User:Mr. Ibrahem/Ranolazine

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Mr. Ibrahem/Ranolazine
Clinical data
Trade namesRanexa
AHFS/Drugs.comMonograph
MedlinePlusa606015
License data
Routes of
administration
By mouth (tablets)
Legal status
Legal status
Pharmacokinetic data
Bioavailability35 to 50%
Protein binding~62%
MetabolismExtensive in liver (CYP3A, CYP2D6) and intestine
Elimination half-life7 hours
ExcretionKidney (75%) and fecal (25%)
Identifiers
  • (RS)-N-(2,6-Dimethylphenyl)-2-[4-[2-hydroxy-3-(2-methoxyphenoxy)-propyl]piperazin-1-yl]acetamide
Chemical and physical data
FormulaC24H33N3O4
Molar mass427.545 g·mol−1
3D model (JSmol)
ChiralityRacemic mixture
  • O=C(Nc1c(cccc1C)C)CN3CCN(CC(O)COc2ccccc2OC)CC3
  • InChI=1S/C24H33N3O4/c1-18-7-6-8-19(2)24(18)25-23(29)16-27-13-11-26(12-14-27)15-20(28)17-31-22-10-5-4-9-21(22)30-3/h4-10,20,28H,11-17H2,1-3H3,(H,25,29) checkY
  • Key:XKLMZUWKNUAPSZ-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Ranolazine, sold under the brand name Ranexa among others, is a medication used to treat heart related chest pain.[2] Typically it is used together with other medications when those are insufficient.[2][3] Benefits appear smaller in women than men.[2] It is taken by mouth.[2]

Common side effects include constipation, headache, nausea, and dizziness.[2] Serious side effects may include QT prolongation.[2] Use is not recommended in those with liver cirrhosis.[2] How it works is not clear but may involve adenosine triphosphate.[2]

Ranolazine was approved for medical use in the United States in 2006.[2] A month's supply in the United Kingdom costs the NHS about £50 as of 2020.[3] In the United States the wholesale cost of this amount is about $343.[4] In 2017, it was the 273rd most commonly prescribed medication in the United States, with more than one million prescriptions.[5][6]

References[edit]

  1. ^ "WHOCC - ATC/DDD Index". www.whocc.no. Archived from the original on 9 August 2020. Retrieved 7 September 2020.
  2. ^ a b c d e f g h i "Ranolazine Monograph for Professionals". Drugs.com. American Society of Health-System Pharmacists. Archived from the original on 31 March 2019. Retrieved 22 March 2019.
  3. ^ a b BNF (80 ed.). London: BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 224. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  4. ^ "NADAC as of 2019-02-27". Centers for Medicare and Medicaid Services. Archived from the original on 6 March 2019. Retrieved 3 March 2019.
  5. ^ "The Top 300 of 2020". ClinCalc. Archived from the original on 18 March 2020. Retrieved 11 April 2020.
  6. ^ "Ranolazine - Drug Usage Statistics". ClinCalc. Archived from the original on 8 July 2020. Retrieved 11 April 2020.