PROGRESS JOURNAL. Use this journal to help you keep a record of how your angina is affecting you, then share it with your cardiologist

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1 PROGRESS JOURNAL Use this journal to help you keep a record of how your angina is affecting you, then share it with your cardiologist Please see full Prescribing Information, including Patient Information, which is included with this booklet.

2 Using your Progress Journal Keeping track of how you re doing since you started treatment with Ranexa (ranolazine) can help you see if your angina is improving. Your Progress Journal can help. Here s how to use it: Fill out the page on the right before you start treatment with Ranexa. At the beginning of each week, check the appropriate box for your Ranexa dosage on a new Journal page. Every day, write down the date and answer the questions based on how your angina affected your daily. Each week, turn to the next page and do the same thing. Fill out the last page when you have completed your Progress Journal. Take your journal with you to your cardiologist appointments. What is Ranexa? Ranexa is a prescription medicine used to treat adults with angina that keeps coming back (chronic angina). Ranexa may be used with other medicines that are used for heart problems and blood pressure control. IMPORTANT SAFETY INFORMATION Who should not take Ranexa? Do not take Ranexa if: you take any of the following medicines: for fungus infection: ketoconazole (Nizoral), itraconazole (Sporanox, Onmel) for infection: clarithromycin (Biaxin) for depression: nefazodone for HIV: nelfinavir (Viracept), ritonavir (Norvir), lopinavir and ritonavir (Kaletra), indinavir (Crixivan), saquinavir (Invirase). for tuberculosis (TB): rifampin (Rifadin), rifabutin (Mycobutin), rifapentine (Priftin) PROGRESS JOURNAL for seizures: phenobarbital, phenytoin (Phenytek, Dilantin, Dilantin-125), carbamazepine (Tegretol) the herbal supplement St. John s wort you have scarring (cirrhosis) of your liver For more Important Safety Information about Ranexa, see page 14. For more information about Ranexa, please read the full Prescribing Information, including Patient Information, enclosed with this booklet. Fill out this section before starting your Ranexa treatment Date: I can walk for minutes before I get angina. I have my normal I have I use I have angina when I am: resting dressing or bathing times per week. walking at an ordinary pace walking uphill or quickly climbing stairs working around the house or in the yard times per week. times per week. feeling stressed having sex moving heavy objects in hot or cold weather eating large meals smoking cigarettes other times How much do you agree with the following statements, on a scale of 1-5, where 1 is Don t agree and 5 is Completely agree? I am able to do the things I want to do I worry about my angina I expect my angina treatment to help me: walk farther without feeling angina have fewer episodes of angina use less 2 3

3 angina angina 4 5

4 angina angina 6 7

5 angina angina 8 9

6 angina angina 10 11

7 angina angina 12 13

8 angina Fill out this section after you complete the My Ranexa Connect Progress Journal Date: I can walk for minutes before I get angina. I have my normal times per week. I have times per week. I use times per week. I have angina when I am: resting dressing or bathing feeling stressed having sex walking at an ordinary pace walking uphill or quickly climbing stairs moving heavy objects in hot or cold weather eating large meals IMPORTANT SAFETY INFORMATION (continued from inside front cover) What are the possible side effects of Ranexa? Ranexa may cause serious side effects, including 14 changes in the electrical activity of your heart called QT prolongation. Your doctor may do tests to check the electrical activity of your heart. Tell your doctor right away if you feel faint, lightheaded, or feel your heart beating irregularly or fast, as these may be symptoms of QT prolongation. Also tell your doctor if you, or a family member, have a history of a heart problem called QT prolongation or long QT syndrome. kidney failure in people who already have severe kidney problems. Your doctor may need to do tests to check how your kidneys are working. The most common side effects of Ranexa include dizziness, headache, constipation and nausea. Tell your doctor if you have any side effect that bothers you or does not go away. For more Important Safety Information about Ranexa, see back cover. For more information about Ranexa, please read the full Prescribing Information, including Patient Information, enclosed with this booklet. working around the house or in the yard smoking cigarettes other times How much do you agree with the following statements, on a scale of 1-5 where 1 is Don t agree and 5 is Completely agree? I am able to do the things I want to do I worry about my angina Your cardiologist can use this worksheet to help make sure you are getting the most from your treatment. If your angina is not getting better, there may be more you can do: If your angina has not improved, be sure to tell your cardiologist about your symptoms and how you feel. Talk to your cardiologist he or she may want to change your dosage Did you stop treatment without talking to your cardiologist? Consider a follow-up visit; your cardiologist needs to know 15

9 IMPORTANT SAFETY INFORMATION (continued from previous page) What else do I need to know about taking Ranexa? Tell your doctor about all medical conditions you have and about all of the medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Ranexa may affect the way other medicines work and other medicines may affect how Ranexa works. Swallow Ranexa tablets whole. Do not crush, break, or chew Ranexa tablets. If you miss a dose of Ranexa, wait to take the next dose at your regular time. Do not take more than 1 dose at a time. Limit the amount of grapefruit products you eat or drink. Grapefruit can cause your blood levels of Ranexa to increase. Ranexa can cause dizziness, lightheadedness, or fainting. If you have these symptoms, do not drive a car, use machinery, or do anything that needs you to be alert. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit or call FDA For more information about Ranexa, please read the full Prescribing Information, including Patient Information, which is included with this booklet. For more information on treatment with Ranexa, visit Ranexa.com My Ranexa Connect and Ranexa Connect are trademarks, and the Ranexa, Gilead, My Ranexa Connect, and Ranexa Connect logos are registered trademarks, of Gilead Sciences, Inc. All other marks referenced herein are the property of their respective owners Gilead Sciences, Inc. All rights reserved. RANC0099 2/14