Ranolin XR Tablet (Extended Release) XR Tablet 500 mg is a Product of the Generic Ranolazine

What Is Ranolin XR Tablet (Extended Release) XR Tablet 500 mg Indications and Uses?

Ranolin XR is indicated for the treatment of chronic angina. Ranolin XR may be used with beta-blockers, nitrates, calcium channel blockers, anti-platelet therapy, lipid-lowering therapy, ACE inhibitors, and angiotensin receptor blockers. It has been shown to decrease angina episodes in patients with ... Read more Ranolin XR is indicated for the treatment of chronic angina. Ranolin XR may be used with beta-blockers, nitrates, calcium channel blockers, anti-platelet therapy, lipid-lowering therapy, ACE inhibitors, and angiotensin receptor blockers. It has been shown to decrease angina episodes in patients with coronary artery disease on maximal doses of amlodipine. Because Ranolin XR prolongs the QT interval, it should be reserved for patients who have not achieved an adequate response with other antianginal drugs.The effect on angina rate or exercise tolerance appeared to be smaller in women than men.

Pharmacology (Source, Chemical and Physical Composition) Of Ranolin XR Tablet (Extended Release) XR Tablet 500 mg

Ranolin XR Tablet (Extended Release) XR Tablet 500 mg (Ranolazine) has anti-ischemlc and antlanginal effects that do not depend upon reductions in heart rate or blood pressure.The exact mechanism of action of ranolazine is unknown. Ranolazine at therapeutic levels can inhibit the cardiac late sodium current (I Na ). However, the relationship of this inhibition to angina symptoms is uncertain. The QT prolongation effect of ranolazine on the surface electrocardiogram is the result of inhibition of I Kr which prolongs the ventricular action potential. Absorption : C max : 2-5 h Half-life : 6-22 h Distribution : Over the concentration range of 0.25 to 10 µg/ml, Ranolazine is approximately 62% bound to human plasma proteins. Metabolism and Excretion : Ranolazine is metabolized mainly by CYP3A and, to a lesser extent, by CYP2D6. Ranolazine is metabolized rapidly and extensively in the liver and intestine; less than 5% is excreted unchanged in urine and feces. Following a single oral dose of Ranolazine solution, approximately 75% of the dose is excreted in urine and 25% in feces.

Dosage And Administration of Ranolin XR Tablet (Extended Release) XR Tablet 500 mg

Initiate Ranolin XR Tablet (Extended Release) XR Tablet 500 mg (Ranolazine) dosing at 500 mg twice daily and increase to 1000 mg twice daily, if needed, based on clinical symptoms. Take Ranolazine with or without meals. Swallow Ranolazine tablets whole; do not crush, break or chew. The maximum recommended daily dose of Ranolazine is 1000 mg twice daily. If a dose of Ranolazine is missed, take the prescribed dose at the next scheduled time; do not double the next dose. Pediatric use: Safety and effectiveness in pediatric patients have not been established.

Drug Interactions of Ranolin XR Tablet (Extended Release) XR Tablet 500 mg

CYP 3A Inhibitors : Do not use Ranolin XR with strong CYP 3A inhibitors. With moderate CYP 3A inhibitors (e.g., diltiazem, verapamil, erythromycin) limit maximum dose of Ranolin XR to 500 mg twice daily. CYP 3A Inducers : Do not use Ranolin XR with inducers. P-gp Inhibitors (e.g., Cyclosporin) : May need to lower the Ranolin XR dose based on clinical dose. Drugs transported by P-gp or metabolized by CYP2D6 (eg., digoxin, TCA) : May need reduced doses of these drugs when used with Ranolin XR.

Side Effects of Ranolin XR Tablet (Extended Release) XR Tablet 500 mg

Cardiac Disorders: bradycardia, palpitations Ear and Labyrinth Disorders: tinnitus, vertigo Gastrointestinal Disorders: abdominal pain, dry mouth, vomiting General Disorders and Administrative Site Adverse Events: peripheral edema Respiratory, Thoracic, and Mediastinal Disorders: dyspnea Vascular Disorders: hypotension, orthostatic hypotension

Precautions And Warnings for Ranolin XR Tablet (Extended Release) XR Tablet 500 mg

Ranolin XR blocks QTc and prolongs the QTc interval in a dose-related manner. Clinical experience in an acute coronary syndrome population did not show an increased risk of proarrhythmia or sudden death. Co-administration of Ranolin XR with digoxin increases the plasma concentrations of digoxin by approximately 1.5-fold and the dose of digoxin may have to be reduced accordingly. The dose of other P-gp substrates may have to be reduced as well when Ranolin XR Is co-admlnistered. Caution should be exercised when co-adminlstering Ranolin XR with P-gp inhibitors such as ritonavir or cydosporine.

Use During Pregnancy and Lactation

Pregnancy Category C. There are no adequate studies assessing the effect of Ranolin XR Tablet (Extended Release) XR Tablet 500 mg (Ranolazine) on the developing fetus. There are no adequate well-controlled studies in pregnant women. Ranolazine should be used during pregnancy only when the potential benefit to the patient justifies the potential risk to the fetus.lt is not known whether ranolazine is excreted in human milk. Because of the potentiality for serious adverse reactions from ranolazine in nursing infants, a decision should be made whether to discontinue nursing or to discontinue Ranolazine, taking into account the importance of the drug to the mother.

Therapeutic Class

Other Anti-anginal & Anti-ischaemic drugs

Storage Conditions of It

Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children. Pack Image: Ranolin XR 500 mg XR Tablet Thanks for using MedEx! How would you rate your experience so far?