Dinemic Tablet 20mg

About Dinemic Tablet 20mg

Dinemic Tablet 20mg Uses

• Stable angina pectoris as an add on therapy alongside standard anti anginal medicines.
• Long term management of chest pain caused by reduced blood flow to the heart muscle.
• Suitable as backup therapy for patients who cannot tolerate first line anti anginal drugs like beta blockers.
• Reduction in the frequency of angina episodes over weeks of regular use.
• Adjunct treatment for patients whose symptoms persist despite other heart medicines.

Dinemic Tablet 20mg Benefits

• A steady drop in how often angina attacks occur when taken as prescribed every day.
• Better exercise tolerance for patients whose chest pain limited daily activity before.
• A metabolic mode of action that works differently from nitrates and beta blockers.
• No major impact on heart rate or blood pressure, useful for patients on multiple heart drugs.
• A once or twice daily tablet that fits easily into a regular medicine routine.

Heart clinics in Lahore, Karachi, Islamabad, and Rawalpindi treat many patients with stable angina every week. Diabetes and high blood pressure are common triggers in these cities.

Cardiologists in Pakistan often add trimetazidine to a patient's existing angina treatment rather than using it alone. This approach suits patients who already take a beta blocker or a calcium channel blocker.

Local pharmacies stock several trimetazidine brands, and Dinemic is one of the more affordable tablet options for patients managing angina on a tight budget.

Drug Class

• Anti anginal agent
• Metabolic modulator
• Cardioprotective drug

Dinemic Tablet 20mg formula

• Trimetazidine Dihydrochloride

Available forms

• Tablet

How to use Dinemic Tablet 20mg?

• One tablet should be taken twice daily, usually with breakfast and dinner.
• The tablet should be swallowed whole with a glass of water, not crushed or chewed.
• Other heart medicines prescribed by the doctor should be continued unless advised otherwise.
• The tablet works best when taken at the same time every day for a consistent effect.
• A missed dose should be skipped if it is almost time for the next one, rather than doubled.

Drug Interactions

Dinemic Tablet 20mg can interact with certain other medicines, so a full medicine list should be shared with the prescribing doctor.

• Antipsychotics: Combined use raises the risk of tremor and other movement related side effects.
• Metoclopramide: This anti nausea drug shares a similar movement disorder risk when taken alongside trimetazidine.
• Levodopa: Effects of Parkinsons disease medicines may be reduced or altered with concurrent use.
• Other Anti Anginal Drugs: No major interaction is expected, and Dinemic is often combined safely with these medicines.

Risks and warnings

• Parkinsons Disease: This tablet is not suitable for patients with Parkinsons disease or other movement disorders.
• Kidney Function: A lower dose is needed in moderate kidney disease, and the tablet should be avoided in severe kidney failure.
• Pregnancy And Breastfeeding: Safety during pregnancy and breastfeeding has not been established, so doctors usually avoid it in these cases.
• Movement Symptoms: Tremor, muscle stiffness, or an unsteady walk should be reported to a doctor right away.
• Acute Attacks: This tablet does not relieve a sudden angina attack and works only as a long term preventive treatment.

Side Effects

Most patients tolerate Dinemic Tablet 20mg well, though some mild reactions can occur, especially in the first few weeks.

• Dizziness or headache
• Stomach discomfort or nausea
• Diarrhea
• Skin rash
• General weakness

A small number of patients experience more serious reactions that need urgent medical attention.

• Tremor, stiffness, or slow movement similar to Parkinsons disease
• Palpitations or a noticeable drop in blood pressure
• Low platelet count leading to unusual bruising or bleeding
• Signs of liver inflammation such as yellowing of the skin or eyes

Storage Conditions

Store below 30 degrees Celsius in a cool, dry place away from direct sunlight. Keep the tablets in their original blister pack and out of reach of children.