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What is Trimetazidine used for?

Medically reviewed by Sally Chao, MD. Last updated on March 19, 2025.

Official Answer by Drugs.com

Trimetazidine may be classified as a coronary vasodilator. Vasodilators open blood vessels.

Trimetazidine is used to treat:

Trimetazidine is widely available under various names in many countries, but it is not approved for use in the United States. In Europe, trimetazidine is also marketed under the name Vastarel.

It’s available in:

Vasodilators work by relaxing the smooth muscle of arteries and veins, which lets blood flow more freely. Trimetazidine inhibits fatty acid metabolism and stimulates the metabolism of glucose. It helps the body use oxygen, which relieves chest pain caused by blocked blood vessels.

Trimetazidine comes in two strengths:

Side effects include:

Trimetazidine was in the news in early 2022 because the Russian figure skater Kamila Valieva tested positive for it during the Winter Olympics. Trimetazidine is on the World Anti-Doping Agency’s prohibited list of substances. It’s listed under “Metabolic Modulators.”

In the United States, the most commonly prescribed classes of drugs for angina are:

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References
  1. Drugs.com. Trimetazidine. 2022. Available at: https://www.drugs.com/international/trimetazidine.html. [Accessed March 14, 2022].
  2. Ciapponi A, Pizarro R, Harrison J. Withdrawn: Trimetazidine for stable angina. Cochrane Database Syst Rev. 2017;3(3):CD003614. https://doi.org/10.1002/14651858.cd003614.pub3.
  3. Npr.org. What is trimetazidine, the drug found in Russian skater Kamila Valieva's system? February 15, 2022. Available at: https://www.npr.org/2022/02/15/1081008770/what-is-trimetazidine-the-drug-found-in-russian-skater-kamila-valievas-system. [Accessed March 14, 2022].
  4. American Heart Association (AHA). Angina (chest pain). 2022. Available at: https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain. [Accessed March 14, 2022].
  5. American Heart Association (AHA). Heart failure. 2022. Available at: https://www.heart.org/en/health-topics/heart-failure. [Accessed March 14, 2022].
  6. American Heart Association (AHA). Peripheral artery disease. 2022. Available at: https://www.heart.org/en/health-topics/peripheral-artery-disease/about-peripheral-artery-disease-pad. [Accessed March 14, 2022].
  7. European Medicines Agency (EMA). Trimetazidine. October 17, 2012. Available at: https://www.ema.europa.eu/en/medicines/human/referrals/trimetazidine. [Accessed March 19, 2022].
  8. Dézsi CA. Trimetazidine in Practice: Review of the Clinical and Experimental Evidence. Am J Ther. 2016;23(3):e871-e879. https://doi.org/10.1097/mjt.0000000000000180.
  9. World Anti-Doping Agency (WADA). World Anti-Doping Code International Standard Prohibited List 2022. 2022. Available at: https://www.wada-ama.org/sites/default/files/resources/files/2022list_final_en.pdf. [Accessed March 14, 2022].
  10. Ben-Dor I, Battler A. Treatment of stable angina. Heart. 2007;93(7):868-874. https://doi.org/10.1136/hrt.2005.083659.
  11. Jiang J, Cong H, Zhang Y, et al. Effect of Metoprolol Succinate in Patients with Stable Angina and Elevated Heart Rate Receiving Low-Dose β-Blocker Therapy. Int J Med Sci. 2017;14(5):477-483. https://doi.org/10.7150/ijms.18054.

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