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

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