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Nidocard Spray
Glyceryl Trinitrate BP
Composition : Glyceryl Trinitrate BP 0.4mg/ Spray.
Indication : Acute angina pectoris. Prevention of the anginal attack by administering the drug before physical exercise. Adjuvant therapy in emergency cases of acute left ventricular failure.
Dosage and administration : By each pressing 0.4mg of Glyceryl Trinitrate, in the form of spray, is released from the container. At the onset of the attack: one or two sprays should be applied sublingually, then the mouth should be closed. If necessary, three sprays may be used but not more than 3 sprays at any one time.
For prophylaxis: one to two sprays (0.4mg-0.8mg) immediately prior to an angina inducing event. Or, as directed by the registered physician.
Packing : Nidocard Spray : Each container contains 200 metered doses (12.2ml) solution.
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✅ Description:
Indications
Nitroglycerin is demonstrated for the prophylaxis of angina pectoris. The onset of activity isn't adequately quick for this shape to be valuable in prematurely ending an intense anginal scene.
Pharmacology
Nitroglycerin causes unwinding of vascular smooth muscle, creating a vasodilator impact on both fringe supply routes and veins. Expansion of veins advance fringe pooling of blood and diminishes venous return to the heart, in this manner decreasing cleared out ventricular end-diastolic weight (preload) and unwinding of supply routes decrease systemic vascular resistance and blood vessel weight (afterload).
Dosage & Administration
Dose ought to continuously to be balanced concurring to the necessity and reaction gotten by the person persistent and the seriousness of the anginal torment. For grown-ups, one Nitroglycerin 2.6 mg maintained discharged tablet or capsule in morning and evening. This ought to be taken purge stomach.
Interaction
Nitroglycerin widens fringe blood vessels and may increment the antihypertensive properties of vasodilators, calcium adversaries, beta-adrenergic blockers. Concomitant utilize of nitrates with tricyclic antidepressants and liquor may cause tall blood weight. Concomitant utilize of nitrates with phosphodiesterase sort 5 (PDE5) inhibitors, such as sildenafil, vardenafil and tadalafil cause drop in blood weight. Ibuprofen diminishes the clearance and improves the hemodynamic impacts of nitroglycerin. Nitroglycerin may decrease the pharmacologic impacts of heparin when utilized concomitantly. Nitrates increment the bioavailability of dihydroergotamine.
Contraindications
Nitroglycerin is contraindicated in patients with a known touchiness to nitroglycerin, other natural nitrates, or nitrites or to the excipients of the pharmaceutical. It is additionally contraindicated in patients with intense myocardial dead tissue, stamped frailty, head injury, cerebral drain, or closed point glaucoma.
Side Effects
Migraine may happen at the onset of treatment but will more often than not die down after some days. In the event that the cerebral pain continues dose ought to be diminished. Other side impacts incorporate tachycardia, postural hypotension and syncope, cyanosis and methaemoglobinaemia.
Pregnancy & Lactation
Nitroglycerin ought to not be utilized amid pregnancy or lactation unless considered fundamental by the doctor.
Precautions & Warnings
Nitroglycerin ought to be utilized with caution in patients who are inclined to closed-angle glaucoma. As with other drugs for the treatment of angina pectoris, sudden suspension of treatment may lead to worsening of indications. When ceasing long term treatment, the measurement ought to be decreased continuously over a few days, and the understanding carefully observed. The utilize of nitroglycerin amid the early days of intense myocardial dead tissue requires specific consideration to hemodynamic checking and clinical status to dodge the risks of hypotension and tachycardia.
Therapeutic Class
Nitrates: Coronary vasodilators
Storage Conditions
Store in a cool and dry place absent from light and warm. Keep all solutions out of the reach of children.
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