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Nitroglycerin capsule (Nitroglycerin )

Generic Name : Nitroglycerin

Brand name: Nitroglycerin capsule
Why is Nitroglycerin capsule prescribed?

Nitroglycerin capsule is used to prevent chest pain (angina). It works by relaxing the blood vessels to the heart, so the blood flow and oxygen supply to the heart is increased.

Nitroglycerin capsule is sometimes prescribed for other uses; ask your doctor or pharmacist for more information

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How should Nitroglycerin capsule be used?

Nitroglycerin capsule comes as a sublingual tablet, buccal tablet, extended-release (long-acting) capsule, or spray to be used orally. The buccal extended-release tablets and the extended-release tablets and capsules are usually taken three to six times a day. Do not crush, chew, or divide the extended-release tablets or capsules. The sublingual tablet and spray are used as needed to relieve chest pain that has already started or to prevent pain before activities known to provoke attacks (e.g., climbing stairs, sexual activity, heavy exercise, or cold weather). The buccal extended-release tablets also may be used during an attack and just before situations known to provoke attacks. Follow the directions on your label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take nitroglycerin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Nitroglycerin capsule controls chest pain but does not cure it. Continue to use nitroglycerin even if you feel well. Do not stop taking Nitroglycerin capsule without talking to your doctor. Stopping the drug abruptly may cause chest pain.

Nitroglycerin capsule can lose its effectiveness when used for a long time. This effect is called tolerance. If your angina attacks happen more often, last longer, or are more severe, call your doctor.

If you are using the buccal extended-release tablet, place the tablet between your cheek and gum and allow it to dissolve. Do not chew or swallow it. If you feel dizzy, sit down after placing the tablet in your mouth. Try not to swallow saliva until the tablet dissolves. Buccal extended-release tablets start to work within 2-3 minutes. To make the tablet dissolve faster, touch it with your tongue before placing it in your mouth or drink a hot liquid. If an attack occurs while you have a buccal extended-release tablet in place, place a second tablet on the opposite side of your mouth. If chest pain persists, use sublingual tablets, call for emergency assistance, or go to a hospital emergency department immediately.

If you are taking Nitroglycerin capsule sublingual tablets or spray for acute chest pain, you should carry the tablets and spray with you at all times. Sit down when an acute attack occurs. The drug starts to work within 2 minutes and goes on working for up to 30 minutes. If you are taking nitroglycerin tablets and your chest pain is not relieved within 5 minutes, take another dose. If you are using nitroglycerin spray and your chest pain is not relieved in 3-5 minutes, repeat the process. Call for emergency assistance or go to a hospital emergency department if pain persists after you have taken three tablets (at 5-minute intervals) or have used three sprays (at 3-5 minute intervals) and 15 minutes have passed.

Nitroglycerin capsule : Full Prescribing Information

Nitroglycerin capsule's Price List

What special precautions should I follow?

Before taking Nitroglycerin capsule,

tell your doctor and pharmacist if you are allergic to Nitroglycerin capsule, isosorbide (Imdur, Isordil, Sorbitrate), or any other drugs.
tell your doctor and pharmacist what medications you are taking, especially aspirin; beta blockers such as atenolol (Tenormin), carteolol (Cartrol), labetalol (Normodyne, Trandate), metoprolol (Lopressor), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), and timolol (Blocadren); calcium channel blockers such as amlodipine (Norvasc), diltiazem (Cardizem), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Procardia), and verapamil (Calan, Isoptin); dihydroergotamine (D.H.E. 45); sildenafil (Viagra); and vitamins.
tell your doctor if you have low red blood cell counts (anemia), glaucoma, or recent head trauma.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking nitroglycerin, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Nitroglycerin capsule.
you should know that Nitroglycerin capsule may make you drowsy or dizzy. Do not drive a car or operate machinery until you know how it affects you.
ask your doctor about the safe use of alcoholic beverages while you are taking nitroglycerin. Alcohol can make the side effects from Nitroglycerin capsule worse.

What should I do if I forget a dose?

Apply the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not apply a double dose to make up for a missed one.

What side effects can Nitroglycerin capsule cause?

Side effects from Nitroglycerin capsule are common. Tell your doctor if any of these symptoms are severe or do not go away:

headache
rash
dizziness
upset stomach
flushing (feeling of warmth)
If you experience any of the following symptoms, call your doctor immediately:

blurred vision
dry mouth
chest pain
fainting


What storage conditions are needed for Nitroglycerin capsule?

Keep Nitroglycerin capsule in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Avoid puncturing the spray container and keep it away from excess heat. Do not open a container of sublingual Nitroglycerin capsule until you need a dose. Do not use tablets that are more than 12 months old. Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.


Nitroglycerin capsule : Full Prescribing Information

 

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