Ivabradine once daily???: Hey all, I... - British Heart Fou...

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Ivabradine once daily???

Russellcoco profile image
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Hey all, I was recently diagnosed with POTS, heart rate was extremely high most days at times 180bpm. My cardiologist prescribed me Ivabradine twice daily, I started yesterday on 2.5mg morning and night and today my heart rate is super normal (60-75bpm), was wondering if any of you take this medication only once per day? I'm thinking I could potentially get away with 2.5mg taken at lunchtime each day and that should be enough.

Let me know if you have any experience please.

Many thanks

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Russellcoco
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MichaelJH profile image
MichaelJHHeart Star

Hello and welcome to the forum!

Can I ask why you want to reduce your dose when your cardiologist has got an unpleasant condition under control?

Ivabradine is meant to be taken twice daily as its elimination half-life is but two hours. Your dose is also the minimum dose so I cannot understand your concerns.

Russellcoco profile image
Russellcoco in reply to MichaelJH

Hey, thanks for getting back to me. My concerns are going bracycardic, also medication shy, so to speak. I'm someone who doesn't easily reach for a pill if it's not necessary. Hope this answers your question :)

MichaelJH profile image
MichaelJHHeart Star in reply to Russellcoco

Ivabradine is usually stopped if your HR drops below 50 so I think you are fine. My resting rate is often in the fifties and used to be in the forties in my teens/twenties.

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