Europe — EMA
Myldrox (Meldonium Dihydrate)
GNH USA supplies Myldrox (Meldonium Dihydrate), a metabolic modulator for ischemic heart disease and heart failure, worldwide. Request a quote for supply.
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What is Meldonium Dihydrate?
Meldonium Dihydrate, the active ingredient in Myldrox, is a metabolic modulator presented as an intravenous solution for intravenous use. It is used to support cardiac energy metabolism in patients with certain cardiovascular conditions. GNH USA supplies Myldrox as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.
What is Meldonium Dihydrate used for?
Meldonium Dihydrate is employed in cardiovascular conditions that involve impaired myocardial energy metabolism.
- Ischemic heart disease: improves myocardial energy efficiency and may reduce angina episodes. - Heart failure: supports cardiac contractility by shifting metabolism toward glucose utilization. - Peripheral vascular disease: enhances tissue perfusion by optimizing cellular energy production.
What are the side effects of Meldonium Dihydrate?
Meldonium Dihydrate may be associated with several adverse reactions, which are categorized by frequency.
Common Side Effects: - Headache: mild to moderate intensity. - Nausea: occasional, often transient. - Dizziness: may occur during infusion. - Insomnia: difficulty initiating sleep. - Mild hypotension: transient blood pressure drop. - Injection site irritation: redness or discomfort.
Serious or Rare Side Effects: - Arrhythmia: abnormal heart rhythm. - Severe hypotension: marked blood pressure reduction. - Anaphylactic reaction: signs of severe allergy. - Elevated liver enzymes: possible hepatic involvement. - Renal impairment: reduced kidney function. - Thrombocytopenia: low platelet count.
What precautions apply to Meldonium Dihydrate?
When using Meldonium Dihydrate, consider the following precautions to ensure safe administration.
- Cardiovascular assessment: evaluate baseline cardiac function. - Blood pressure monitoring: watch for hypotensive episodes. - Renal function: assess creatinine clearance before infusion. - Pregnancy safety: avoid use unless benefits outweigh risks. - Concomitant drugs: review for agents affecting carnitine metabolism. - Store at ambient temperature: keep in original packaging, protect from moisture and direct sunlight.
What does Meldonium Dihydrate interact with?
Meldonium Dihydrate can interact with other medicines; the interactions are grouped by clinical significance.
Major Interactions (Avoid): - Strong CYP450 inhibitors: may increase Meldonium exposure. - Anticoagulants: heightened risk of bleeding. - Other metabolic modulators: additive effects on energy pathways.
Moderate Interactions (Monitor Closely): - Beta‑blockers: potential additive hypotensive effect. - Diuretics: monitor electrolyte balance. - Statins: observe for muscle-related side effects.



