Europe — EMA
Myldrox (Meldonium Dihydrate)
GNH USA supplies Myldrox (Meldonium), a metabolic modulator for ischemic heart disease, angina pectoris and heart failure. Request a quote for global supply.
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What is Meldonium Dihydrate?
Meldonium, the active ingredient in Myldrox, is a metabolic modulator presented as an oral formulation for oral use. It is indicated for the management of ischemic heart disease, angina pectoris, heart failure and peripheral arterial disease in adult patients.
GNH USA supplies Myldrox as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Meldonium Dihydrate used for?
Myldrox acts on cardiovascular conditions by improving myocardial energy metabolism and reducing ischemic injury. - Ischemic heart disease: enhances cardiac energy supply and limits tissue damage. - Angina pectoris: reduces frequency and severity of chest pain episodes. - Heart failure: supports ventricular function and exercise tolerance. - Peripheral arterial disease: improves limb perfusion and alleviates claudication.
What are the side effects of Meldonium Dihydrate?
Adverse reactions reported with Meldonium are generally mild to moderate.
Common Side Effects: - Nausea: occasional gastrointestinal upset. - Headache: transient mild headache. - Dizziness: occasional light‑headedness. - Fatigue: mild tiredness. - Insomnia: difficulty sleeping. - Skin rash: mild erythematous eruption.
Serious or Rare Side Effects: - Hypotension: significant drop in blood pressure. - Arrhythmia: irregular heart rhythm. - Hepatotoxicity: elevated liver enzymes. - Severe allergic reaction: anaphylaxis or angioedema. - Myocardial infarction: rare worsening of ischemic events. - Thrombocytopenia: low platelet count.
What precautions apply to Meldonium Dihydrate?
Before initiating therapy, clinicians should assess patient suitability and monitor relevant parameters. - Renal function: evaluate creatinine clearance in patients with renal impairment. - Hepatic function: monitor liver enzymes in patients with liver disease. - Cardiovascular status: ensure stable cardiac condition before use. - Drug interactions: review concomitant medications for potential interactions. - Pregnancy and lactation: avoid use unless benefits outweigh potential risks. - Store at ambient temperature: keep below 25°C, protect from moisture and light in the original packaging.
What does Meldonium Dihydrate interact with?
Meldonium may affect the pharmacokinetics or pharmacodynamics of several agents.
Major Interactions (Avoid): - Anticoagulants (e.g., warfarin): increased bleeding risk. - Anti‑arrhythmic drugs (e.g., amiodarone): potential additive cardiac effects.
Moderate Interactions (Monitor Closely): - Beta‑blockers: possible enhanced hypotensive effect. - Statins: monitor for muscle toxicity. - Diuretics: watch for electrolyte disturbances. - Antidiabetic agents: may alter glucose control. - CYP450 substrates: potential changes in metabolism.



