cytopill 35mg tablet sr - Trimetazidine (35mg) medicine

cytopill 35mg tablet sr - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Race Pharmaceuticals pvt ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 28, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 28, 2026

What is cytopill 35mg tablet sr used for?

Accardi MR Tablet MR (Trimetazidine) is used to treat CARDIAC. It contains Trimetazidine (35mg), which Inhibits long-chain 3-ketoacyl-CoA thiolase, shifting myocardial energy metaboli. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Trimetazidine
  • Manufacturer: Race Pharmaceuticals pvt ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

๐Ÿ’Š cytopill 35mg tablet sr Uses & Benefits

Adjunctive therapy for stable angina pectoris; also used for vertigo and tinnitus (off-label in some regions).

Off-label uses: Vertigo, Tinnitus, Diabetic cardiomyopathy

๐Ÿ“‹ Drug Information

Generic Name(s)Trimetazidine
Brand NameAccardi MR Tablet MR
ManufacturerRace Pharmaceuticals pvt ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassFatty acid modulator & Sodium channel blocker
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from moisture and light.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionRapidly absorbed after oral administration; peak plasma concentrations achieved within 2-6 hours.
DistributionWidely distributed in body tissues; volume of distribution approximately 4.8 L/kg.
Protein BindingLow (approximately 16%)
MetabolismPrimarily metabolized in the liver via CYP450 enzymes, mainly CYP2D6 and CYP3A4.
Half-LifeApproximately 7-12 hours
ExcretionMainly excreted in urine (60-70% as unchanged drug and metabolites); small amount in feces.
BioavailabilityApproximately 90%
Onset of ActionWithin 2-4 hours
Peak Plasma Time2-6 hours
Duration of ActionUp to 24 hours

How It Works

Inhibits long-chain 3-ketoacyl-CoA thiolase, shifting myocardial energy metabolism from fatty acid oxidation to glucose oxidation, thereby improving cardiac efficiency under ischemic conditions.

Mechanism Steps

1Inhibition of long-chain 3-ketoacyl-CoA thiolase
2Reduction of fatty acid oxidation
3Increase in glucose oxidation

๐Ÿ’ก How to Take cytopill 35mg tablet sr

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of cytopill 35mg tablet sr

โœ… Common Side Effects

  • Dizziness
  • Headache
  • Gastrointestinal disturbances (nausea, vomiting, diarrhea)
  • Asthenia

๐Ÿšจ Serious Side Effects

  • Parkinsonism
  • Tremor
  • Gait instability
  • Restless leg syndrome
  • Severe bradycardia

โš ๏ธ Rare Side Effects

  • Allergic reactions (rash, urticaria)
  • Hepatitis
  • Thrombocytopenia

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Paroxetine Major Increased trimetazidine plasma concentration due to CYP2D6 inhibition
Ketoconazole Major Increased trimetazidine plasma concentration due to CYP3A4 inhibition
Warfarin Moderate Possible increased anticoagulant effect; monitor INR
Metoprolol Moderate Additive bradycardia and hypotension

๐Ÿšจ Major Interactions

  • CYP2D6 inhibitors (e.g., paroxetine, fluoxetine)
  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)

โšก Moderate Interactions

  • Antihypertensives (additive hypotensive effect)
  • Beta-blockers
  • Calcium channel blockers

โ„น๏ธ Minor Interactions

  • Antacids
  • Food (delayed absorption)

๐Ÿฝ๏ธ Food Interactions

Food may delay absorption but does not significantly affect overall bioavailability.

๐Ÿท Alcohol Interaction

No significant interaction reported; however, alcohol may exacerbate angina symptoms.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to trimetazidine or excipients; Parkinson's disease, parkinsonian symptoms, tremors, restless leg syndrome; severe renal impairment (CrCl <30 mL/min).

๐Ÿ“Š Monitoring Parameters

Blood pressure, heart rate, ECG, renal function, liver function tests.

๐Ÿคฑ Lactation Safety

Excreted in breast milk; avoid use or discontinue breastfeeding.

๐Ÿ’Š Overdose Management

No specific antidote; symptomatic and supportive treatment. Gastric lavage if recent ingestion.

โฐ Missed Dose

Take as soon as remembered unless almost time for next dose; do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 28, 2026

๐Ÿ”— View Profile

๐Ÿ”„ Substitutes for cytopill 35mg tablet sr

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Alternative brands with exact same active ingredient (Trimetazidine (35mg)):

Medical Note: Always consult your doctor before switching medications.

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