Meldonium: What it is and how it works

Meldonium, also known as Mildronate, is a medication initially developed in Latvia. It’s a drug that affects the metabolism of carnitine, a molecule vital for energy production within cells.

Carnitine and Cellular Energy

Carnitine helps transport fatty acids into mitochondria, the powerhouses of cells. Meldonium inhibits carnitine’s transport, reducing the cell’s reliance on fatty acids for energy. Under conditions of oxygen deficiency (hypoxia), this shift can become significant.

Meldonium’s Effects

This mechanism leads to several effects: improved blood flow, reduced cell damage from stress, and enhanced oxygen utilization. These effects suggest potential benefits for conditions like heart disease and stroke where oxygen supply may be limited. However, its effects are complex and aren’t fully understood.

Important Considerations Regarding Use

The World Anti-Doping Agency (WADA) prohibits Meldonium use in sports. This is because its impact on endurance and recovery is significant, creating an unfair advantage. Research regarding its effectiveness for non-athletic purposes is ongoing, and more research is needed to fully understand long-term impacts.

Potential Side Effects

Potential side effects can include low blood pressure, changes in heart rhythm, and digestive issues. Consult a doctor before using Meldonium; self-medicating can be harmful. Always follow prescribed dosages carefully. Further research is needed to fully elucidate these side effects.