Product image of Metazydyna (Trimetazidine Dihydrochloride) supplied by GNH India

Metazydyna

Active Ingredient:
Trimetazidine Dihydrochloride
Origin:
EU

Metazydyna (Trimetazidine Dihydrochloride)

Trimetazidine dihydrochloride, the active ingredient in Metazydyna, is an anti‑ischemic metabolic agent presented as an oral tablet for oral use. It is used to manage angina pectoris and related ischemic heart conditions in adults.

GNH India supplies Metazydyna as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Adamed Pharma S.A.

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Indications & Clinical Uses

Metazydyna is indicated for conditions involving myocardial ischemia and peripheral arterial insufficiency.

  • Angina pectoris: reduces the frequency and severity of chest pain episodes by improving myocardial energy efficiency.
  • Chronic coronary artery disease: helps stabilize symptoms and may improve exercise tolerance.
  • Peripheral arterial disease: supports tissue perfusion by enhancing cellular metabolism in ischemic limbs.

How It Works

  • Trimetazidine dihydrochloride selectively inhibits mitochondrial long‑chain 3‑ketoacyl‑CoA thiolase, decreasing fatty‑acid β‑oxidation. This metabolic shift favors glucose oxidation, which generates ATP more efficiently with less oxygen demand, thereby preserving cellular energy and function during myocardial or peripheral ischemia.

Side Effects

Trimetazidine is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Nausea
  • Headache
  • Dizziness
  • Gastrointestinal discomfort
  • Constipation
  • Fatigue

Serious or Rare Side Effects

  • Severe allergic reactions (e.g., rash, angioedema)
  • Liver enzyme elevation
  • Thrombocytopenia
  • Extrapyramidal symptoms
  • Significant hypotension
  • Arrhythmias

Precautions & Warnings

Use of Metazydyna requires careful clinical assessment and monitoring.

  • Renal impairment: monitor renal function and adjust therapy as needed.
  • Hepatic dysfunction: use with caution and observe liver enzymes.
  • Elderly patients: watch for dizziness or orthostatic symptoms.
  • Pregnancy and lactation: safety not established; avoid unless clearly needed.
  • Concomitant anti‑anginal therapy: assess for additive hemodynamic effects.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Trimetazidine may interact with several drug classes; monitoring is advised.

Major Interactions (Avoid)

  • Dopamine antagonists (e.g., metoclopramide): increased risk of extrapyramidal reactions.
  • Other potent anti‑ischemic agents causing severe hypotension.

Moderate Interactions (Monitor Closely)

  • Antihypertensive drugs: monitor blood pressure for additive lowering.
  • Diuretics: watch electrolyte balance and renal function.
  • Other metabolic modulators: observe for enhanced gastrointestinal effects.

Frequently Asked Questions

Metazydyna, containing trimetazidine dihydrochloride, is prescribed for angina pectoris, chronic coronary artery disease, and peripheral arterial disease. It helps improve myocardial energy metabolism and peripheral tissue perfusion in patients with ischemic heart or limb conditions.

Trimetazidine inhibits mitochondrial fatty‑acid β‑oxidation, shifting the heart’s energy production toward glucose oxidation. This metabolic change requires less oxygen, preserving ATP levels during ischemia and reducing chest pain or tissue damage associated with reduced blood flow.

The specific dose of Metazydyna is determined by the prescribing physician based on the patient’s clinical condition, age, renal and hepatic function, and response to therapy. Patients should follow the dosage instructions provided by their healthcare professional.

Safety data for trimetazidine in pregnancy and lactation are limited. It is generally recommended to avoid use unless the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their doctor.

To request Metazydyna, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and necessary import documentation.

Unlike beta‑blockers or calcium‑channel blockers that primarily affect heart rate or vascular tone, Metazydyna acts on cellular metabolism, improving energy efficiency without significantly altering hemodynamics. This makes it a useful adjunct or alternative for patients who cannot tolerate traditional anti‑anginal agents.

Metazydyna should be stored at temperatures below 25 °C, in its original packaging, and protected from moisture and direct sunlight. Keeping the product in a dry, cool environment helps maintain its stability and potency throughout its shelf life.

Metazydyna is taken orally, usually with or without food, as directed by the prescribing physician. The tablet should be swallowed whole with a glass of water and not crushed or chewed unless specifically instructed.

Serious adverse reactions, although rare, include severe allergic responses, liver enzyme elevations, thrombocytopenia, significant hypotension, and cardiac arrhythmias. Patients should seek immediate medical attention if they experience symptoms such as rash, swelling, jaundice, unexplained bruising, or fainting.

Metazydyna is contraindicated in patients with known hypersensitivity to trimetazidine or any of its excipients. Caution is also advised for individuals with severe renal or hepatic impairment, uncontrolled hypotension, or those taking dopamine antagonists that may increase the risk of extrapyramidal side effects.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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