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compositionComposition:IVABRADINE-5MG+METOPROLOL-50MG
prescription
Prescription Medicine
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Ivables M 50 Tablet is primarily used to prevent angina or heart failure. Angina pectoris is chest pain caused due to reduced blood flow to the heart (coronary artery disease). It occurs when the blood vessels supplying the heart are blocked or narrowed. It contains Ivabradine and Metoprolol, which work together to lower heart rate and increase heart pumping efficiency, distributing blood throughout the body. In some cases, this medication may cause side effects such as uncontrolled blood pressure, headache, dizziness and blurred vision, diarrhoea, headache, weight gain, tiredness, dizziness and tiredness.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

IVABRADINE-5MG+METOPROLOL-50MG

Manufacturer/Marketer :

Lloyd Healthcare Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Ivables M 50 Tablet

Ivables M 50 Tablet is an oral medicine prescribed to help manage chronic stable angina (persistent chest pain) and certain people with long-term heart failure, as determined by their doctor. For heart failure, your doctor will determine whether this medicine is appropriate based on factors such as your heart function and resting heart rate. It works by safely regulating your heart rate and reducing how hard your heart must work to pump blood throughout your body. By keeping your heart beating at a more stable pace, this medication helps prevent painful chest tightness and improves your heart's overall efficiency.

 

For this medicine to work effectively, you must take it consistently every single day at the exact times prescribed by your doctor, usually twice a day. It is highly recommended to take Ivables M 50 Tablet with meals, as this helps your body absorb the medication properly and prevents sudden blood pressure drops or stomach upset. Adopting healthy daily habits, such as eating a low-salt diet and performing gentle, regular exercise, can also significantly improve your treatment results.

 

While taking Ivables M 50 Tablet , you may experience some common side effects, such as a slower pulse, mild dizziness, or temporary changes in your vision, like seeing brief bright spots in your field of vision. These visual changes are usually harmless and go away over time, but you must contact your doctor immediately if you experience severe dizziness, fainting, or extreme shortness of breath.

 

Before starting this medicine, tell your doctor if you have a history of asthma, thyroid disorders, kidney disease, or liver problems. Do not take this medicine if you have a very slow resting heart rate, severe low blood pressure, sick sinus syndrome, certain serious heart block conditions (unless you have a functioning pacemaker), severe liver impairment, or if you are pregnant. Your doctor will determine whether this medicine is suitable based on your medical history.

 

Certain medicines, such as specific heart drugs, strong antifungals, or some antibiotics, can interact with Ivables M 50 Tablet and cause adverse effects. Avoid alcohol and smoking, as alcohol can excessively lower your blood pressure, and smoking can reduce the medicine's effectiveness. If you are elderly, breastfeeding, or planning a pregnancy, always consult your doctor before taking this medication.

Uses of Ivables M 50 Tablet

This medicine is used to manage certain heart conditions by lowering the heart rate, reducing the heart's workload, and improving overall heart function. The detailed uses of this medicine are as follows:

  • Chronic stable angina: Ivables M 50 Tablet helps prevent and reduce episodes of chest pain by slowing the heart rate and decreasing the heart's oxygen demand, especially during physical activity.
  • Chronic heart failure: Ivables M 50 Tablet helps maintain a controlled heart rate, improves the heart's pumping efficiency, reduces symptoms, and lowers the risk of hospitalization due to worsening heart failure.

Key Benefits

Ivables M 50 Tablet helps reduce the workload on your heart, improve symptom control, and support long-term heart health. Its benefits include:

  • Helps reduce the frequency of chest pain (angina) episodes by lowering the heart's workload and oxygen demand.
  • Maintains a steady heart rate, helping you feel less tired or short of breath during everyday activities.
  • Improves exercise tolerance and supports better performance of routine physical tasks, such as walking or climbing stairs.
  • Helps improve symptoms and reduce the risk of hospitalization in eligible people with heart failure with reduced ejection fraction (HFrEF) when used as prescribed.
  • Supports long-term heart health by reducing ongoing strain on the heart and lowering the risk of heart failure-related hospitalization when taken as prescribed.

Directions for Use

  • Take Ivables M 50 Tablet with or without food or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Ivables M 50 Tablet Works

Ivables M 50 Tablet contains Ivabradine and Metoprolol. Ivabradine: It acts directly on the heart's natural pacemaker (the sinoatrial node) by slowing the electrical signals that control the heart rate. This allows the heart more time to fill with blood between beats, reducing the heart rate without affecting the strength of heart contractions. Metoprolol: It is a selective beta-blocker that blocks the effects of stress hormones, such as adrenaline, on the heart. This slows the heart rate, lowers blood pressure, reduces the force of heart contractions, and decreases the heart's oxygen demand, helping the heart work more efficiently.
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Alcohol

Unsafe

Avoid consumption of alcohol with Ivables M 50 Tablet as it may increase the risk of low blood pressure and cause adverse effects such as dizziness, fainting, light-headedness or headache.

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Pregnancy

Unsafe

Do not take Ivables M 50 Tablet if you are pregnant or are planning to have a baby. If you are pregnant and have taken Ivables M 50 Tablet , inform your doctor immediately.

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Breast Feeding

Unsafe

Ivables M 50 Tablet is not recommended for use in breastfeeding as it may pass into breast milk and harm your infant. Hence, if you are breastfeeding, inform your doctor before taking Ivables M 50 Tablet . Your doctor may suggest you to stop feeding while on treatment with this medicine.

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Driving

Caution

Ivables M 50 Tablet may cause Blurred vision or vision changes in some people. If this happens to you, be cautious when driving or operating machinery.

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Liver

Caution

If you have a pre-existing or a history of liver disease, inform your doctor before taking Ivables M 50 Tablet . Your doctor may prescribe this medicine if the benefits outweigh the risks.

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Kidney

Caution

If you have a pre-existing or a history of kidney disease, inform your doctor before taking Ivables M 50 Tablet . Your doctor may prescribe this medicine if the benefits outweigh the risks.

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Children

Unsafe

Ivables M 50 Tablet is not recommended for use in children and adolescents below 18 years as the safety and effectiveness are not established.

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Heart

Caution

Ivables M 50 Tablet should be avoided in heart patients unless specifically prescribed by a doctor. It can affect heart rate and rhythm, requiring close medical supervision to prevent complications.

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Geriatrics

Caution

Ivables M 50 Tablet should be used with caution in geriatric patients and only under medical supervision. Older adults may be more sensitive to heart rate changes and drug interactions, so close monitoring is essential.

What if I have taken an overdose of Ivables M 50 Tablet

If you take too much of Ivables M 50 Tablet , seek emergency medical care immediately. An overdose can cause your heart rate to drop dangerously low, leading to severe dizziness, fainting, breathing difficulties, or a sudden drop in blood pressure.

Diet & Lifestyle Advise

  • Monitor your pulse daily: Keep a simple log of your heart rate and blood pressure at home. Share these readings with your doctor during your regular checkups.
  • Avoid grapefruit: Do not consume grapefruit or grapefruit juice, as it can significantly increase the amount of this medicine in your body, raising your risk of severe side effects.
  • Adopt a low-sodium diet: Reducing your salt intake helps manage fluid retention and prevents extra strain on your heart and blood vessels.
  • Stay active safely: Engage in moderate, low-impact exercise like walking, but always ask your doctor what level of physical activity is safe for you.
  • Limit alcohol and quit smoking: Alcohol can lower your blood pressure too much when combined with this medicine, while smoking constricts your blood vessels, making your chest pain worse.
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Have a query?

How Soon It Starts Working

The time required for Ivables M 50 Tablet to start to work: Ivables M 50 Tablet ideally shows its action within 1 hour after administration. The time for which the effects of Ivables M 50 Tablet last: The effect of Ivables M 50 Tablet lasts for 6 hours.

What if you forget to take Ivables M 50 Tablet

If you miss a dose, take it with food as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose completely and resume your normal schedule. Do not take a double dose to make up for a missed one.

Storage

•Store Ivables M 50 Tablet at room temperature, ideally between 20°C and 25°C (68°F to 77°F).•Keep the tablets in their original packaging to protect them from direct light and moisture.

Drug Warnings

  • Monitor your heart rate: Check your pulse before taking each dose. If your heart rate is consistently below 50 beats per minute or you develop dizziness, fainting, severe weakness, chest pain, or worsening shortness of breath, contact your doctor immediately. Seek emergency medical care if these symptoms are severe or you lose consciousness. Do not stop or skip doses unless your doctor advises you to do so.
  • Do not stop treatment abruptly: Do not stop taking Ivables M 50 Tablet suddenly, as this may cause a rapid increase in heart rate, worsening chest pain, or other serious heart-related problems. Your doctor will advise you on how to reduce the dose safely if needed.
  • Be cautious while driving at night: This medicine may cause temporary visual brightness (luminous phenomena) or affect night vision.Take extra care when driving or operating machinery, especially in low-light conditions.
  • Stand up slowly: Rise slowly from a sitting or lying position to reduce the risk of dizziness or fainting caused by a sudden drop in blood pressure.
  • Inform healthcare professionals: Always tell your dentist, surgeon, or other healthcare providers that you are taking Ivables M 50 Tablet , as it may affect the choice of medicines or procedures during treatment or surgery.

verifiedApollotooltip
  • Other heart rate-lowering medicines: Taking Ivables M 50 Tablet with drugs like diltiazem, verapamil, or digoxin can cause your heart rate to become dangerously slow.
  • Strong liver enzyme inhibitors: Medicines like ketoconazole (an antifungal) or clarithromycin (an antibiotic) can prevent your body from breaking down Ivables M 50 Tablet , leading to toxic levels in your system.
  • Blood pressure medicines: Combining this with other blood pressure-lowering drugs can cause your blood pressure to drop too low, leading to severe dizziness.

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  • Grapefruit and grapefruit juice: These can increase the level of the Ivabradine component in your body, raising the risk of excessive slowing of the heart rate. Avoid grapefruit products unless your doctor advises otherwise.

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[CARDIOVASCULAR AGENTS]

FAQs

Ivables M 50 Tablet contains Ivabradine and Metoprolol. These work together to lower heart rate and increase heart pumping efficiency, distributing blood throughout the body.
Do not take more than the prescribed dose of Ivables M 50 Tablet as it may cause Ivables M 50 Tablet overdose, resulting in symptoms such as dizziness, fits, fainting, weakness, bluish-coloured fingernails, uneven heartbeats and shortness of breath. However, if you experience these symptoms while taking Ivables M 50 Tablet , please consult a doctor immediately.
You should avoid sodium, potassium, magnesium and calcium-rich foods with Ivables M 50 Tablet as they may reduce the effect of Ivables M 50 Tablet . Also, avoid intake of grapefruit juice with Ivables M 50 Tablet as it may increase the levels of Ivables M 50 Tablet in the blood and cause adverse effects.
Ivables M 50 Tablet is prescribed to manage chronic stable angina (chest pain) and chronic heart failure. It helps by slowing down your heart rate and reducing the overall strain on your heart muscle. Talk to your doctor to see if this is right for your condition.
One of the components in Ivables M 50 Tablet can temporarily affect how your retina responds to light, which may cause you to see brief, bright halos or flashes, especially when moving into darker rooms. These visual changes are usually mild and temporary, but you should discuss them with your doctor if they interfere with daily activities.
It is highly recommended to avoid or limit alcohol while taking Ivables M 50 Tablet . Alcohol can interact with this medicine to excessively lower your blood pressure, causing severe dizziness, headache, or fainting. Talk to your doctor or pharmacist about safe alcohol limits.
If your pulse is consistently below 50 beats per minute or you develop dizziness, fainting, chest pain, worsening shortness of breath, or unusual weakness, contact your doctor immediately. Seek emergency medical care if you faint or your symptoms are severe. Do not stop or skip doses on your own unless your doctor specifically advises you to do so.
No, you should never stop taking Ivables M 50 Tablet suddenly. Stopping this medicine abruptly can cause your heart rate and blood pressure to rise dangerously, which may worsen your chest pain or heart condition. Talk to your doctor if you feel you need to stop.
Yes, you should take Ivables M 50 Tablet with meals. Taking it with food helps control how your body absorbs the medicine, ensuring it works steadily throughout the day and reducing the chance of stomach upset.
No, Ivables M 50 Tablet is not recommended for use during pregnancy or breastfeeding as it can potentially harm the developing baby. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor immediately about alternative options.
You should exercise extreme caution. One of the active ingredients in Ivables M 50 Tablet can cause the airways in your lungs to narrow, which may trigger severe breathing issues or asthma attacks. Do not take this if you have severe asthma, and always talk to your doctor or pharmacist about your respiratory history before starting.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. Electronic Medicines Compendium (EMC). Pil.11036 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  2. Drugs.com Clinical Review Team. Ivabradine Clinical Drug Monograph. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  3. MedlinePlus. A615027 Patient Information Monograph. Bethesda, MD: U.S. National Library of Medicine (NLM); 2025. [Accessed on 02 Jun. 2026]Check here
  4. MedlinePlus. A682864 Patient Information Monograph. Bethesda, MD: U.S. National Library of Medicine (NLM); 2025. [Accessed on 02 Jun. 2026]Check here
  5. National Health Service (NHS). Metoprolol - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  6. National Health Service (NHS). Heart Failure - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  7. National Center for Biotechnology Information (NCBI). Ivabradine + Metoprolol Scientific Research Publication. Bethesda, MD: NLM; 2025. [Accessed on 02 Jun. 2026]Check here

Country of origin

India

Manufacturer/Marketer address

702, Balaji Business Park, Andheri Kurla Road, Marol Naka, Andheri East, Gamdevi, Marol, Andheri East, Mumbai, Maharashtra 400059
Other Info - IVA0099
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