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title: "Meldonium: Dosing &amp; Vendor Prices — BodyHackGuide"
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![Meldonium molecular structure](/assets/peptide-structure-placeholder-DUmZBF_j.png)

# Meldonium

Pharmaceutical Approved (Latvia) 

Download  PDF

Also known as: Mildronate, Meldonium dihydrate, MET-88, Quaterin, 3-(2,2,2-trimethylhydrazinium)propionate, THP 

Meldonium, sold as Mildronate, was developed at the Latvian Institute of Organic Synthesis (PMID: 12242052) and is a licensed cardiovascular medicine in Latvia and a number of eastern European and post-Soviet countries. It has never been approved in the United States or the European Union as a whole.

Half-Life:  Not a single simple value: in 32 healthy athlete volunteers taking oral meldonium for three weeks, plasma took several days to reach steady state and urinary elimination continued for several months after the last dose, because tissue clearance depends on slow diffusion rather than transport (PMID: 30328291) Route:  Oral, Intravenous injection MW:  146.19 g/mol CAS:  76144-81-5 

Last reviewed: Sep 7, 2026 

[

Pharmaceutical

Category



](/wiki#cat-pharmaceutical)

Approved (Latvia)

Research Stage

OverviewChemical InfoDosing & ProtocolsInteractionsResearchCompare Prices1 Related

## Overview

### Best Price Available

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Disguised Alpha

$69.99

60 capsules · capsule

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### At A Glance

Mechanism 

Meldonium is a structural analog of gamma-butyrobetaine, the precursor of carnitine. It inhibits gamma-butyrobetaine hydroxylase, reducing carnitine biosynthesis, and it is the most potent clinically used inhibitor of the organic cation transporter OCTN2 (SLC22A5), which handles … 

Half-Life 

Not a single simple value: in 32 healthy athlete volunteers taking oral meldonium for three weeks, plasma took several days to reach steady state and urinary elimination continued for several months after the last dose, because tissue clearance depends on slow diffusion rather than transport (PMID: 30328291)

Routes 

Oral Intravenous injection 

Potential Benefits 

Increased total bicycle exercise time by a mean of 35 seconds versus a 7 second decrease on placebo in one dose group of 512 patients with stable angina over twelve weeks (PMID: 22186118) Lowered tissue carnitine and long-chain acylcarnitines, shifting cardiac energy metabolism toward glucose oxidation, as described in mechanism reviews of its cardioprotective action (PMID: 26850121) Reduced renal acute ischemia and reperfusion injury in rats (PMID: 31731785) Improved cardiac function during ischemia through carnitine lowering, as described in mechanism reviews of its cardioprotective action (PMID: 12242052) 

### Overview

Meldonium, sold as Mildronate, was developed at the Latvian Institute of Organic Synthesis (PMID: 12242052) and is a licensed cardiovascular medicine in Latvia and a number of eastern European and post-Soviet countries. It has never been approved in the United States or the European Union as a whole. Most English-speaking readers first heard of it in 2016, when it appeared on the WADA prohibited list and a wave of positive tests followed. Its mechanism is unusual and worth understanding. Meldonium is the most potent clinically used inhibitor of the carnitine transporter OCTN2, and it also inhibits gamma-butyrobetaine hydroxylase, the enzyme that makes carnitine. Blocking both lowers tissue carnitine, and since carnitine is the shuttle that carries long-chain fatty acids into mitochondria, the cell shifts from burning fat toward burning glucose (PMID: 12242052; PMID: 26850121). Under low-oxygen conditions glucose oxidation needs less oxygen per unit of ATP, which is the basis for the anti-ischemic claim. The best human trial is MILSS I, a randomized, double-blind, placebo-controlled study of 512 patients with stable angina across 72 centers in four countries, testing four daily doses against placebo on top of standard therapy over twelve weeks. The primary endpoint was change in bicycle exercise time. Two lower dose groups did not separate from placebo. The 1000 mg group increased total exercise time by a mean of 35 seconds compared with a 7 second decrease on placebo, and the highest dose group did worse than the middle one (PMID: 22186118). That is a real but modest effect in patients whose exercise was limited by cardiac ischemia. Whether it helps healthy athletes is a different question, and the sports medicine reviews are not encouraging. A narrative review concluded that the performance benefit is speculative and discussed without sound scientific evidence (PMID: 27465696), and a 2026 review revisiting the ergogenic evidence reached similar conclusions (PMID: 42344756). The pharmacokinetics are the strangest part. Because meldonium competes with carnitine for OCTN2-mediated transport, it accumulates in muscle during treatment and then leaves slowly by diffusion. In 32 healthy athlete volunteers given oral meldonium for three weeks, plasma steady state took several days and urinary elimination continued for months after the last dose (PMID: 30328291). In mice, giving carnitine or gamma-butyrobetaine speeds elimination by competing for the same transporter (PMID: 27983775). This is why athletes tested positive long after they stopped, and it is also why meldonium residues have been found in milk as a possible inadvertent doping route (PMID: 34448364). Capsules sold as meldonium dihydrate are a foreign prescription drug being distributed outside any prescribing system.

### Potential Research Fields

Carnitine metabolism Cardioprotection Ischemia Sports drug testing 

## Chemical Information

IUPAC Name

Not yet available 

CAS Number

76144-81-5

Molecular Formula

C6H14N2O2

Molecular Mass

146.19 g/mol

![Meldonium molecular structure](https://pubchem.ncbi.nlm.nih.gov/rest/pug/compound/cid/123868/PNG)

[View on PubChem](https://pubchem.ncbi.nlm.nih.gov/compound/123868)

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## Interactions

### Contraindications

Regulatory rather than pharmacological in most cases: meldonium is prohibited at all times in tested sport and its months-long elimination window means stopping before competition does not clear it (PMID: 30328291). Mechanism-based caution applies to anyone with a carnitine deficiency disorder or on carnitine supplementation, since the drug directly opposes carnitine transport and biosynthesis (PMID: 27983775). It is not an approved medicine in the United States or the European Union, so no prescriber-supervised use exists there. No adequate pregnancy, lactation or pediatric data have been published in English-language literature.

Research Disclaimer

This interaction data is compiled from published research and community reports. It may not be exhaustive. Always consult a healthcare professional before combining compounds.

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### Related Compounds

[View All](/wiki)

[

### Albuterol (salbutamol)

Pharmaceutical FDA Approved 

Albuterol, called salbutamol outside the United States, is a beta-2 adrenergic agonist and a standard asthma medicine worldwide.

t½ Mean terminal half-life 3.8 hours after intravenous administration in 16 healthy adult men, with absolute oral bioavailability of 44 percent and plasma peaks one to three hours after oral administration (PMID: 3653233) 

Preclinical View Profile 

](/compound/albuterol)[

### Clascoterone

Pharmaceutical Preclinical 

Clascoterone (brand name Winlevi; development codes CB-03-01 and, for the alopecia formulation, Breezula) is a first-in-class topical androgen receptor (AR) antagonist approved by the U.S.

1188 studies View Profile 

](/compound/clascoterone)[

### Finasteride

Pharmaceutical Preclinical 

Finasteride is an orally-active selective type II 5α-reductase inhibitor that blocks the conversion of testosterone to dihydrotestosterone (DHT), the primary androgenic driver of both benign prostatic hyperplasia (BPH) and androgenetic alopecia (male-pattern hair loss).

Preclinical View Profile 

](/compound/finasteride)[

### Mirabegron

Pharmaceutical FDA Approved 

Mirabegron is an approved prescription drug, not a research chemical.

t½ Terminal half-life about 32 hours in one phase 1 multiple-dose study and about 60 hours in a second, with plasma peaks at three to five hours and steady state within seven days in healthy young and elderly adults (PMID: 23063375) 

Preclinical View Profile 

](/compound/mirabegron)[

### Tropisetron

Pharmaceutical Approved (Japan) 

Tropisetron, coded ICS 205-930 during development and marketed as Navoban, is a serotonin 5-HT3 receptor antagonist approved as an antiemetic in Japan and in many other countries outside the United States, with ATC code A04AA03 (KEGG DRUG D02041, D02130).

t½ About 5.7 h after a single 5 mg oral capsule and 5.6 h after 2 mg intravenously in 18 healthy volunteers; oral bioavailability averaged 0.60 with a range of 0.27 to 0.99 and was inversely related to CYP2D6 activity (PMID: 11736884) 

Preclinical View Profile 

](/compound/tropisetron)

[

View Full Dosage Guide →

Protocols, calculator & safety for Meldonium



](/guides/dosage/meldonium)

### Best Price

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Disguised Alpha

$69.99

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1 vendors · 1 listings

### Research Score

30 

0 PubMed studies

### Quality Indicators

Data Completeness

63% 

Description 

Mechanism of Action 

Chemical Data 

Dosing Protocols 

Safety Profile 

PubMed Studies 

Interactions 

Vendor Listings 

### Quick Facts

Half-Life

Not a single simple value: in 32 healthy athlete volunteers taking oral meldonium for three weeks, plasma took several days to reach steady state and urinary elimination continued for several months after the last dose, because tissue clearance depends on slow diffusion rather than transport (PMID: 30328291)

Molecular Weight

146.19 g/mol

Administration

Oral, Intravenous injection

CAS Number

76144-81-5

Trial Phase

Approved (Latvia)

0

[Full Dosage Guide](/guides/dosage/meldonium)[Calculate Your Dose](/tools/reconstitution)

Research Disclaimer

This information is for educational and research purposes only. Not intended as medical advice. Consult a healthcare professional before use.

## Frequently Asked Questions

What is Meldonium used for in research?

Meldonium, sold as Mildronate, was developed at the Latvian Institute of Organic Synthesis (PMID: 12242052) and is a licensed cardiovascular medicine in Latvia and a number of eastern European and post-Soviet countries. It has never been approved in the United States or the European Union as a whole. Most English-speaking readers first heard of it in 2016, when it appeared on the WADA prohibited list and a wave of positive tests followed.

Its mechanism is unusual and worth understanding. Meldonium is the most potent clinically used inhibitor of the carnitine transporter OCTN2, and it also inhibits gamma-butyrobetaine hydroxylase, the enzyme that makes carnitine. Blocking both lowers tissue carnitine, and since carnitine is the shuttle that carries long-chain fatty acids into mitochondria, the cell shifts from burning fat toward burning glucose (PMID: 12242052; PMID: 26850121). Under low-oxygen conditions glucose oxidation needs less oxygen per unit of ATP, which is the basis for the anti-ischemic claim.

The best human trial is MILSS I, a randomized, double-blind, placebo-controlled study of 512 patients with stable angina across 72 centers in four countries, testing four daily doses against placebo on top of standard therapy over twelve weeks. The primary endpoint was change in bicycle exercise time. Two lower dose groups did not separate from placebo. The 1000 mg group increased total exercise time by a mean of 35 seconds compared with a 7 second decrease on placebo, and the highest dose group did worse than the middle one (PMID: 22186118). That is a real but modest effect in patients whose exercise was limited by cardiac ischemia.

Whether it helps healthy athletes is a different question, and the sports medicine reviews are not encouraging. A narrative review concluded that the performance benefit is speculative and discussed without sound scientific evidence (PMID: 27465696), and a 2026 review revisiting the ergogenic evidence reached similar conclusions (PMID: 42344756).

The pharmacokinetics are the strangest part. Because meldonium competes with carnitine for OCTN2-mediated transport, it accumulates in muscle during treatment and then leaves slowly by diffusion. In 32 healthy athlete volunteers given oral meldonium for three weeks, plasma steady state took several days and urinary elimination continued for months after the last dose (PMID: 30328291). In mice, giving carnitine or gamma-butyrobetaine speeds elimination by competing for the same transporter (PMID: 27983775). This is why athletes tested positive long after they stopped, and it is also why meldonium residues have been found in milk as a possible inadvertent doping route (PMID: 34448364).

Capsules sold as meldonium dihydrate are a foreign prescription drug being distributed outside any prescribing system.

What forms does Meldonium come in?

Meldonium is available in capsule form.

How much does Meldonium cost?

Prices start at $69.99 across 1 verified vendor.

How do I compare Meldonium vendors?

Compare prices, payment methods, shipping, and COA scores across 1 vendor.

## Research Tools

[

### Peptide Calculator

Reconstitution & syringe units



](/tools/reconstitution)[

### Reconstitution Guide

How to mix, step by step



](/guides/how-to-reconstitute-peptides)[

### Nasal Spray Calc

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](/tools/intranasal)[

### Half-Life Visualizer

Decay curves



](/tools/halflife)

## Related Compounds

[View All](/wiki)

[

### Albuterol (salbutamol)

Pharmaceutical FDA Approved 

Albuterol, called salbutamol outside the United States, is a beta-2 adrenergic agonist and a standard asthma medicine worldwide.

t½ Mean terminal half-life 3.8 hours after intravenous administration in 16 healthy adult men, with absolute oral bioavailability of 44 percent and plasma peaks one to three hours after oral administration (PMID: 3653233) 

Preclinical View Profile 

](/compound/albuterol)[

### Clascoterone

Pharmaceutical Preclinical 

Clascoterone (brand name Winlevi; development codes CB-03-01 and, for the alopecia formulation, Breezula) is a first-in-class topical androgen receptor (AR) antagonist approved by the U.S.

1188 studies View Profile 

](/compound/clascoterone)[

### Finasteride

Pharmaceutical Preclinical 

Finasteride is an orally-active selective type II 5α-reductase inhibitor that blocks the conversion of testosterone to dihydrotestosterone (DHT), the primary androgenic driver of both benign prostatic hyperplasia (BPH) and androgenetic alopecia (male-pattern hair loss).

Preclinical View Profile 

](/compound/finasteride)[

### Mirabegron

Pharmaceutical FDA Approved 

Mirabegron is an approved prescription drug, not a research chemical.

t½ Terminal half-life about 32 hours in one phase 1 multiple-dose study and about 60 hours in a second, with plasma peaks at three to five hours and steady state within seven days in healthy young and elderly adults (PMID: 23063375) 

Preclinical View Profile 

](/compound/mirabegron)[

### Tropisetron

Pharmaceutical Approved (Japan) 

Tropisetron, coded ICS 205-930 during development and marketed as Navoban, is a serotonin 5-HT3 receptor antagonist approved as an antiemetic in Japan and in many other countries outside the United States, with ATC code A04AA03 (KEGG DRUG D02041, D02130).

t½ About 5.7 h after a single 5 mg oral capsule and 5.6 h after 2 mg intravenously in 18 healthy volunteers; oral bioavailability averaged 0.60 with a range of 0.27 to 0.99 and was inversely related to CYP2D6 activity (PMID: 11736884) 

Preclinical View Profile 

](/compound/tropisetron)

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