The drug is prescribed to prevent angina (decreased cardiac blood flow causing chest discomfort).

IUPAC name: 1-[(2,3,4-trimethoxyphenyl)methyl]piperazine

Drug class: Anti-anginal drug

Route of administration: Oral

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Is it a drug that needs a prescription? YES

Is it an OTC drug? NO

Mechanism of action

This medicine works by lowering the body’s oxygen needs by shifting metabolism from lipids to glucose and boosting the pace at which glucose is broken down. The heart therefore functions well and uses less oxygen.      

Side effects

Headache, dizziness, nausea, vomiting, stomach/abdominal discomfort, indigestion, diarrhea, and itching might be the side effects.


Before using this medication, take the following precautions and notify your doctor:

If you are allergic to it or to other anti-anginal drugs, or if you have other allergies,

If you are taking any other medication (prescribed, non-prescribed, or herbal products),

If you have or ever had a heart attack or other cardiac disease, hepatic disease, renal issues, Parkinson’s disease, tremors, restless leg syndrome,

If you have undergone any type of surgery,

While taking this medication, limit your alcohol usage since it increases your chances of developing blurred vision, dizziness, or drowsiness. It may also cause a loss of alertness.

Avoid abruptly discontinuing this medication without consulting your doctor.

The adverse effects of this medicine may affect older people more severely.

Anyone under the age of 18 is not allowed to use this medicine.

Consult your doctor if you are pregnant or breastfeeding.

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