CardioSource WorldNews September 2015 | Page 29

Chronic Angina may be holding him back For patients limiting their activity due to chronic angina, adding Ranexa® may help Ranexa 1000 mg BID*, when added to a beta-blocker or calcium channel blocker, was superior to those treatments plus placebo at:1,† Increasing exercise duration Increasing the time to onset of ischemia during exercise testing at peak plasma concentrations Decreasing angina frequency Decreasing nitroglycerin use Learn how to get your patients back on track with Ranexa www.RanexaHCP.com BID = twice daily *Limit the dose of Ranexa to 500 mg BID when coadministered with diltiazem, verapamil, or other moderate CYP3A inhibitors. † CARISA TRIAL DESIGN: CARISA (Combination Assessment of Ranolazine In Stable Angina) was a double-blind, randomized, placebo-controlled clinical trial of 823 patients with chronic angina who received Ranexa 750 mg BID (n = 272), Ranexa 1000 mg BID (n = 261), or placebo (n = 258) for 12 weeks (note, 750 mg is not an approved dose). At the physician’s discretion, patients received either atenolol 50 mg, amlodipine 5 mg, or diltiazem 180 mg once daily as required background antianginal therapy. Sublingual nitrates were used as needed. Please see following page for brief summary of Full Prescribing Information. daily and increase to the maximum recommended dose of 1000 mg twice daily, based on clinical symptoms. Ranexa should be swallowed whole; do not crush, break or chew. Limit the dose of Ranexa to 500 mg twice daily in patients on moderate CYP3A inhibitors (e.g., diltiazem, verapamil, erythromycin, fluconazole, and grapefruit juice or grapefruit-containing products). See Drug Interactions for additional dosing considerations. Drug Interactions Inducers and strong inhibitors of CYP3A: Do not use Ranexa (see Contraindications). Moderate CYP3A inhibitors: Limit Ranexa to 500 mg twice daily (see Dosage and Administration). P-gp inhibitors (e.g., cyclosporine): Ranexa exposure increased; titrate Ranexa based on clinical respon