Ranexa (ranolazine extended-release tablets) for the treatment of chronic angina does not depend upon reductions in heart rate or blood pressure http://www.ranexa.com/wir_indications.html
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Ranexa: For Patients Who Have Not Achieved an Adequate Response With Other Antianginal Drugs

Jeff

Jeff
Inadequate response to treatment
  • 58 years old
  • Post-revascularization, on a beta-blocker and nitrate
  • Unsuccessfully tried on calcium channel blockers
   
Hector Hector
Comorbidities limit his options
  • 64 years old
  • CHF, hypertension
  • Refuses revascularization,
    on a beta-blocker
  • History of severe headaches
   
Delia Delia
Comorbidities limit her options
  • 72 years old
  • Post-MI, poor candidate for revascularization, on a beta-blocker
  • Bradycardia, diabetes mellitus
  • History of ankle edema
The effect of Ranexa on angina rate or exercise tolerance appeared to be smaller in women than men.
   
John John
Inadequate response to treatment
  • 82 years old
  • Reactive airway disease
  • On amlodipine
A higher incidence of adverse events was observed in elderly (≥75 years) patients on Ranexa.

Ranexa is contraindicated in patients with pre-existing QT prolongation; with hepatic impairment (mild, moderate, or severe); on QT-prolonging drugs; on potent and moderately potent CYP3A inhibitors, including diltiazem.

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