Nitrocard SR 2.6 mg (Tablet (Sustained Release))

Unit Price: ৳ 7.00 (6 x 10: ৳ 420.00)
Strip Price: ৳ 70.00

Medicine Details

Category Details
Generic Nitroglycerin tablet
Company Aristopharma ltd

Indications

  • Prophylaxis of angina pectoris

Pharmacology

  • Causes relaxation of vascular smooth muscle
  • Produces vasodilator effect on peripheral arteries and veins

Dosage & Administration

  • Dosage adjustment according to individual patient's requirement and response
  • One tablet or capsule in morning and evening
  • To be taken empty stomach

Interaction

  • May increase antihypertensive properties of vasodilators, calcium antagonists, beta-adrenergic blockers
  • Concomitant use with tricyclic antidepressants and alcohol may cause high blood pressure
  • Concomitant use with phosphodiesterase type 5 (PDE5) inhibitors may cause fall in blood pressure
  • Aspirin decreases clearance and enhances hemodynamic effects
  • May reduce pharmacologic effects of heparin
  • Increases bioavailability of dihydroergotamine

Contraindications

  • Known hypersensitivity to nitroglycerin or other organic nitrates
  • Acute myocardial infarction
  • Marked anaemia
  • Head trauma
  • Cerebral haemorrhage
  • Closed angle glaucoma

Side Effects

  • Headache
  • Tachycardia
  • Postural hypotension
  • Syncope
  • Cyanosis
  • Methaemoglobinaemia

Pregnancy & Lactation

  • No evidence for safety in pregnancy and lactation
  • Should be administered to pregnant women and nursing mothers only if considered essential by physician

Precautions & Warnings

  • Use with caution in patients predisposed to closed-angle glaucoma
  • Abrupt discontinuation may lead to exacerbation of symptoms
  • When discontinuing long term treatment, reduce dosage gradually over several days
  • Particular attention required during early days of acute myocardial infarction

Overdose Effects

  • Peripheral vasodilation with fall in blood pressure
  • Reflex tachycardia
  • Monitoring of cardiac function and general supportive measures required
  • If unsuccessful, increase circulating plasma volume by fluid substitution
  • Consider administration of vasopressors in life-threatening situations

Therapeutic Class

  • Nitrates: Coronary vasodilators

Storage Conditions

  • Store in cool and dry place away from light and heat
  • Keep out of the reach of children

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