Safety in Lactation: Drugs used for angina

21 October 2020Additional information relating to breastfeeding To be used in conjunction with individual drug entries for specific information and guidance. Anti-anginal nitrates Nitrates are indicated for…
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Medicine Compliance Aid Stability

RanexaA Menarini Farmaceutica Intrenazionale SRL

A Menarini Farmaceutica Intrenazionale SRL
Tablets m/r 375mg, 500mg, 750mg
A2 · Amber 2No stability data is available, the manufacturer does not, or cannot recommend use in CAs but there are no theoretical concerns with the product.
No special precautions for storage
No special precautions for storage.
17 February 2022

Lactation Safety Information

Alternative anti-anginal agents
No published evidence of safety
12 May 2017

New Medicines

RanexaAngina pectoris; incomplete vascularisation post-PCI


Licence extension / variation
Gilead Sciences
Gilead Sciences

Development and Regulatory status

Global PIII study started Oct 11 [1].
May 16: In light of negative trial results, assume licence variation not being pursued.
May 16: Not listed in Gilead pipeline


partial fatty acid oxidation inhibitor
13 April 20128% of men and 3% of women aged 55-64 years have, or have had, angina. 14% of men and 8% of women aged 65-74 years have, or have had, angina. [3]
Angina pectoris; incomplete vascularisation post-PCI

Trial or other data

01. Nov 11: NCT01442038 The PIII RIVER-PCI study (Ranolazine for Incomplete VEssel Revascularization post-PCI), will assess ranolazine in preventing major adverse cardiovascular events (MACE) at 1 year in 2600 patients with a history of chronic angina who have incomplete revascularization following PCI. Subjects will receive ranolazine 500mg twice daily for 7 days, followed by 1g twice daily for the duration of the study. The study started Oct 11 and is due to complete Mar 14 [1,2].
02. Mar 14: PIII NCT01442038 study is active but no longer recruiting pts. Collection of primary outcome data should be complete Dec 14 [4].
03. Mar 15: RIVER-PCI study completed Feb 15 [5]
04. Oct 15: Results of RIVER-PCI study published in The Lancet Online. The RCT (n=2651) found that after median follow-up of 643 days, ranolazine did not reduce composite rate of ischaemia-driven revascularisation (RV) or hospitalisation without RV in patients with a history of chronic angina who had incomplete RV, compared to placebo [6].
05. Nov 15: Results of RIVER-PCI study published in Circulation journal[7].