Monograph Details

Cardiovascular System > Angina
RANEXA
Manufacturer
CV Therapeutics, Inc.
Legal Classification
Rx
Pharmacological Class
Antianginal.
Generic Name
Ranolazine 500mg, 1000mg; ext-rel tabs.
Indications
Chronic angina that is inadequately controlled with other antianginals; use with amlodipine, β-blockers, or nitrates.
Children
Not recommended.
Adults
Swallow whole. Initially 500mg twice daily, may increase to max 1g twice daily.
Contraindications
QT prolongation. Ventricular tachycardia. Hepatic impairment. Drugs that cause QT prolongation (eg, Class 1A, Class III antiarrhythmics, thioridazine, ziprasidone). Potent or moderately potent CYP3A inhibitors (eg, ketoconazole, other azole antifungals, diltiazem, verapamil, macrolides, protease inhibitors, grapefruit juice).
Precautions
Not for acute angina episodes. Severe renal impairment: not recommended. Monitor blood pressure, QT interval. Elderly. Pregnancy (Cat.C). Nursing mothers: not recommended.
Interactions
See Contraindications. May potentiate drugs metabolized by P-glycoprotein (eg, digoxin), CYP2D6 (eg, tricyclic antidepressants), CYP3A (eg, simvastatin). May be potentiated by inhibitors of CYP2D6 (eg, paroxetine), P-glycoprotein (eg, ritonavir, cyclosporine).
Adverse Reactions
Dizziness, headache, constipation, nausea.
How Supplied
Tabs—60, 500
Additional Resources
Related Prescribing Note