Europe — EMA
Myldroх (Meldonium Dihydrate)
GNH USA supplies Myldroх (Meldonium), a modulator for cardiovascular support in ischemic heart disease and heart failure. Request a quote for supply.
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What is Meldonium Dihydrate?
Meldonium, the active ingredient in Myldroх, is a metabolic modulator presented as an oral formulation for oral use. It is used to support cardiovascular function in adults with ischemic heart conditions. GNH USA supplies Myldroх as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Meldonium Dihydrate used for?
Meldonium is used in cardiovascular conditions where myocardial energy metabolism is compromised.
Ischemic heart disease: improves myocardial efficiency and reduces angina episodes. Chronic heart failure: supports cardiac output by enhancing glucose utilization. Peripheral arterial disease: helps alleviate intermittent claudication by improving tissue perfusion.
What are the side effects of Meldonium Dihydrate?
Meldonium may be associated with several adverse reactions, which are categorized by frequency and severity.
Common Side Effects: - Headache - Nausea - Dizziness - Insomnia - Gastrointestinal discomfort - Mild hypotension
Serious or Rare Side Effects: - Allergic reactions (rash, angioedema) - Severe hypotension - Cardiac arrhythmia - Elevated liver enzymes - Pancreatitis - Severe skin reactions (Stevens‑Johnson syndrome)
What precautions apply to Meldonium Dihydrate?
When prescribing Meldonium, clinicians should consider specific safety factors.
Renal impairment: adjust use and monitor renal function. Hepatic disease: use with caution, monitor liver enzymes. Concomitant antihypertensives: risk of additive hypotensive effect. Pregnancy and lactation: safety not established; avoid unless benefit outweighs risk. Elderly patients: monitor for increased sensitivity to side effects. Store at below 25°C: keep in original packaging, protect from moisture.
What does Meldonium Dihydrate interact with?
Meldonium can interact with other medicines; awareness of interaction severity is essential.
Major Interactions (Avoid): - Antihypertensive agents: may cause excessive blood pressure reduction. - Other metabolic modulators (e.g., trimetazidine): potential additive cardiac effects. - Drugs affecting carnitine metabolism (e.g., valproic acid): may interfere with Meldonium action.
Moderate Interactions (Monitor Closely): - Diuretics: monitor electrolytes and blood pressure. - Beta‑blockers: observe for bradycardia. - Statins: watch for increased risk of muscle complaints.



