Europe — EMA
Moduxin Mr (Trimetazidine Dihydrochloride)
GNH USA supplies Moduxin Mr (Trimetazidine), a metabolic modulator for chronic stable angina, coronary artery disease and peripheral arterial disease.
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What is Trimetazidine Dihydrochloride?
Trimetazidine, the active ingredient in Moduxin Mr, is a metabolic modulator (anti‑ischemic agent) presented as an oral dosage form for systemic use. It is prescribed to improve myocardial efficiency in patients with chronic stable angina, coronary artery disease, and peripheral arterial disease.
GNH USA supplies Moduxin Mr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Trimetazidine Dihydrochloride used for?
Moduxin Mr is used as an anti‑ischemic agent to manage conditions where myocardial oxygen supply is limited.
- Chronic stable angina pectoris: reduces frequency of angina attacks and improves exercise tolerance. - Coronary artery disease: enhances cardiac metabolic efficiency during ischemic episodes. - Peripheral arterial disease: alleviates intermittent claudication by improving muscle oxygen utilization.
What are the side effects of Trimetazidine Dihydrochloride?
Adverse reactions may occur with Trimetazidine therapy.
Common Side Effects: - Nausea: mild to moderate gastrointestinal upset. - Headache: transient cranial discomfort. - Dizziness: sensation of light‑headedness, especially on standing. - Gastrointestinal discomfort: abdominal pain or dyspepsia. - Skin rash: mild erythematous eruptions.
Serious or Rare Side Effects: - Parkinsonian symptoms: tremor, rigidity, or bradykinesia. - Severe allergic reaction: anaphylaxis, angioedema, or bronchospasm. - Hepatic dysfunction: elevated liver enzymes or jaundice. - Hematologic abnormalities: leukopenia or thrombocytopenia.
What precautions apply to Trimetazidine Dihydrochloride?
Before initiating therapy, consider the following precautions.
- Renal impairment: adjust use in patients with severe kidney dysfunction. - Hepatic disease: monitor liver function tests regularly. - Neurological disorders: avoid in patients with Parkinson's disease or movement disorders. - Pregnancy and lactation: use only if the potential benefit justifies the potential risk. - Concomitant anti‑arrhythmic drugs: monitor for additive cardiac effects. - Store at ambient temperature: keep below 25 °C, in the original container, protected from moisture and direct sunlight.
What does Trimetazidine Dihydrochloride interact with?
Trimetazidine may interact with other medicines; awareness of interaction severity is essential.
Major Interactions (Avoid): - Antiparkinsonian agents: may exacerbate movement disorders. - Strong CYP2D6 inhibitors: could increase plasma levels of Trimetazidine.
Moderate Interactions (Monitor Closely): - Antihypertensive drugs: additive blood pressure lowering effect. - Diuretics: monitor electrolyte balance and renal function. - Other anti‑ischemic agents: assess for overlapping therapeutic effects and side‑effect profiles.



