Trocer 400 mcg/spray (Topical Spray)

200 metered spray: ৳ 270.00

Medicine Details

Category Details
Generic Nitroglycerin sublingual spray
Company Incepta pharmaceuticals ltd

Indications

  • Acute relief of angina pectoris
  • Prophylaxis of angina pectoris

Description

  • Vasodilator effect on arteries and veins
  • Metered dose spray
  • Contains 400 mcg of Trocer per spray
  • 200 metered sprays

Pharmacology

  • Relaxation of vascular smooth muscle
  • Vasodilator effect on peripheral arteries and veins
  • Reduction of left ventricular end-diastolic pressure
  • Reduction of systemic vascular resistance

Dosage

  • 1-2 metered sprays at onset of attack
  • Maximum 3 metered sprays in 15 minutes
  • Prophylactic use 5-10 minutes prior to activities

Administration

  • Carry at all times for angina patients
  • Not for routine use
  • Avoid alcoholic beverages
  • Avoid sildenafil, vardenafil, or tadalafil
  • Administer under the tongue
  • Sit down during administration

Interaction

  • Severe hypotension with alcohol
  • Enhanced bioavailability of dihydroergotamine
  • Orthostatic hypotension with certain drugs

Contraindications

  • Hypersensitivity to nitrates
  • Hypotension and hypovolaemia
  • Cerebral haemorrhage and brain trauma
  • Concomitant administration of phosphodiesterase inhibitors

Side Effects

  • Headache
  • Facial flushing
  • Dizziness
  • Nausea
  • Vomiting
  • Feelings of weakness
  • Postural hypotension
  • Reflex tachycardia

Pregnancy & Lactation

  • Category C for pregnancy
  • Use in nursing women with caution

Precautions & Warnings

  • Monitor hemodynamics and clinical status during early days of acute myocardial infarction
  • Caution in patients with impaired renal or hepatic function, hypothyroidism, malnutrition, or hypothermia

Use in Special Populations

  • Safety and effectiveness not established in pediatric patients

Overdose Effects

  • Severe hypotension
  • Throbbing headache
  • Vertigo
  • Palpitation
  • Visual disturbance
  • Flushing and perspiring skin
  • Nausea and vomiting
  • Methemoglobinemia
  • Circulatory collapse

Therapeutic Class

  • Nitrates: Coronary vasodilators

Storage Conditions

  • Cool and dry place away from light and heat
  • Keep out of reach of children

Related Brands