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Ranolazine

Brand names: Ranexa

Ranolazine helps prevent chest pain from chronic angina. It's usually added to other heart medicines.

Brand namesRanexa
Type of medicineAngina medicine
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

It doesn't lower heart rate or blood pressure much. It doesn't stop an attack in progress.

What it's used for

  • Chronic angina

How to take it

  • Swallow tablets whole twice a day, with or without food.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Dizziness
  • Headache
  • Constipation
  • Nausea
Call 911Fainting or a fast, irregular heartbeat
Call your provider todayPeeing much less

Warnings

  • It can affect heart rhythm.
  • Not for people with liver cirrhosis.

Other medicines, foods, and alcohol

  • Never take with strong drugs that raise its level (ketoconazole, clarithromycin, ritonavir) or lower it (rifampin, St. John's wort).
  • It raises simvastatin, metformin, and digoxin levels.
  • Avoid grapefruit juice.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Talk with your provider.

Missed doses, overdose, and storage

If you miss a dose

Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.