Sivab Tablet: Uses, Dosage & Side Effects in Pakistan

Sivab Tablet Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

2. What is Sivab Tablet? (Sivab kya hai)

Sivab Tablet is manufactured by Getz Pharma Pakistan. It contains Ivabradine and belongs to the Cardiac Rate-Reducing Agent (If-Channel Inhibitor) class. It is prescribed in Pakistan for the conditions listed below. Always take it under medical supervision.

3. Uses (Fayde / Kis kaam aati hai)

• Stable Angina Pectoris (rate reduction)
• Chronic Heart Failure (with reduced ejection fraction)
• Inappropriate Sinus Tachycardia

4. Who Should Take (Kis ko leni chahiye)

• Adults jinhe doctor ne confirm karke yeh dawa prescribe ki ho
• Patients jinhe is drug class se allergy nahi hai
• Doctor ki parchi aur guidance ke sath

5. When NOT to Take (Kab nahi leni chahiye)

• Agar Ivabradine ya is drug class se allergy ho
• Doctor ki parchi ke baghair
• Pregnancy / lactation mein bina doctor advice ke

6. Dosage (Kitni leni hai)

• 5mg twice daily; may increase to 7.5mg twice daily after 3–4 weeks

• Not recommended below 18 years

• Recommended limit se zyada na len

• Yaad aane par le lein. Agli dose qareeb ho to skip karein. Double dose kabhi na lein.

7. How to Take (Kaise leni hai)

• Doctor ki parchi ke mutabiq
• Same time par daily lein
• Khane ke sath ya baghair (packaging label check karein)

8. Best Time (Kab leni chahiye)

• Doctor ki instructions ke mutabiq
• Daily routine maintain karein

9. Empty Stomach or After Food (Khali pait ya khane ke baad)

Doctor ya pharmacist se confirm karein. Aam tor par food ke sath lena stomach irritation reduce karta hai jab tak packaging par alag instruction na ho.

10. Warnings (Ihtiyat)

• Do not use in resting HR below 60 bpm before starting
• Avoid in severe hepatic impairment
• Avoid in pacemaker-dependent patients
• Visual disturbances (phosphenes) may occur

11. Precautions (Ahm ehtiyaat)

• Below 30°C, away from light and moisture.
• Bachon ki pahunch se door rakhein

12. Side Effects (Nuksanat)

• Bradycardia — slow heart rate (Dhadkan dhimi hona)
• Phosphenes — transient luminous visual phenomena (Aankhon mein roshni dikhna)
• Headache (Sar dard)
• Dizziness (Chakkar)

• Severe bradycardia — HR below 40 bpm (stop immediately)
• Atrial fibrillation
• Heart block (2nd or 3rd degree)

13. Drug Interactions (Dawaon ke sath reaction)

• Strong CYP3A4 inhibitors (ketoconazole, clarithromycin) — contraindicated (raise ivabradine levels dangerously)
• Diltiazem/Verapamil — additive bradycardia
• Beta-blockers — additive HR reduction
• QT-prolonging drugs — avoid

14. When to See Doctor (Kab doctor ke paas jayein)

• Severe allergic reaction — rash, breathing difficulty, swelling
• Side effects jo zyada ho jayein ya naye symptoms peda hoon
• Infection ya condition 3–5 din mein better na ho

15. Alternatives (Sasti Dusri Dawaein)

16. Price in Pakistan (Price kitni hai)

(Note: Price pharmacy aur packing size par depend karti hai)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Sivab Tablet kis kaam aata hai?

A: Sivab (Ivabradine) stable angina aur chronic heart failure mein dil ki dhadkan kam karne ke liye doctor prescribe karte hain.

Q: Dose kitni hai?

A: 5mg din mein do dafa se shuru. 3–4 hafte baad 7.5mg BD tak barh sakta hai. Doctor ki parchi zaroori hai.

Q: Pakistan mein price kitni hai?

A: Sivab 5mg tablet approximately Rs. 150–210 per tablet.

Q: Aankhon mein roshni dikhna normal hai?

A: Haan — yeh Ivabradine ka known side effect (phosphenes) hai. Aam tor par mild hota hai lekin agar driving affect ho to doctor ko bataein.

Q: Nuksanat kya hain?

A: Common: dhadkan dhimi hona, aankhon mein roshni dikhna, chakkar. Severe bradycardia ya atrial fibrillation par foran doctor se milein.

18. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2025-12-27

19. Disclaimer (Zaroori tanbeeh)

Is page ki maloomat sirf awareness ke liye hai. Yeh medical advice nahi hai. Koi bhi dawa lene se pehle apne doctor ya pharmacist se zaroor milein. PakVita kisi bhi nuksaan ki zimmedari nahi leta.