. This can be harmful. Inform your doctor if you are taking lithium.
  6. Antidiabetic Medications: Lancora may affect blood sugar levels, so close monitoring of blood glucose is essential when using it with antidiabetic medications.

Herbal Interactions

  1. Garlic: Garlic supplements may have blood pressure-lowering effects, which can add to the action of Lancora, leading to excessively low blood pressure. Consult your doctor before using garlic supplements.
  2. Ginseng: Ginseng can also lower blood pressure. Combining it with Lancora may result in a significant decrease in blood pressure, leading to adverse effects.
  3. Hawthorn: Hawthorn is used to support heart health. When used alongside Lancora, it may increase the risk of hypotension (low blood pressure).
  4. Licorice: Licorice root contains compounds that can cause potassium levels to rise. When combined with Lancora, it may lead to an imbalance in potassium levels.
  5. Ginkgo Biloba: Ginkgo biloba may interfere with blood clotting and increase the risk of bleeding when used with Lancora, which can also affect blood clotting.

Food Interactions

  1. Grapefruit and Grapefruit Juice: Grapefruit and its juice contain compounds that can inhibit the enzyme responsible for breaking down Lancora. This can lead to increased drug levels in the blood and a higher risk of side effects.
  2. High-Fat Foods: Consuming high-fat meals around the time of taking Lancora may slow down the drug’s absorption, delaying its effects.
  3. Alcohol: Alcohol can intensify the blood pressure-lowering effects of Lancora, leading to dizziness and increased risk of fainting. It is best to avoid alcohol while taking this medication.


Lancora is a revolutionary medication known for its effectiveness in treating various medical conditions. However, to achieve optimal results while minimizing potential risks, it is essential to follow the dosing guidelines diligently.

Initial Dosing

When initiating Lancora treatment, the initial dosing is a critical aspect. The goal is to introduce the medication to the body in a controlled manner, minimizing the risk of adverse effects while ensuring a therapeutic level is achieved. The initial dosing is generally based on factors like the patient’s age, weight, medical condition, and overall health.

Maintenance Dosing

Once the initial dose has been administered, the maintenance dosing comes into play. Maintenance dosing involves the regular administration of Lancora to sustain the therapeutic level in the body. The dosage might be adjusted during this phase based on the patient’s response to the medication and any changes in their health condition.

What to Do If You Miss a Dose

Inevitably, situations arise where a dose of Lancora is missed. If you miss a scheduled dose, it is essential to address the situation promptly. The best course of action is to take the missed dose as soon as you remember. However, if it is close to the time of the next scheduled dose, it is better to skip the missed one to avoid double dosing.

Double Dosing

Double dosing can be harmful and should be strictly avoided. Taking two doses of Lancora close together or at the same time can lead to an overdose, potentially causing adverse effects. Always adhere to the prescribed dosing schedule and seek medical advice if you have any concerns.


In the unfortunate event of a Lancora overdose, immediate medical attention is crucial. Overdosing can lead to severe complications and pose a risk to the patient’s health. If you suspect an overdose or experience symptoms such as dizziness, difficulty breathing, or rapid heart rate, seek emergency medical assistance without delay.


Proper storage is crucial to maintain the drug’s potency and effectiveness, ensuring it provides the desired therapeutic benefits when needed.

  1. Store at Room Temperature: Keep Lancora at a stable room temperature between 20°C to 25°C (68°F to 77°F). Avoid extreme heat, direct sunlight, and moisture, as these can degrade the medication.
  2. Protect from Light: Shield Lancora from excessive light exposure by storing it in its original container or an opaque, tightly closed container.
  3. Avoid Freezing: Do not freeze Lancora (Ivabradine) as extreme cold temperatures can alter its chemical composition and efficacy.
  4. Keep Away from Children and Pets: Store Lancora in a safe place, out of reach of children and pets, to prevent accidental ingestion.
  5. Avoid Bathroom Storage: Refrain from storing Lancora in the bathroom, as humidity and temperature fluctuations in this area can affect the drug’s stability.
  6. Keep the Container Closed Tightly: Ensure the medication container is securely closed after each use to prevent air and moisture exposure.
  7. Check Expiry Date: Regularly inspect the medication’s expiry date, and discard any expired Lancora as it may no longer be effective.
  8. Use Original Packaging: Preferably, keep Lancora in its original packaging to protect it from external elements.
  9. Maintain Label Legibility: Keep the label on the medication container legible and clear to avoid any confusion about the drug’s usage or storage.
  10. Avoid Transferring Medication: Refrain from transferring Lancora to another container, as it may lead to contamination or incorrect dosing.
  11. Keep Away from Heat Sources: Store Lancora away from heat-emitting appliances, heaters, or radiators.
  12. Don’t Share Medication: Do not share Lancora with others, as it is specifically prescribed for individual medical conditions.
  13. Check for Physical Changes: Examine the appearance of Lancora before each use. If you notice any discoloration, particles, or changes in texture, consult your healthcare provider.
  14. Secure from Moisture: Store Lancora in a dry place to prevent moisture absorption, which can degrade the drug’s quality.
  15. Avoid Extreme Humidity: High humidity environments can impact Lancora’s effectiveness, so store it in a controlled humidity setting.
  16. Maintain Stable Temperature: Avoid storing Lancora in areas with fluctuating temperatures, such as near heaters, air conditioners, or open windows.
  17. Keep in a Dark Place: If the original container is transparent, store it in a dark place, such as a drawer or cabinet, to limit light exposure.
  18. Store at Specific Temperature if Required: If your prescription indicates a specific temperature range for storing Lancora, adhere to those instructions.
  19. Follow Storage Instructions on the Label: Read and follow any storage instructions provided on the medication label or package insert.
  20. Ask Your Pharmacist: If you have any doubts or questions regarding Lancora’s storage, consult your pharmacist for personalized guidance.
  21. Avoid Storage in the Fridge: Lancora does not require refrigeration, so store it at room temperature as mentioned earlier.
  22. Keep Away from Food and Beverages: Prevent contamination by storing Lancora away from food items and beverages.
  23. Transportation Safety: When traveling, ensure Lancora is properly packed and protected from extreme conditions.
  24. Discard Damaged Packaging: If the medication packaging is damaged, consider transferring Lancora to a new, appropriate container or seek advice from your pharmacist.
  25. Medication Disposal: Follow local guidelines for safe and responsible medication disposal when Lancora is no longer needed or has expired.

IMPORTANT NOTE: The information provided here is for educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment recommendations. It should not be taken as an endorsement of any specific medication or treatment. Individual health conditions and responses to treatment can vary greatly; therefore, this information should not be seen as a guarantee of safety, suitability, or effectiveness for any particular individual. Always consult with a healthcare professional for personalized medical advice and before making any decisions regarding your health or treatment plans.

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