Product image of Lazela (Ranolazine) supplied by GNH India

Lazela

Active Ingredient:
Ranolazine
Origin:
EU

Lazela (Ranolazine)

Ranolazine, the active ingredient in Lazela, is a antianginal agent presented as an oral dosage form for oral use. It treats chronic stable angina in adults, helping to reduce the frequency of chest pain episodes and improve exercise tolerance.

GNH India supplies Lazela as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

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Indications & Clinical Uses

  • Lazela is an antianginal medication indicated for conditions affecting myocardial oxygen supply and demand.
  • Chronic stable angina: reduces the frequency of angina attacks and improves exercise capacity.
  • Ischemic heart disease: enhances myocardial perfusion during physical exertion.
  • Refractory angina: may be added as adjunct therapy when standard antianginals are insufficient.

How It Works

  • Ranolazine inhibits the late inward sodium current (I_NaL) in cardiac myocytes, which decreases intracellular sodium accumulation. This reduction limits calcium overload via the sodium‑calcium exchanger, leading to improved myocardial relaxation, enhanced coronary blood flow, and decreased myocardial oxygen consumption during stress.

Side Effects

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

Common Side Effects

  • Dizziness
  • Headache
  • Constipation
  • Nausea
  • Fatigue
  • Palpitations

Serious or Rare Side Effects

  • QT interval prolongation
  • Life‑threatening ventricular arrhythmias
  • Severe hypotension
  • Hepatic dysfunction
  • Pulmonary edema
  • Allergic skin reactions such as Stevens‑Johnson syndrome

Precautions & Warnings

  • Before initiating Lazela, several safety considerations should be reviewed.
  • Monitor ECG: assess QT interval baseline and during therapy.
  • Assess renal function: dose adjustment may be required in renal impairment.
  • Evaluate hepatic status: avoid in severe hepatic dysfunction.
  • Avoid in patients with known QT prolongation or congenital long‑QT syndrome.
  • Review concomitant medications: especially other QT‑prolonging agents.
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Ranolazine interacts with several drug classes; awareness of the interaction level guides clinical management.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase ranolazine exposure.
  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce therapeutic effect.
  • Other QT‑prolonging antiarrhythmics (e.g., dofetilide, sotalol): risk of severe arrhythmias.

Moderate Interactions (Monitor Closely)

  • Digoxin: may increase serum digoxin concentrations.
  • Warfarin: potential alteration of anticoagulant effect, requiring INR monitoring.
  • Calcium channel blockers (e.g., diltiazem, verapamil): may modestly raise ranolazine levels.

Frequently Asked Questions

Lazela contains ranolazine, which is prescribed to manage chronic stable angina. It helps reduce the frequency of chest pain episodes and improves patients' ability to perform physical activity by enhancing myocardial blood flow and decreasing oxygen demand.

Ranolazine blocks the late inward sodium current in heart muscle cells, lowering intracellular sodium. This action reduces calcium overload, leading to better relaxation of the heart muscle, improved coronary perfusion, and a decrease in the heart’s oxygen consumption during stress.

The exact dosage of Lazela is determined by the prescribing clinician based on the individual’s clinical condition, renal function, and response to therapy. Physicians typically start with a low dose and may adjust it to achieve optimal symptom control while monitoring safety.

Ranolazine’s safety category in pregnancy is not clearly established, and limited data are available for lactating women. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To request Lazela, 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.

Unlike beta‑blockers or nitrates, ranolazine does not significantly affect heart rate or blood pressure. It is often added when standard therapies are insufficient, offering a different mechanism—late sodium current inhibition—that can improve angina control without the hemodynamic effects seen with some alternatives.

Lazela should be stored at ambient temperature, below 25 °C, in its original packaging. Keep the product away from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability throughout its shelf life.

Lazela is taken orally, usually with or without food, as directed by the prescriber. Tablets should be swallowed whole with a full glass of water and not crushed or chewed, unless the prescribing information specifically allows an alternative method.

The most critical safety concerns include QT interval prolongation, which can lead to life‑threatening ventricular arrhythmias, severe hypotension, and hepatic dysfunction. Patients should be monitored for cardiac rhythm changes and liver function abnormalities during treatment.

Lazela is contraindicated in individuals with known prolonged QT interval, congenital long‑QT syndrome, severe hepatic impairment, or those taking other medications that markedly prolong the QT interval. It should also be avoided in patients with a history of serious arrhythmias unless closely supervised.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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