Classes
DEA Class; Rx
Common Brand Names; Ranexa, Aspruzyo Sprinkle
- Antianginal, Non-nitrates
Description
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
Indications
Indicated for the treatment of chronic angina.
Contraindications
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)
Adverse Effects
- 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
Warnings
Not for acute anginal episodes
Pregnancy and Lactation
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
Maximum Dosage
2,000 mg/day PO.
2,000 mg/day PO.
Safety and efficacy have not been established.
Safety and efficacy have not been established.
Safety and efficacy have not been established.
Safety and efficacy have not been established.
How supplied
Ranolazine
tablet, extended-release
- 500mg
- 1,000mg
granules, extended-release
- 500mg
- 1,000mg