Nitrosamines can be formed through various chemical processes, including the reaction between nitrites and secondary amines in certain conditions. It is a N-Nitroso of secondary amine present in Ivabradine. Nitrosamines are part of a broader class of compounds known as N-nitroso compounds. Ivabradine is a medication used to treat certain heart conditions by reducing the heart rate. Ivabradine is primarily prescribed for individuals with stable angina pectoris or heart failure who are unable to tolerate beta-blockers or for whom beta-blockers are contraindicated. Ivabradine works by selectively inhibiting a specific ion channel in the hearts pacemaker cells which slows down the heart rate without affecting other aspects of heart function.
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