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Ranolazine

    DEA Class; Rx

    Common Brand Names; Ranexa, Aspruzyo Sprinkle

    • Antianginal, Non-nitrates

    Oral antianginal, piperazine derivative
    Used for chronic angina in adults
    Contraindicated in patients with liver cirrhosis or taking CYP3A inducers or strong CYP3A inhibitors; ranolazine causes dose-related QT prolongation

    Indicated for the treatment of chronic angina.

    For the treatment of acute coronary syndromes in patients with acute myocardial infarction, NSTEMI.
    For the treatment of acute coronary syndromes in patients with unstable angina.

    Hepatic cirrhosis, including Child-Pugh class A (mild), B (moderate), and C (severe)

    Strong CYP3A inhibitors (eg, ketoconazole, itraconazole, clarithromycin, nefazodone, nelfinavir, ritonavir, indinavir, saquinavir)

    CYP3A inducers (eg, carbamazepine, phenobarbital, phenytoin, rifampin, rifabutin, rifapentine, St. John’s wort)

    • Dizziness (6.2%)
    • Headache (5.5%)
    • Constipation (4.5%)
    • Nausea (4.4%)
    • Cardiac disorders: Bradycardia, palpitations
    • Ear and labyrinth disorders: Tinnitus, vertigo
    • Eye disorders: Blurred vision
    • Gastrointestinal disorders: Abdominal pain, dry mouth, vomiting, dyspepsia
    • General disorders and administrative site adverse events: Asthenia, peripheral edema
    • Metabolism and nutrition disorders: Anorexia
    • Nervous system disorders: Syncope (vasovagal)
    • Psychiatric disorders: Confusional state
    • Renal and urinary disorders: Hematuria
    • Respiratory, thoracic, and mediastinal disorders: Dyspnea
    • Skin and subcutaneous tissue disorders: Hyperhidrosis
    • Angioedema
    • Renal failure
    • Eosinophilia
    • Chromaturia
    • Blood urea increased
    • Hypoesthesia
    • Paresthesia
    • Tremor
    • Pulmonary fibrosis
    • Thrombocytopenia
    • Leukopenia
    • Pancytopenia

    Not for acute anginal episodes

    Data are unavailable on use in pregnant females to inform any drug- associated risks

    Data are not available on presence in human milk, effects on breastfed infants, or effects on milk production

    Adults

    2,000 mg/day PO.

    Geriatric

    2,000 mg/day PO.

    Adolescents

    Safety and efficacy have not been established.

    Children

    Safety and efficacy have not been established.

    Infants

    Safety and efficacy have not been established.

    Neonates

    Safety and efficacy have not been established.

    Ranolazine

    tablet, extended-release

    • 500mg
    • 1,000mg

    granules, extended-release

    • 500mg
    • 1,000mg