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What the FDA labels say about taking them together

Amiodarone and ivabradine

Amiodarone's FDA label of December 9, 2025 names ivabradine in its drug interactions section, and ivabradine's label names amiodarone too. The amiodarone label: “Potentiates the electrophysiologic and hemodynamic effects of amiodarone, resulting in bradycardia, sinus arrest, and AV block. Monitor heart rate.”

Check it at the source: the amiodarone FDA label on DailyMed (effective December 9, 2025, Chartwell RX, LLC); the ivabradine FDA label on DailyMed (effective November 10, 2025).

What does the amiodarone label say about ivabradine?

Amiodarone label, drug interactions

Concomitant Drug/Class/Name: Negative Chronotropes; Examples: digoxin, beta blockers, verapamil, diltiazem, clonidine, ivabradine; Clinical Comment: Potentiates the electrophysiologic and hemodynamic effects of amiodarone, resulting in bradycardia, sinus arrest, and AV block. Monitor heart rate.

Source: FDA drug label (Amiodarone Hydrochloride), Chartwell RX, LLC, effective December 9, 2025 (SPL set 5520f11d-968d-4f4f-bf57-d14369c0d746), via openFDA; the full label on DailyMed

What does the ivabradine label say about amiodarone?

Ivabradine label, drug interactions

The risk of bradycardia increases with concomitant administration of drugs that slow heart rate (e.g., digoxin, amiodarone, beta-blockers).

Ivabradine label, warnings and precautions

Risk factors for bradycardia include sinus node dysfunction, conduction defects (e.g., 1 st or 2 nd degree atrioventricular block, bundle branch block), ventricular dyssynchrony, and use of other negative chronotropes (e.g., digoxin, diltiazem, verapamil, amiodarone).

Source: FDA drug label (Corlanor), Amgen Inc, effective November 10, 2025 (SPL set 92018a65-38f6-45f7-91d4-a34921b81d0d), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

32Amiodarone generic labelers
11Ivabradine generic labelers
AmiodaroneIvabradine
Labeled forn/aHeart failure
Boxed warningYesNo
Pharmacy cost (NADAC)$0.122 per tablet 200 mg tablet$0.761 per tablet 5 mg tablet
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?