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Directions. The recommended starting dose is 5 mg twice a day. Take it orally with meals. In patients over 75 years old, a lower starting dose of 2.5 mg twice a day can be used, please note that tablets can be divided into two halves. For angina, the starting dose should never exceed 5 mg twice daily in patients under 75 years of age. Treatment must be stopped if the heart rate decreases persistently below 50 beats per minute or if symptoms of bradycardia (slow heart rate) continue. When used for angina, treatment should be stopped if there is no improvement in symptoms after 3 months. General information. Procoralan is used to treat the symptoms of long-term stable angina (e.g., jaw and back, pains to the chest) in adults with coronary artery disease (disease of the heart caused by the obstruction of the blood vessels that supply blood to the heart muscle) who have a normal heart rhythm. Procoralan mainly works by reducing the heart rate by a few beats per minute. This lowers the heart's need for oxygen especially in the situations when an angina attack is more likely to happen. Ivabradine hydrochloride is used in patients who cannot be treated with beta blockers (another type of medicine to treat angina) or in combination with beta?blockers in patients whose disease is not controlled with them alone and whose heart rate is at least 70 beats per minute. It is also used in patients with long-term heart failure (when the heart cannot pump enough blood to the rest of the body) who have a normal heart rhythm but whose heart rate is at least 75 beats per minute.
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