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Vastarel MR Tablet: Uses, Dosage & Side Effects in Pakistan

Vastarel MR Tablet (Trimetazidine Dihydrochloride) ke quick uses, dose guide, side effects, warnings, aur buying price range.

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated:

Prescription

Form

TABLET

Strength

35mg

Manufacturer

Servier Pharma Pakistan

Estimated price

Rs. 90 - 130

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What is Vastarel MR Tablet used for?

  • Stable Angina Pectoris
  • Angina prophylaxis (prevention of angina attacks)
  • Add-on therapy in coronary artery disease
Read full Uses guide →

How to take Vastarel MR Tablet?

Adult dose: 35mg twice daily (with morning and evening meals)

Child dose: Not recommended for children

Read full Dosage guide →

Important warnings

  • Do not use in Parkinson's disease or movement disorders
  • Not for acute angina attacks — use sublingual nitrate for acute attacks
  • Avoid in severe renal impairment

Vastarel MR Tablet Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

FieldDetails
Brand NameVastarel MR
Generic NameTrimetazidine Dihydrochloride
Strength35mg
FormTablet
Drug ClassAnti-anginal / Cardiac Metabolic Agent
ManufacturerServier Pharma Pakistan
PrescriptionRx — do not take without a doctor's advice
PriceRs. 90 – 130 approx

2. What is Vastarel MR Tablet? (Vastarel MR kya hai)

Vastarel MR Tablet is manufactured by Servier Pharma Pakistan. It contains Trimetazidine Dihydrochloride and belongs to the Anti-anginal / Cardiac Metabolic Agent class. It is prescribed in Pakistan for the conditions listed below. Always take it under medical supervision.

3. Uses (Fayde / Kis kaam aati hai)

  • Stable Angina Pectoris
  • Angina prophylaxis (prevention of angina attacks)
  • Add-on therapy in coronary artery disease
  • Tinnitus and vertigo (off-label, in some guidelines)

4. Who Should Take (Kis ko leni chahiye)

  • Adults for whom a doctor has confirmed and prescribed this medicine
  • Patients who do not have an allergy to this drug class
  • With a doctor's prescription and guidance

5. When NOT to Take (Kab nahi leni chahiye)

  • If there is an allergy to Trimetazidine or this drug class
  • Without a doctor's prescription
  • During pregnancy or lactation without medical advice

6. Dosage (Kitni leni hai)

  • 35mg twice daily (with morning and evening meals)
  • Not recommended for children
  • Do not exceed the recommended limit
  • Take it as soon as you remember. If the next dose is close, skip the missed dose. Never take a double dose.

7. How to Take (Kaise leni hai)

  • As per your doctor's prescription
  • Take at the same time every day
  • With or without food

8. Best Time (Kab leni chahiye)

  • As directed by your doctor
  • Maintain a daily routine

9. Empty Stomach or After Food (Khali pait ya khane ke baad)

Confirm with your doctor or pharmacist. Generally, taking it with food reduces stomach irritation unless the packaging states otherwise.

10. Warnings (Ihtiyat)

  • Do not use in Parkinson's disease or movement disorders
  • Not for acute angina attacks — use sublingual nitrate for acute attacks
  • Avoid in severe renal impairment
  • Use with caution in elderly patients

11. Precautions (Ahm ehtiyaat)

  • Below 30°C, away from moisture
  • Keep out of the reach of children

12. Side Effects (Nuksanat)

  • Nausea (Matli)
  • Vomiting (Qay)
  • Dizziness (Chakkar)
  • Headache (Sar dard)
  • Parkinsonian symptoms — tremor, rigidity (rare, stop immediately)
  • Movement disorders — akathisia, restless legs syndrome
  • Severe skin reactions — rash, urticaria

13. Drug Interactions (Dawaon ke sath reaction)

  • No major drug–drug interactions
  • use with other antianginals is safe and commonly practised
  • caution with antihypertensives (additive BP lowering possible)

14. When to See Doctor (Kab doctor ke paas jayein)

  • Severe allergic reaction — rash, breathing difficulty, swelling
  • If side effects worsen or new symptoms develop
  • If the infection or condition does not improve in 3–5 days

15. Alternatives (Sasti Dusri Dawaein)

Brand NameCompanySalt (Generic)
Trimetam TabletVariousTrimetazidine 35mg MR
Trizid MR TabletLocalTrimetazidine 35mg MR

16. Price in Pakistan (Price kitni hai)

Pack SizePrice (Approx)
Standard packRs. 90 – 130 approx

(Note: Price depends on the pharmacy and pack size.)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Vastarel MR kis kaam aata hai?

A: Vastarel MR (Trimetazidine) is prescribed by doctors for the prevention of angina. It is not for acute attacks.

Q: Dose kitni hai?

A: 35mg twice daily — with morning and evening meals. As per doctor's prescription.

Q: Pakistan mein price kitni hai?

A: Vastarel MR 35mg tablet is approximately Rs. 90–130 per tablet.

Q: Kya Vastarel MR acute angina mein kaam karta hai?

A: No — Vastarel MR is for angina prevention. For acute attacks, use sublingual nitrate (GTN spray).

Q: Nuksanat kya hain?

A: Common: nausea, dizziness, headache. Rare: Parkinson-like symptoms (tremor) — immediately stop and see a doctor.

18. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-04-17

19. Disclaimer (Zaroori tanbeeh)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.

Frequently Asked Questions

Vastarel MR kis kaam aata hai?

Vastarel MR (Trimetazidine) is prescribed by doctors for the prevention of angina. It is not for acute attacks.

Dose kitni hai?

35mg twice daily — with morning and evening meals. As per doctor's prescription.

Pakistan mein price kitni hai?

Vastarel MR 35mg tablet is approximately Rs. 90–130 per tablet.

Kya Vastarel MR acute angina mein kaam karta hai?

No — Vastarel MR is for angina prevention. For acute attacks, use sublingual nitrate (GTN spray).

Nuksanat kya hain?

Common: nausea, dizziness, headache. Rare: Parkinson-like symptoms (tremor) — immediately stop and see a doctor.

Sources

  1. DRAP Registered Products Database Drug Regulatory Authority of Pakistan
  2. WHO Model List of Essential Medicines, 23rd ed. (2023) World Health Organization
  3. British National Formulary (BNF) BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.