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 for whom a doctor has confirmed and prescribed this medicine
• Patients who do not have an allergy to this drug class
• With a doctor's prescription and guidance

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

• If you have an allergy to Ivabradine or this drug class
• Without a doctor's prescription
• During pregnancy or lactation without medical advice

6. Dosage (Kitni leni hai)

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

• Not recommended below 18 years

• Do not exceed the recommended limit

• Take it as soon as you remember. If the next dose is close, skip the missed dose. Never take a double dose.

7. How to Take (Kaise leni hai)

• As per your doctor's prescription
• Take at the same time every day
• With or without food

8. Best Time (Kab leni chahiye)

• As directed by your doctor
• Maintain a daily routine

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

Confirm with your doctor or pharmacist. Generally, taking it with food reduces stomach irritation unless the packaging states otherwise.

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.
• Keep out of the reach of children

12. Side Effects (Nuksanat)

• Bradycardia — slow heart rate (Dhadkan dhimi hona)
• Phosphenes — transient luminous visual phenomena
• 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
• If side effects worsen or new symptoms develop
• If the infection or condition does not improve in 3–5 days

15. Alternatives (Sasti Dusri Dawaein)

16. Price in Pakistan (Price kitni hai)

(Note: Price depends on the pharmacy and pack size.)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Sivab Tablet kis kaam aata hai?

A: Sivab (Ivabradine) is prescribed by doctors to reduce heart rate in stable angina and chronic heart failure.

Q: Dose kitni hai?

A: Start with 5mg twice daily. After 3–4 weeks it may be increased to 7.5mg BD. A doctor's prescription is required.

Q: Pakistan mein price kitni hai?

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

Q: Aankhon mein roshni dikhna normal hai?

A: Yes — this is a known side effect of Ivabradine (phosphenes). It is generally mild, but inform your doctor if it affects driving.

Q: Nuksanat kya hain?

A: Common: slow heart rate, visual light flashes (phosphenes), dizziness. See a doctor immediately for severe bradycardia or atrial fibrillation.

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)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.