Package | Dosage | Price | Price per Dose | |
---|---|---|---|---|
Dosage: 500mg | ||||
180 pill | 500mg | $574.06 | $3.19 | |
120 pill | 500mg | $409.01 | $3.41 | |
90 pill | 500mg | $322.90 | $3.59 | |
60 pill | 500mg | $240.38 | $4.00 | |
30 pill | 500mg | $161.44 | $5.38 | |
Dosage: 1000mg | ||||
180 pill | 1000mg | $645.82 | $3.59 | |
120 pill | 1000mg | $462.83 | $3.86 | |
90 pill | 1000mg | $391.07 | $4.34 | |
60 pill | 1000mg | $290.61 | $4.84 | |
30 pill | 1000mg | $172.21 | $5.74 |

Ranolazine Description
Overview of Ranolazine
Ranolazine is a medication primarily used to manage chronic angina, a condition characterized by chest pain caused by reduced blood flow to the heart muscles. It belongs to a class of drugs known as anti-anginal agents. Unlike traditional therapies that focus on increasing blood flow, Ranolazine works by modifying the electrical activity of the heart, helping to improve oxygen efficiency and reduce the frequency and severity of angina episodes. This medication is prescribed when other treatments have not provided adequate relief or are not well tolerated.
Mechanism of Action
Ranolazine operates by inhibiting late sodium currents in heart muscle cells. During ischemic episodes, these currents tend to increase, leading to higher calcium levels inside the cells. Elevated calcium can cause the heart to work harder and be less efficient, worsening angina symptoms. By blocking these late sodium channels, Ranolazine reduces intracellular calcium overload, thereby decreasing myocardial oxygen consumption. This mechanism helps improve cardiac function without significantly affecting blood pressure or heart rate, making it a valuable option for patients with complex cardiovascular conditions.
Benefits and Effectiveness
One of the primary benefits of Ranolazine is its ability to decrease the frequency and severity of angina attacks. Many patients experience improved exercise tolerance and reduced chest pain episodes. Additionally, Ranolazine is often well tolerated, with fewer side effects associated with blood pressure or heart rate changes compared to some other anti-anginal medications. Its unique mechanism offers an alternative for individuals who cannot tolerate traditional therapies like beta-blockers or calcium channel blockers. Furthermore, Ranolazine has shown promise in reducing episodes of ischemia and may contribute to better overall cardiac health when used as part of a comprehensive treatment plan.
Dosage and Administration
The typical starting dose of Ranolazine is usually 500 mg twice daily. Depending on the patient's response and tolerability, the dose can be increased to 1000 mg twice daily. It is essential to follow the prescribing healthcare provider's instructions carefully. Patients are advised to take this medication with food to enhance absorption. Regular monitoring by a healthcare professional is important, especially in cases where dose adjustments are necessary. Patients with liver impairment or those taking other medications metabolized by the liver should inform their doctor before starting Ranolazine, as dosage adjustments may be required.
Possible Side Effects
Although generally safe, Ranolazine can cause side effects in some individuals. Common adverse effects include dizziness, headache, constipation, and nausea. Some patients may experience a sensation of feeling unusually tired or weak. Rarely, it can cause a prolongation of the QT interval on the electrocardiogram, which may lead to serious heart rhythm disturbances. It is important to have regular ECG monitoring during treatment, especially in patients with pre-existing heart conditions or those taking other medications that affect cardiac conduction. Patients should report any unusual symptoms promptly to their healthcare provider.
Precautions and Interactions
Ranolazine should be used cautiously in patients with liver problems, as impaired hepatic function can affect how the drug is processed. It is also contraindicated in patients taking certain medications that prolong the QT interval or interact with Ranolazine, such as certain antifungals, antibiotics, or other antiarrhythmic drugs. Always inform the healthcare provider about all other medicines being taken to avoid potential interactions. Pregnant and breastfeeding women should discuss the risks and benefits of using Ranolazine with their healthcare provider, as safety during pregnancy has not been fully established.