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OTHER CARDIOLOGICAL ANTI-ANGINAL DRUGS This medicine is intended for use in adult patient, in combination with other medicines to treat angina pectoris (chest pain caused by coronary disease). How to use Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Dosage The recommended dose of VASTAREL 35 mg, modified-release film-coated tablet is one tablet to be taken two times a day during meals in the morning and evening. If you have kidney problems or if you are older than 75 years old, your doctor may adjust the recommended dose. Duration of treatment ALWAYS USE EXACTLY AS INDICATED IN YOUR DOCTOR'S PRESCRIPTION. Warnings and precautions Do not take VASTAREL MR: If you are allergic to Trimetazidine or any of the other ingredients of this medicine, If you have a Parkinson disease: disease of the brain affecting movement (trembling, rigid posture, slow movements and a shuffling, unbalanced walk), If you have severe kidney problems. Take care with VASTAREL MR: Talk to your doctor, health care provider or pharmacist before taking VASTAREL MR. This medicinal product is generally not recommended during breastfeeding. This medicinal product is not a curative treatment for angina attacks, nor an initial treatment for unstable angina pectoris. It is not a treatment for myocardial infarction. In the event of an angina attack, inform your doctor or health care provider. Tests may be required and your treatment may possibly be modified. This medicine can cause or worsen symptoms such as trembling, rigid posture, slow movements and a shuffling, unbalanced walk, especially in elderly patients, which should be investigated and reported to your doctor or health care provider who could reassess the treatment. Falls may occur following a drop in blood pressure or a loss of balance (see description of side effects). Side Effects Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects have been described: Common (occurring in fewer than 1 in 10 patients): Dizziness, headache, abdominal pain, diarrhoea, indigestion, feeling ill, vomiting, rash, itching, hives and feeling of weakness. Rare (occurring in fewer than 1 in 1,000 patients): Fast or irregular heartbeat (also called palpitations), extra heartbeats, faster heartbeat, fall in blood pressure on standing up, which can cause dizziness or fainting, malaise (generally feeling unwell), fall, flushing. Storage Information This medicinal product does not require any special storage conditions. Drug Interactions Taking other medicines, herbal or dietary supplements: You must inform your doctor, health care provider or pharmacist if you are taking, or have recently taken any other medicines. Ingredients The active substance is: Trimetazidine dihydrochloride The other ingredients are: Calcium hydrogen phosphate dehydrate; hypromellose; povidone; anhydrous colloidal silica, magnesium stearate; Film-coating: titanium dioxide (E 171), glycerol, hypromellose, macrogol 6000, red iron oxide (E 172), magnesium stearate. Specifications This medicine is in the form of film-coated tablets.
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