Vastarel
Vastarel is trimetazidine 20mg tablets, a metabolic anti-anginal used as add-on treatment to reduce how often angina attacks happen when other medicines are not enough.
All strengths and pack prices
| Strength | Pack | Price | Per tablet |
|---|---|---|---|
| 20mg | 30 tablets | $45.00 | $1.50 |
| 20mg | 60 tablets | $85.20 | $1.42 |
| 20mg | 90 tablets | $122.40 | $1.36 |
| 20mg | 120 tablets | $159.60 | $1.33 |
| 20mg | 180 tablets | $225.00 | $1.25 |
- Category
- Heart & Blood Pressure
- Active ingredient
- Trimetazidine
- Route
- Oral
- Form
- Tablet
- Strengths
- 20mg
You will receive a quality generic equivalent, depending on stock.
Shipped in a discreet, unmarked envelope.
Details
- Conditions
- Angina pectoris · Dizziness of vascular origin · Tinnitus
- Therapeutic Class
- Anti-anginal
- Pharmacological Class
- Metabolic agent
- Minor Side Effects
- Nausea, Vomiting, Abdominal discomfort
- Moderate Side Effects
- Diarrhoea, Headache, Weakness
- Dosage Forms
- Tablet
- Administration Route
- Oral
- Originator
- Servier
- Onset Time
- Within 2 hours
- Duration
- 8–12 hours
- Storage Instructions
- Store in its original packaging in a cool, dry place.
- Drug Interactions
- Levodopa
- Age Restrictions
- Not indicated for paediatric patients.
What you will receive
Vastarel is the originator brand name, made by Servier. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Vastarel.
- The same active ingredient (Trimetazidine) at the same strength.
- The exact brand supplied depends on what is in stock when your order ships.
FAQ
Which Vastarel strengths and pack sizes can I order?
Vastarel pages list 20mg tablets in packs of 30, 60, 90, 120 or 180. The pack contains generic trimetazidine, not the original Vastarel. Larger packs cost less per tablet.
How is Vastarel packaged for Hong Kong delivery?
Every Vastarel order to Hong Kong ships in plain, unbranded packaging with nothing on the outside about the contents. Very large orders over 120 units may be split into several parcels, and tracked courier takes 5 to 9 business days with online tracking.
Does Vastarel have other names?
Vastarel and Preductal are brand names of trimetazidine. Here, trimetazidine can be bought online as generic Vastarel, and also as trimetazidine tablets. These are generics, not the original brand.
Is Vastarel a beta-blocker?
No. Beta-blockers slow the pulse and ease the force of each heartbeat, while trimetazidine leaves heart rate and blood pressure untouched and works on the fuel the heart muscle burns instead. That is why the two are often taken together rather than one standing in for the other.
How long does Vastarel take to work?
It builds up rather than acting on the first tablet. Trimetazidine changes the way heart muscle produces energy, so any difference in how often angina strikes comes from steady, regular dosing over time. It will not stop an attack that is already happening — that is the job of a short-acting nitrate.
Can I take Vastarel with my other angina medicines?
Yes — it is designed as an add-on. Nitrates, beta-blockers and calcium channel blockers reduce the heart's workload or widen the arteries; trimetazidine acts on the muscle's fuel supply, so it sits alongside them without adding to their effect on pulse or blood pressure. It does not replace the tablet or spray used during an attack.
Can trimetazidine cause movement problems after long-term use?
Yes, and sometimes late. Tremor, stiff muscles, slow walking or restless legs have turned up after months of treatment, even in people who had none of these before. They usually clear once the tablets are stopped. Trimetazidine is not used by people who already have Parkinson's disease or a similar movement disorder.
About Vastarel
Angina that other medicines have not settled
Vastarel is trimetazidine 20mg in tablet form, used on top of other angina treatment when the usual first-line tablets (beta-blockers, calcium channel blockers, nitrates) leave symptoms poorly controlled or cannot be taken. Taken daily, it cuts down how many stable angina episodes you get: the tight or heavy feeling in the chest that comes with effort and passes with rest. It does nothing for an attack in progress. For that, keep the fast-acting nitrate you already use.
Why it does not slow the heart
Heart muscle usually burns fatty acids, a fuel that costs a lot of oxygen. When a coronary artery is narrowed, that becomes an expensive way to work. Trimetazidine nudges the muscle towards glucose instead, which produces the same energy for less oxygen, so the heart copes better with the same effort. Pulse and blood pressure are left alone, which is what makes it straightforward to add to drugs that do lower them.
Taking the tablets
The dose is one 20mg tablet three times a day with meals, taken with water. Because the medicine changes how heart cells use fuel rather than damping the pain signal, benefit builds over days and weeks of steady taking, not after the first tablet.
Side effects
Stomach upset, nausea, indigestion and headache are the complaints that come up most, and a few people feel unusually tired at the start. Movement effects matter more: trimetazidine can bring on Parkinson-like symptoms — tremor, stiff muscles, slow or unsteady walking — and restless legs, sometimes in people with no such history. They tend to fade once the medicine is stopped. It is not used by anyone who already has Parkinson's disease or a similar movement disorder, or whose kidneys are severely impaired.
Vastarel or plain trimetazidine?
Vastarel and the shop's Trimetazidine listing contain the same thing: 20mg of trimetazidine in each tablet. Vastarel is the brand name and the other carries the ingredient name, so the choice between them is a matter of name and pack. For a longer account of the ingredient, including who should avoid it, read the trimetazidine page.
Sources
- Recommendations | Stable angina: management | Guidance | NICE — NICE
- Trimetazidine - referral | European Medicines Agency (EMA) — European Medicines Agency