Product image of Labigat (Ranolazine) supplied by GNH India

Labigat

Active Ingredient:
Ranolazine
Origin:
EU

Labigat (Ranolazine)

Ranolazine, the active ingredient in Labigat, is an antianginal agent presented as an oral formulation for oral use. It is used to treat chronic stable angina and other forms of angina pectoris in adults.
GNH India supplies Labigat as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Pharmathen S.A.

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Indications & Clinical Uses

Labigat (ranolazine) is employed in the management of chronic stable angina and related ischemic heart conditions.

  • Chronic stable angina: reduces frequency of angina attacks and improves exercise tolerance.
  • Angina pectoris: alleviates chest pain associated with myocardial ischemia.
  • Ischemic heart disease: contributes to overall symptom control when conventional therapies are insufficient.

How It Works

  • Ranolazine selectively inhibits the late inward sodium current (I_NaL) in cardiac myocytes. This reduces intracellular sodium accumulation, which in turn limits calcium overload via the Na⁺/Ca²⁺ exchanger. The resulting improvement in myocardial relaxation and coronary perfusion helps to relieve angina without significantly affecting heart rate or blood pressure.

Side Effects

Ranolazine may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Dizziness: transient light‑headedness reported by some patients.
  • Nausea: mild to moderate gastrointestinal upset.
  • Constipation: reduced bowel movements during therapy.

Serious or Rare Side Effects

  • QT interval prolongation: may predispose to ventricular arrhythmias.
  • Severe hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Hypersensitivity reactions: rash, angioedema, or anaphylaxis in rare cases.

Precautions & Warnings

When prescribing Labigat, clinicians should consider several safety measures.

  • Renal impairment: adjust dose or monitor renal function closely.
  • Hepatic impairment: use caution and consider dose reduction.
  • QT prolongation risk: obtain baseline ECG and monitor periodically.
  • Concomitant strong CYP3A4 inhibitors: avoid or adjust therapy.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Ranolazine can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase ranolazine levels.
  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce efficacy.
  • Other QT‑prolonging agents (e.g., sotalol, amiodarone): additive risk of arrhythmia.

Moderate Interactions (Monitor Closely)

  • Digoxin: may increase serum concentrations.
  • Anticoagulants (e.g., warfarin): monitor INR for potential changes.
  • Antihypertensives (e.g., beta‑blockers): observe for enhanced blood pressure effects.

Frequently Asked Questions

Labigat contains ranolazine and is indicated for the treatment of chronic stable angina and angina pectoris. It helps reduce the frequency of chest pain episodes and improves exercise tolerance in patients with ischemic heart disease when standard therapies are insufficient.

Ranolazine blocks the late inward sodium current in heart muscle cells, decreasing intracellular sodium and secondary calcium overload. This action improves myocardial relaxation and coronary blood flow without markedly changing heart rate or blood pressure, thereby relieving angina symptoms.

The specific dose of Labigat is determined by the prescribing physician based on the individual’s clinical condition, renal function, and response to therapy. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety data for ranolazine in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made in consultation with a healthcare professional.

To order Labigat, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Compared with beta‑blockers or calcium‑channel blockers, ranolazine does not significantly affect heart rate or blood pressure, making it useful as add‑on therapy. Its unique mechanism targeting the late sodium current offers symptom relief for patients who remain symptomatic despite conventional antianginal agents.

Labigat should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture, direct sunlight, and excessive heat to maintain its stability and potency throughout its shelf life.

Labigat is taken orally, usually with or without food, as directed by the prescribing clinician. The tablets should be swallowed whole with a glass of water and not crushed or chewed unless otherwise instructed.

The most serious risks include QT interval prolongation, which can lead to ventricular arrhythmias, severe hepatic dysfunction, and rare hypersensitivity reactions such as angioedema or anaphylaxis. Patients should be monitored for these events, especially when taking other QT‑prolonging drugs.

Labigat is contraindicated in patients with known prolonged QT syndrome, severe hepatic impairment, or those taking strong CYP3A4 inhibitors without dose adjustment. It should also be avoided in individuals with a history of serious hypersensitivity to ranolazine or any of its excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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