Generic name: Nitroglycerin

Classification

Anti-Anginal Drugs

Indications

Acute angina pectoris. Prevents an attack before physical stress. To decreases elevated filling pressure in acute MI. Adjuvant therapy in emergency cases of left heart insufficiency( asthma cardiale).

Dosage

1-2 doses sublingually to the sitting patient. If necessary, give max of 3 doses but only w/ in 15 min. Before exercise 1 puff 5-10 min before activity.

Contraindications

Narrow canthus glaucoma, pronounced hypotension, increased intracranial pressure, cardiogenic shock. Concomitant sildenafil intake.

Precautions

Avoid inhalation.

Adverse Reactions

Transient burning sensation in the mouth, pulsating feeling in the head, facial flush, dizziness.

Interactions

Diuretics/hypovolemia may ensue during prolonged combined treatment, risk of increased hypotension. Antihypertensives, tricyclic antidepressants, sildenafil.