Trimetazidine

Trimetazidine Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Trimetazidine is a brand name. Its generic name is Trimetazidine.

Introduction

Trimetazidine is a anti-ischemic drug that is used to treat symptoms of angina pectoris (chest pain). Often referred to as a ‘metabolic modulator’, it works by modulating the way that energy is used by cells in the body, which can reduce chest pain and improve the efficiency of the heart muscle.

Uses for

Trimetazidine is used to reduce the frequency of angina attacks in patients with stable angina, improve their ability to exercise without chest pain, and reduce the need for other antianginal medications. It is also used to prevent further damage to the heart in certain conditions, such as arrhythmias, myocardial ischemia or infarction, and cardiomyopathies.

Mechanism of Action

Trimetazidine works by modulating the way energy is used by cells in the body. The drug works by inhibiting a metabolic process called fatty acid oxidation, which results in less energy being expended and more energy being stored, allowing the heart to work more efficiently and reducing the frequency of angina attacks.

How Long Does it Take to Work?

Trimetazidine typically takes up to two weeks to take full effect and may require regular, long-term use for optimal effectiveness. While it is not recommended to abruptly stop or replace trimetazidine with another medication without consulting a doctor, the effects of trimetazdine usually diminish in a few days if treatment is discontinued.

Absorption

Trimetazidine is absorbed rapidly after oral administration, with peak plasma concentration achieved approximately 2 hours after the dose is taken. Bioavailability may vary depending on the formulation and route of administration.

Route of Elimination

Trimetazidine is eliminated primarily in the feces, with small amounts excreted in the urine.

Dosage

Trimetazidine is typically given in an oral dose ranging from 20 to 60 mg taken three times daily, with meals. Some formulations are available in higher, twice daily doses, and may be better tolerated for some patients. Dosage should be tailored to the specific needs of the patient, and should not exceed 60 mg per day.

Administration

Trimetazidine should be taken orally, preferably with meals to reduce side effects.

Side Effect

Common side effects of trimetazidine include abnormal taste in the mouth, constipation, nausea, diarrhea, and sleepiness. More serious side effects may include confusion and depression.

Toxicity

Trimetazidine is generally well-tolerated, with no evidence of significant toxicity at the recommended dosage. However, high doses may be associated with an increased risk of cardiac arrhythmias.

Precautions

Trimetazidine is not recommended in patients with kidney and liver disease, or those with history of arrhythmia or severe cardiac impairment. It should also be used with caution in patients with ischemic heart disease or congestive heart failure.

Interactions

Trimetazidine is known to interact with certain medications, including calcium channel blockers, anticoagulants, antihypertensives, and some antibiotics. It is important to tell your doctor about all medications you are taking prior to starting treatment with trimetazdine.

Disease Interactions

Trimetazidine should not be used in patients with conditions associated with elevated risk of arrhythmias, including hyperthyroidism, arrhythmia, or prolonged QT syndrome. It can also worsen congestive heart failure, and should not be used in patients with this condition.

Drug Interactions

Trimetazidine can interact with certain medications, including calcium channel blockers, anticoagulants, antihypertensives, and some antibiotics. It is important to tell your doctor about all medications you are taking prior to starting treatment with trimetazdine.

Food Interactions

Trimetazidine should be taken with food to reduce the risk of gastrointestinal side effects. Alcohol can also increase the risk of side effects.

Pregnancy Use

Trimetazidine has not been studied in pregnant women and is not recommended for use during pregnancy.

Lactation Use

Trimetazidine has not been studied in breastfeeding women and is not recommended for use while breastfeeding.

Acute Overdose

Symptoms of an acute overdose can include blurred vision, confusion, dizziness, and increased heartbeat. It is important to seek medical attention immediately if an overdose is suspected.

Contraindication

Trimetazidine should not be used in patients with conditions associated with elevated risk of arrhythmias, including hyperthyroidism, arrhythmia, or prolonged QT syndrome. It can also worsen congestive heart failure, and should not be used in patients with this condition.

Use Direction

Trimetazidine should be taken orally with meals, one to three times daily. The dosage should not exceed 60 mg per day.

Storage Condition

Trimetazidine should be stored in a cool, dry place, away from children.

Volume of Distribution

The volume of distribution of trimetazidine is unknown.

Half Life

The half-life of trimetazidine is approximately 5-6 hours.

Clearance

The clearance of trimetazidine is unknown.

Here you find in details version of Trimetazidine

Some Frequently Asked Questions About Trimetazidine

What is Trimetazidine?

Trimetazidine is an anti-ischaemic drug used to treat heart-related conditions and symptoms, such as angina and chest pain. It works by decreasing the amount of oxygen that the heart needs under stress, thereby reducing ischaemic symptoms and improving metabolism.

Is Trimetazidine addictive?

No, Trimetazidine is not known to be addictive.

How does Trimetazidine work?

Trimetazidine acts as an anti-ischaemic drug, and it works by decreasing the amount of oxygen the heart needs under stress. This reduces ischaemic symptoms and improves metabolism.

How long does Trimetazidine take to work?

The effects of Trimetazidine may vary from person to person, but it can usually start to show benefits within 4 to 6 weeks.

What are the side effects of Trimetazidine?

The most commonly reported side effects of Trimetazidine are fatigue, dry mouth, and dizziness. If you experience any other side effects such as an allergic reaction, or swelling in the legs and feet, contact your doctor or pharmacist immediately.

Does Trimetazidine interact with other medications?

Yes, Trimetazidine can interact with other medications, so it is important to tell your doctor or pharmacist about any other medications you are taking. Also, it is never advisable to take two medications together without consulting your doctor.

Can Trimetazidine be used for other purposes?

Trimetazidine is not indicated for any conditions other than those related to angina and chest pain. If you think you may be experiencing an unrelated condition, you should consult your doctor for proper diagnosis and treatment.

Can pregnant and breastfeeding women use Trimetazidine?

It is not recommended for pregnant and breastfeeding women to take Trimetazidine due to a lack of data to support its safe use. Always consult your doctor before taking a medication when pregnant or breastfeeding.

What is the usual dose of Trimetazidine?

The standard dose of Trimetazidine is 20 mg twice daily. The dosage may be adjusted depending on your response to the medication. Your doctor will be able to advise you on the most suitable dose.

What should I do if I miss a dose of Trimetazidine?

If you miss a dose of Trimetazidine, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take the next dose as per usual. Never take a double dose to make up for a missed one.

How long should I take Trimetazidine for?

Trimetazidine should be taken as prescribed for as long as your doctor recommends. Do not stop taking the medication without consulting your doctor.

Can Trimetazidine be taken with food?

Yes, Trimetazidine can be taken with food. However, it is important to take Trimetazidine at the same time every day for optimal benefit.

Can cut Trimetazidine tablets in half?

It is not advisable to cut Trimetazidine tablets in half as it may interfere with the way the medication works. It is best to take the tablet whole and as prescribed by your doctor or pharmacist.

What should I do if I overdose on Trimetazidine?

If you think you have taken too much Trimetazidine, contact your doctor or nearest hospital's emergency department immediately. Do not wait until it is too late.

Can I drink alcohol while taking Trimetazidine?

It is not recommended to drink alcohol while taking Trimetazidine as it may interact with the medication and decrease its effectiveness. If you wish to consume alcohol, it is best to speak to your doctor or pharmacist for advice.

Can Trimetazidine cause weight gain?

No, Trimetazidine is not known to cause weight gain. If you experience any strange symptoms or side effects whilst taking Trimetazidine, it is best to speak to your doctor.

What is the recommended Trimetazidine dosage for adult men?

The recommended dosage of Trimetazidine for adult men is 20 mg twice daily. This may be adjusted depending on your response to the medication. Ask your doctor for more information.

What is the recommended Trimetazidine dosage for adult women?

The recommended dosage of Trimetazidine for adult women is 20 mg twice daily. This may be adjusted depending on your response to the medication. Ask your doctor for more information.

Is Trimetazidine available as a generic medication?

Yes, Trimetazidine is available as a generic medication. Generic medications use the same active ingredients as the branded medication and are just as safe and effective as the branded version.

Is Trimetazidine given intravenously?

No, Trimetazidine is not usually given intravenously. It is taken orally in tablet or capsule form.

Can children take Trimetazidine?

Trimetazidine is not recommended in children aged under 18 years. Always check with your doctor before taking any medications in children.

Does Trimetazidine reduce blood pressure?

No, Trimetazidine does not reduce blood pressure. It is prescribed to treat heart-related conditions such as angina and chest pain.

Will Trimetazidine cause me to feel tired?

Yes, fatigue is one of the most commonly reported side effects of Trimetazidine. If you are experiencing extreme fatigue, speak to your doctor.

Can Trimetazidine cause blurred vision?

No, blurred vision is not a known side effect of Trimetazidine. If you are experiencing any changes in your vision whilst taking Trimetazidine, speak to your doctor.

Can Trimetazidine be used to treat high cholesterol?

No, Trimetazidine is not indicated for treating high cholesterol. It is usually prescribed to treat angina and chest pain. If you think you may have an unrelated condition, speak to your doctor.

Does Trimetazidine cause muscle aches?

Yes, muscle pain and aches have been reported as a side effect of Trimetazidine. If the pain persists or worsens, speak to your doctor.

Are there any side effects associated with long-term use of Trimetazidine?

Long-term use of Trimetazidine may increase the risk of certain side effects, such as fatigue and dizziness. If you experience any adverse effects with long-term use of Trimetazidine, speak to your doctor.

Does Trimetazidine thin the blood?

No, Trimetazidine does not thin the blood. It is used to treat heart-related conditions such as angina and chest pain.

Can Trimetazidine cause abnormal heart rhythms?

Yes, Trimetazidine can cause abnormal heart rhythms. If you experience any strange symptoms whilst taking Trimetazidine, speak to your doctor.

What is the most common side effect of taking Trimetazidine?

The most commonly reported side effect of Trimetazidine is fatigue. If you experience any other side effects whilst taking Trimetazidine, speak to your doctor.

Can Trimetazidine be used to treat angina?

Yes, Trimetazidine is indicated for the treatment of angina and chest pain. It works by decreasing the amount of oxygen the heart needs under stress, thereby reducing ischaemic symptoms.

Does Trimetazidine have any long-term health benefits?

Yes, Trimetazidine has been shown to have long-term health benefits such as improving heart function and reducing the risk of stroke and other cardiovascular events. It is important to take the medication as instructed by your doctor for the best possible outcome.

Does Trimetazidine require a prescription?

Yes, Trimetazidine requires a prescription from your doctor. Always speak to your doctor before taking any medications.

Are there any lifestyle changes I can make to help with Trimetazidine treatment?

Yes, lifestyle changes such as quitting smoking, exercising regularly, and eating a healthy diet can help with Trimetazidine treatment and improve overall cardiovascular health. Talk to your doctor for more information.

Does Trimetazidine interact with other medications?

Yes, Trimetazidine can interact with other medications. It is important to tell your doctor or pharmacist about any other medications you are taking before taking Trimetazidine. Also, it is never advisable to take two medications together without consulting your doctor.

Can Trimetazidine cause fluid retention?

Yes, fluid retention is one of the side effects associated with Trimetazidine. If you experience any swelling in the legs and feet, contact your doctor immediately.

What should I do if I have an allergic reaction to Trimetazidine?

If you experience any signs of an allergic reaction such as difficulty breathing, hives, or swelling of the face or throat, seek medical attention immediately. Additionally, stop taking Trimetazidine and speak to your doctor about alternative treatments.

What are the possible side effects of Trimetazidine?

The most commonly reported side effects of Trimetazidine are fatigue, dry mouth, dizziness, and nausea/vomiting. If you experience any other side effects such as an allergic reaction, or swelling in the legs and feet, contact your doctor or pharmacist immediately.

Can Trimetazidine be used to treat high blood pressure?

No, Trimetazidine is not indicated for treating high blood pressure. It is usually prescribed to treat angina and chest pain. If you think you may have an unrelated condition, speak to your doctor.

Can Trimetazidine be used to treat diabetes?

No, Trimetazidine is not indicated for treating diabetes. It is usually prescribed to treat angina and chest pain. If you think you may have an unrelated condition, speak to your doctor.

What should I do if I experience any side effects whilst taking Trimetazidine?

If you experience any side effects whilst taking Trimetazidine, speak to your doctor or pharmacist. Your doctor may be able to adjust the dosage or recommend alternative treatments.

What is the cost of Trimetazidine?

The cost of Trimetazidine will vary depending on your location and the pharmacy you use. It is best to speak to your local pharmacist for up-to-date prices.