Managing multiple medications like your heart medicines?Lanoxin (digoxin), Concor (bisoprolol), Ranozek (ranolazine), Flavedon (trimetazidine), Spironide (spironolactone), and Ecosprin Gold?alongside diabetes treatments like Starvog (voglibose) and Reclide (gliclazide) requires careful timing. Because you have a comprehensive regimen, it is very important to have your specific hourly schedule reviewed by your cardiologist or pharmacist. Generally, diabetes medications are taken with meals, while heart medications must be spaced safely to prevent blood pressure or heart rate drops. Please share your exact schedule with your doctor to ensure it is perfectly tailored and safe for you.