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Ranexa

Overdosage & Contraindications
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OVERDOSE

No cases of intentional or accidental overdose with ranolazine have been reported. In the event of overdose, the expected symptoms would be dizziness, nausea/vomiting, diplopia, paresthesia, and confusion. Syncope with prolonged loss of consciousness may develop. Because the QTc interval increases with ranolazine plasma concentration, continuous ECG monitoring may be warranted in the event of overdose. If required, general supportive measures should be initiated.

Since ranolazine is about 62% bound to plasma proteins, complete clearance of ranolazine by hemodialysis is not likely.

CONTRAINDICATIONS

Ranexa is contraindicated in patients:

  • With pre-existing QT prolongation
  • With hepatic impairment (Child-Pugh Classes A [mild], B [moderate] or C [severe]) (see CLINICAL PHARMACOLOGY, Hepatic Insufficiency, and Electrocardiographic Effects)
  • On QT-prolonging drugs
  • On potent and moderately potent CYP3A inhibitors, including diltiazem
Brand Name: Ranexa
Generic Name: Ranolazine

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