Trimach 20 mg Tablet is used to prevent an attack of angina pectoris (chest pain caused by coronary disease) in adult patients in combination with other medication. Angina is chest pain, which happens when enough supply of oxygen does not reach the heart. The insufficient supply can be due to obstructing the pathway or narrowing the blood vessels.

Trimach 20 mg Tablet contains Trimetazidine, which is a 'metabolic agent.' It affects metabolism (the process by which substances are broken down in the body). Trimach 20 mg Tablet decreases the body's oxygen requirement by shifting metabolism from fats to glucose, increasing the rate at which glucose is broken down. Hence, the heart works efficiently and requires less oxygen. In addition to this, it is also used in treating vertigo (a spinning sensation), tinnitus (ringing sensation in the ears), and to treat reduced vision and visual field disturbances (unclear or disturbed vision).

Trimach 20 mg Tablet can be taken with or without food. Depending on your disease's condition, it should be taken in dose and duration as advised by your doctor. Also, regularly visit a doctor as the dose may vary from time to time. This medicine's common side effects include dizziness, headache, diarrhoea, vomiting, indigestion, abdominal pain, and feeling sick. Everyone doesn't need to experience the above side effects. In case of any discomfort, speak with a doctor.

Trimach 20 mg Tablet should not be stopped suddenly as it may worsen your condition. Also, some lifestyle changes like regular exercise, eating well, smoking cessation, and reducing alcohol can improve the heart's health. People who have a liver or kidney disease, are pregnant, or are breastfeeding should inform the doctor before starting Trimach 20 mg Tablet as a dose adjustment may be required.

Trimach 20 mg Tablet contains Trimetazidine, which is a 'metabolic agent'. It affects metabolism (the process by which substances are broken down in the body). Trimach 20 mg Tablet decreases the body's oxygen requirement by shifting metabolism from fats to glucose, increasing the rate at which glucose is broken down. Hence, the heart works efficiently and requires less oxygen. In addition to this, it is also used in treating vertigo (a spinning sensation) and tinnitus (a ringing sensation in the ears) and to treat reduced vision and visual field disturbances (unclear or disturbed vision).

• Dizziness

• Headache

• Diarrhoea

• Vomiting

• Indigestion

• Abdominal pain

• Feeling sick

Do not take Trimach 20 mg Tablet if you are allergic to trimetazidine or any of the other ingredients.  If you have severe kidney problems, are pregnant, or breast-feeding, inform your doctor before starting Trimach 20 mg Tablet . Trimach 20 mg Tablet may worsen symptoms of Parkinson's disease (brain disease affecting movement), so your doctor must know if you have Parkinson's disease and are taking Trimach 20 mg Tablet . Try to adopt a Mediterranean-style diet rich in olive oil, fruits, vegetables, nuts, whole grains, fish, and low red meat and most dairy. American Heart Association recommends sodium chloride intake (table salt) should not exceed more than 2,300 mg per day as part of a healthy eating pattern. As lesser the heart load, the more efficiently it can pump blood and restore to normal functioning. Trimach 20 mg Tablet prevents a new attack of angina but does not prevents an acute attack. Drug Interactions (Drug, Food & Disease).

Drug-Drug Interactions: Trimach 20 mg Tablet interacts with Trimach 20 mg Tablet , so it should be used with caution with sedatives or hypnotics (buspirone), strong painkillers, some allergy medications (chlorphenamine), certain antidepressants (fluoxetine and lithium), medicines to lower blood pressure (methyldopa), medicines to treat Parkinson’s disease (levodopa, pramipexole, ropinirole), medicines to treat epilepsy (phenobarbital, carbamazepine, phenytoin, rifampicin, primidone, oxcarbazepine, ethosuximide, valproate).

Drug-Food Interactions: Alcoholic beverages intake should be avoided with Trimach 20 mg Tablet as it may interact with Trimach 20 mg Tablet to produce unpleasant side effects.

Drug-Disease Interactions: Trimach 20 mg Tablet should not be given to patients with active liver disease, Parkinson's disease, kidney impairment.

• FLUOXETINE
• LITHIUM
• LEVODOPA
• CARBAMAZEPINE
• BUSPIRONE
• RIFAMPICIN

• Eat a healthy diet rich in soluble fibre like beans, legumes, whole grain, flax, apples, and citrus fruits.

• Try to adopt a Mediterranean-style diet rich in olive oil, fruits, vegetables, nuts, whole grains, fish, and low in red meat and most dairy.

• Try to give priority to more fruits and veggies in your daily meal as these contain antioxidants.

• Minimize the intake of added sugar. The American Heart Association (ADA) recommends, one should not eat more than 100 calories (25 grams) of added sugar for women and children, and no more than 150 calories (37.5 grams) for men every day.

• American Heart Association recommends sodium chloride intake (table salt) should not exceed more than 2,300 mg per day as part of a healthy eating pattern.

• As a precautionary measure, do not consume alcohol and quit smoking.

Angina Pectoris: Angina is chest pain which happens when enough supply of oxygen does not reach the heart. This can be due to obstruction in the pathway or narrowing of the blood vessels. Patients with angina often explain the chest pain as squeezing, tightening, or pressure in the chest. Other symptoms can be dizziness, sweating, heartburn, and difficulty breathing.