Trimetazidine: uses, side effects & brands

Written & medically reviewed by Dr. Sanjay Anbu, MBBS · Last reviewed 5 November 2026

Trimetazidine is an add-on that helps the heart use energy more efficiently in angina. It belongs to the Anti-anginal (heart, extra) group. These improve blood or energy supply to the heart to reduce angina.

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Drug type — dosing is set by your doctor

Measure	Range
Drug class	Anti-anginal (heart, extra)
Type	Prescription
Dose	Individual — ask your doctor or pharmacist

What it is used for

Add-on treatment for stable angina
Used with other angina medicines when symptoms persist
Angina when other medicines cannot be increased

Common brand names

India: Flavedon, Metagard
Worldwide: Vastarel

Common side effects

Stomach upset or nausea
Dizziness
Headache
Weakness

Before taking it — precautions

Not for people with Parkinson disease, tremor or restless legs
Tell your doctor about kidney disease; dose may need reducing
Caution in older people (falls and movement problems)

When to see a doctor urgently

Shaking, stiffness or unsteady walking (Parkinson-like symptoms)
Falls or feeling very unsteady
Chest pain at rest or worsening angina (urgent)

Not a prescription — no dose shown. The right dose of trimetazidine depends on age, weight, kidney/liver function and the condition, so MedDroid does not show a dose here. Always get your dose from a doctor or pharmacist and the leaflet inside the pack. General educational information only.

Frequently asked questions

How is trimetazidine different from other angina medicines?

It does not lower heart rate or blood pressure; it helps heart muscle use energy more efficiently.

Why the warning about movement problems?

It can rarely cause tremor, stiffness or unsteady walking, which usually improve after stopping.

Does it stop an angina attack?

No. It is a preventive add-on; use a quick-acting spray or tablet for attacks.

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Sources & further reading

Reviewed by Dr. Sanjay Anbu, MBBS. MedDroid is an AI medical assistant and can make mistakes. It provides general health information, not a diagnosis or medical advice — always consult a qualified clinician. In an emergency, contact your local emergency number immediately.