Angidine Tablet (Trimetazidine 20mg): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- New or worsening tremors, rigidity, or difficulty walking
- Severe dizziness or fainting
- Chest pain that does not respond to your usual nitrate medicine
- Signs of allergic reaction such as rash, swelling of face or throat, difficulty breathing
- Unusual bruising or bleeding
- Yellowing of skin or eyes, dark urine, or severe fatigue
- Irregular or very fast heartbeat
If experiencing severe symptoms, call emergency services immediately.
What is StayHappi Trimetazidine 20mg Tablet used for?
This medicine contains Trimetazidine 20 mg, used as an add-on treatment for stable angina to reduce the frequency of chest pain attacks. It works by improving the heart's oxygen efficiency and is not for immediate relief of acute angina.
- Generic Name: Trimetazidine (20mg)
- Manufacturer: Sarvagunaushdhi Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 StayHappi Trimetazidine 20mg Tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ट्राइमेटाजिडीन 20 मिलीग्राम टैबलेट है, जिसका उपयोग स्थिर एंजाइना (सीने में दर्द) के इलाज में सहायक दवा के रूप में किया जाता है। यह दिल की मांसपेशियों को ऑक्सीजन का बेहतर उपयोग करने में मदद करती है, जिससे एंजाइना के दौरे कम होते हैं। यह दवा तुरंत दर्द में राहत के लिए नहीं है, बल्कि नियमित रूप से लेने पर दौरे रोकने में मदद करती है। इसे डॉक्टर की सलाह के अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में चक्कर आना, सिरदर्द, पेट में असहजता, जी मिचलाना और उल्टी शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। दुर्लभ मामलों में पार्किंसन जैसे लक्षण जैसे कंपन, अकड़न, धीमी चाल या संतुलन की समस्या हो सकती है। ऐसा होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। एंजाइना के तुरंत दौरे के लिए इसका उपयोग न करें; उसके लिए अपनी नाइट्रेट दवा पास रखें। अगर आपको किडनी या लीवर की समस्या है या कोई मूवमेंट डिसऑर्डर है तो डॉक्टर को बताएं। इस दवा के साथ शराब न लें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। दवा को ठंडी, सूखी जगह पर रखें और बच्चों से दूर रखें।
💊 StayHappi Trimetazidine 20mg Tablet Uses & Benefits
[{"condition":"Stable angina pectoris","description":"Used as add-on therapy to reduce the frequency of angina attacks in adults whose symptoms are not adequately controlled by first-line anti-anginal medicines.","evidence":"Well-established"},{"condition":"Ischemic heart disease","description":"May be used to improve exercise tolerance and reduce ischemic episodes in patients with coronary artery disease.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Vertigo and tinnitus","description":"Sometimes prescribed off-label for dizziness and ringing in the ears, though evidence is limited.","evidence":"Limited"},{"condition":"Chorioretinal vascular disorders","description":"Occasionally used off-label for certain eye conditions involving blood flow, but not routinely recommended.","evidence":"Limited"}]
Primary treatment for: Stable angina pectoris
Also treats: Ischemic heart disease, Coronary artery disease
📋 Drug Information
| Generic Name(s) | Trimetazidine (20mg) |
| Brand Name | StayHappi Trimetazidine 20mg Tablet |
| Manufacturer | Sarvagunaushdhi Pvt Ltd |
| Packaging / Form | strip of 10 tablets (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by inhibiting the enzyme long-chain 3-ketoacyl-CoA thiolase, which is involved in fatty acid oxidation in the heart muscle. By blocking this enzyme, it shifts the heart's energy production from fatty acids to glucose oxidation. This shift requires less oxygen to produce the same amount of energy, thereby improving the efficiency of oxygen use in the heart. As a result, the heart muscle can better withstand periods of reduced blood flow and oxygen supply, reducing the frequency of angina attacks. It also helps maintain proper cellular pH and reduces calcium overload in heart cells during ischemia.
Mechanism Steps
💡 How to Take StayHappi Trimetazidine 20mg Tablet
Strength: Trimetazidine 20 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 20 mg taken two to three times daily, depending on the severity of angina and response to treatment. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. This medicine is not for acute angina attacks. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced kidney function and may require dose adjustment. The dose must be individualized by a qualified clinician based on renal function and overall health. |
| Renal Impairment | In patients with moderate kidney impairment (creatinine clearance 30-60 mL/min), the dose may need to be reduced. This medicine is contraindicated in severe kidney impairment (creatinine clearance <30 mL/min). Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | No specific dose adjustment is established for liver impairment. Use with caution and under medical supervision. |
| Maximum Daily Dose | The maximum recommended daily dose is 60 mg (20 mg three times daily). |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of StayHappi Trimetazidine 20mg Tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Nitrates | Moderate | |
| Beta-blockers | Moderate | |
| Calcium channel blockers | Moderate | |
| Metoclopramide | Moderate | |
| Antipsychotics | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Other anti-anginal medicines (e.g., nitrates, beta-blockers, calcium channel blockers)
⚡ Moderate Interactions
- Antihypertensive drugs
- Drugs that can cause Parkinsonian symptoms (e.g., metoclopramide, antipsychotics)
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness and low blood pressure while taking this medicine. It is advisable to avoid or limit alcohol consumption.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Parkinson's disease or Parkinsonian symptoms","Tremors, restless legs syndrome, or other movement disorders","Severe kidney impairment (creatinine clearance
⚠️ Warnings & Precautions
["This medicine is not for immediate relief of acute angina attacks. Keep fast-acting nitrates available.","May cause dizziness or drowsiness; avoid driving or operating machinery until you know how it affects you.","Use with caution in elderly patients and those with kidney or liver problems.","Inform your doctor if you have any movement disorders or a history of Parkinson's disease.","Do not stop taking this medicine abruptly without consulting your doctor.","Avoid alcohol while taking this medicine.","Regular follow-up is important to monitor your heart condition and kidney function."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Consult your doctor before breastfeeding.
💊 Overdose Management
If you suspect an overdose, seek immediate medical attention. Symptoms of overdose may include severe dizziness, low blood pressure, palpitations, or fainting. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice. This medicine is not for immediate relief of an acute angina attack; keep your fast-acting nitrate medicine handy for that purpose. Inform your doctor if you have kidney problems, liver problems, or any movement disorders. Avoid alcohol while taking this medicine as it may increase dizziness. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not share this medicine with others, even if they have similar symptoms. Store it in a cool, dry place away from direct sunlight and out of reach of children. Regular follow-up with your doctor is important to monitor your heart condition and adjust treatment if needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced kidney function and are more prone to dizziness and movement disorders. Dose adjustment may be needed based on kidney function. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. It should be used during pregnancy only if clearly needed and prescribed by a doctor.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may need to be stopped temporarily. Follow your doctor's instructions.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. No specific precautions are established, but it is important for your dentist to know your complete medication list.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is beneficial for heart health, but avoid strenuous activities that trigger angina. Always warm up and cool down. If you experience chest pain, dizziness, or shortness of breath during exercise, stop and rest. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It should not significantly impact your ability to work, but take precautions if you feel dizzy.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as Parkinsonian symptoms, severe dizziness, or allergic reactions, stop the medicine and seek medical advice immediately. Your doctor will decide if and when to discontinue.
📅 Long-Term Use Effects
Long-term use of this medicine is generally well tolerated. However, regular monitoring of kidney function and symptoms is recommended. Rarely, it may cause movement disorders, which usually resolve after stopping the medicine. Periodic review with your doctor is important to assess continued benefit and adjust treatment.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Heart-healthy diet, regular exercise, smoking cessation, and stress management can complement medicine for angina.
Evidence: Well-establishedBeta-blockers, calcium channel blockers, nitrates, ranolazine, or ivabradine may be used depending on your condition.
Evidence: Well-establishedAngioplasty or bypass surgery may be considered for severe coronary artery disease.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. However, consult your doctor before receiving any vaccine while on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss or temperature extremes. If traveling across time zones, continue taking it at the same intervals as prescribed; consult your doctor for specific advice. Store away from direct sunlight and moisture. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine may take several days to weeks of regular use to show its full effect in reducing angina frequency.
A: Yes, it is often prescribed as an add-on to other anti-anginal medicines. However, your doctor will monitor your blood pressure and adjust doses as needed.
A: It can be used long-term under medical supervision. Regular monitoring of kidney function and symptoms is advised.
A: Take it as soon as you remember if less than half the dosing interval has passed. Otherwise, skip it and continue with your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for StayHappi Trimetazidine 20mg Tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia trimetazidine 20mg tabletDavaindia Generic Pharmacy ₹10.00 70.4% CHEAPER
-
Trimedor 20mg TabletAvinash Health Products Pvt Ltd ₹12.66 62.5% CHEAPER
-
tricard 20mg tabletBiogenetic Pharmaceuticals ₹30.00 11.1% CHEAPER
-
themidon tabletThemis Medicare Ltd ₹32.00 5.2% CHEAPER
-
prodium 20mg tabletMacleods Pharmaceuticals Pvt Ltd ₹32.03 5.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used to relieve an ongoing angina attack.
Fact: This medicine is for prevention of angina attacks, not for immediate relief. Use fast-acting nitrates for acute attacks. - Myth: This medicine can be taken by anyone with chest pain.
Fact: It is prescribed only for specific heart conditions and is contraindicated in certain movement disorders and severe kidney disease. - Myth: This medicine is a painkiller.
Fact: It is not a painkiller; it works by improving heart metabolism and reducing angina frequency.
🔄 Alternative Options
Generic Alternatives
- Trimetazidine 20 mg tablet
Brand Alternatives
- Angidine 20 mg tablet
- Trivedon 20 mg tablet
- Flavedon 20 mg tablet
- Metacard 20 mg tablet