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Trimetazidine 80 mg is an anti-anginal and metabolic modulator used to manage chronic stable angina. It works by improving the heart muscle’s energy efficiency during low oxygen supply, helping reduce chest pain and enhance exercise tolerance. Unlike traditional heart medicines that affect heart rate or blood pressure, Trimetazidine protects heart cells from damage during oxygen deprivation. Regular use helps maintain better cardiac function, particularly in patients with long-standing coronary artery disease.
Trimetazidine is a prescription medicine used for the long-term management of chronic stable angina. It belongs to the group of metabolic anti-ischaemic agents that improve how heart muscle cells utilise oxygen. Unlike nitrates, beta-blockers, or calcium channel blockers, which directly influence heart rate or blood pressure, Trimetazidine acts at the cellular level by optimising energy metabolism. It promotes the shift from fatty acid oxidation to glucose oxidation, a more efficient energy pathway during episodes of reduced blood flow to the heart. This enhances the heart’s resistance to ischaemia, reduces the frequency of angina attacks, and helps patients perform daily activities with fewer symptoms.
Trimetazidine 80 mg is generally prescribed as part of combination therapy for angina, especially when first-line medicines alone do not adequately control symptoms. It supports long-term cardiac stability and may help reduce the chances of chest pain triggered by physical exertion, stress, or cold weather. The medicine does not significantly affect blood pressure or pulse rate, making it suitable for patients who cannot tolerate haemodynamic changes caused by other anti-anginal drugs.
Regular use is essential for maintaining therapeutic benefits, as Trimetazidine works cumulatively over time rather than providing immediate relief of acute chest pain. Patients should continue taking the medicine as prescribed and should not discontinue it abruptly without medical advice. For optimal cardiac protection, Trimetazidine should be used alongside lifestyle modifications, such as a heart-healthy diet, controlled exercise, smoking cessation, and regular monitoring of cardiovascular risk factors.
1. Enhances Heart Energy Efficiency
Trimetazidine improves the metabolic functioning of heart cells, helping them produce energy more efficiently during reduced blood flow. This protects the heart from ischaemia-related damage.
2. Reduces Frequency of Angina Attacks
With regular use, it decreases chest pain episodes and stabilises symptoms, making daily activities easier and more comfortable.
3. Suitable for Patients Unsuitable for Other Angina Medicines
Since Trimetazidine does not significantly impact heart rate or blood pressure, it can be used in patients who are intolerant to traditional anti-anginal drugs.
1. Pregnancy - Severe
Use is not recommended during pregnancy unless clearly needed. Discuss risks and benefits with your doctor.
2. Breastfeeding - Severe
Avoid Trimetazidine while breastfeeding, as safety data is limited.
3. Driving - Moderate
Trimetazidine may cause dizziness, drowsiness, or movement disorders. Avoid driving if affected.
4. Alcohol - Moderate
Limit alcohol intake as it may increase dizziness and impair cardiac stability.
5. Food & Lifestyle - Mild to Moderate
Trimetazidine can be taken with or without food. However, taking it after meals may help reduce nausea or stomach discomfort.
Avoid:
There are no major food interactions, but maintaining healthy dietary habits is essential for angina management.
Some medications may interact with Trimetazidine, increasing side effects or reducing effectiveness. Always inform your doctor about all the medicines you are taking.
Possible interactions with:
Trimetazidine should be used cautiously in certain medical conditions. Discuss your full medical history with your doctor before starting treatment. Use with caution in:
The typical dose is one 80 mg prolonged-release tablet taken twice daily or as directed by your cardiologist. Do not exceed the prescribed dose. Continue long-term therapy for stable control of angina symptoms.
Taking more than the prescribed dose may cause severe dizziness, nausea, headaches, or movement disorders. Seek immediate medical attention. Supportive care may be required.
If you miss a dose, take it as soon as you remember. If it is nearly time for your next dose, skip the missed dose and continue with your regular schedule. Do not take extra tablets to make up for a forgotten dose. Maintaining a consistent dosing routine is important for optimal angina control, so consider setting reminders.
https://go.drugbank.com/drugs/DB09069
https://www.ema.europa.eu/en/medicines/human/referrals/trimetazidine
Therapeutic Class
Cardiovascular / Anti-Anginal
Action Class
Metabolic Anti-Ischaemic Agent
Chemical Class
Piperazine derivatives
Habit Forming
No
PlatinumRx is dedicated to delivering dependable and trustworthy information to empower our customers. However, the information presented here is solely for general informational purposes and should not be utilized for diagnosing, preventing, or treating health issues. It is not intended to establish a doctor-patient relationship or serve as a substitute for professional medical advice.
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