Meldonium (Mildronate): What it does and why it matters
Heard of meldonium and wondered what the fuss is about? This drug — also called mildronate — started life as a treatment for heart and circulation problems in Eastern Europe, then became famous after a 2016 sports ban. Below I’ll explain what it is, why athletes and regulators care, and what to watch for if you or someone you know is thinking about it.
What meldonium is and how it’s used
Meldonium was developed to help people with reduced blood flow to the heart and other tissues. Doctors in some countries prescribe it for angina, ischemia, and certain circulation issues. The idea is that meldonium can improve how cells use oxygen and energy during stress. That said, it’s not approved everywhere — the drug is common in parts of Europe and Asia but not licensed in the U.S. or several other countries.
Because meldonium can affect energy production, athletes looked to it for a possible performance edge. In 2016 the World Anti-Doping Agency (WADA) added meldonium to its banned list. Athletes who test positive for it face sanctions, so this remains a hot topic in sports medicine.
Safety, side effects, and legal issues
Side effects are usually mild but can include headache, nausea, and changes in blood pressure. Serious reactions are rare but possible. Drug interactions and individual health history matter — so don’t mix meldonium with other medicines without checking with a clinician.
Legally, rules vary. In places where it’s approved, doctors should prescribe and monitor it. If you’re an athlete, assume any use can trigger a positive doping test. If you travel, be aware that buying or importing meldonium can run into legal restrictions depending on the country.
Be careful with online sellers. Fake or low-quality products are common for drugs that are in demand. Use licensed pharmacies, check credentials, and ask a pharmacist or doctor if you’re unsure. If you find meldonium listed as an ingredient in supplements, treat that as a red flag — supplements aren’t always tested the same way as prescription drugs.
Want to know more? Ask your healthcare provider about approved treatments for heart or circulation issues and mention meldonium specifically if you have questions about risks or interactions. If sports are your concern, check WADA rules and talk to your team medical staff before taking anything new.
On this site you’ll find plain-language guides about medications, legal issues, and safety tips for buying medicines online. If meldonium is something you’re researching, look for official sources, peer-reviewed studies, and guidance from licensed clinicians to make a safe choice.