Ingredient-level reference
Trimetazidine (modified-release reference)
Reference for: Trimetazidine DiHcl. Source presentation: MODIFIED-RELEASE TABLET. Source route: oral.
The cited studies use extended-release modified-release tablet. The catalogue entry has a different or unspecified release description; these study values do not establish its absorption profile.
Mechanism of action
The reference describes inhibition of long-chain 3-ketoacyl-CoA thiolase, reducing fatty-acid oxidation and favoring glucose oxidation. This metabolic mechanism is intended to help preserve cellular energy during ischemia.
Pharmacokinetics
For the cited modified-release tablet, mean peak concentration occurs approximately 5 hours after dosing, with steady state by about 60 hours. Protein binding is low, approximately 16% in vitro. Elimination is mainly urinary and largely unchanged. The reported half-life averages 7 hours in healthy young volunteers and 12 hours in people older than 65; impaired renal clearance increases exposure. These figures do not establish kinetics for immediate-release or other modified-release products.
Ingredient-level summary of the cited reference product. Study formulation, route, strength and population govern interpretation; these data do not establish pharmacokinetics or bioequivalence for Walter's formulation or fixed combination.
Source: Indonesia BPOM: Trizedon MR 35 mg tablets, August 2025
Reference accessed .
