GTN 400 mcg/spray (Topical Spray)

200 metered spray: ৳ 260.00

Medicine Details

Indications

  • Acute relief of angina pectoris
  • Prophylaxis of angina pectoris

Description

  • GTN sublingual spray
  • Metered dose spray
  • Contains GTN (400 mcg per spray, 200 metered sprays)
  • Delivers GTN in the form of spray droplets under the tongue

Pharmacology

  • Acts as a vasodilator
  • Relaxes vascular smooth muscle
  • Affects both arteries and veins

Dosage

  • 1-2 metered sprays at onset of attack
  • No more than 3 metered sprays within 15 minutes
  • Prophylactic use 5-10 minutes prior to potential attack

Administration

  • Carry product at all times for angina patients
  • Not for routine use
  • Avoid alcoholic beverages after administration
  • Avoid sildenafil, vardenafil, or tadalafil while using the product
  • Keep away from children
  • Instructions for usage under the tongue

Interaction

  • Severe hypotension and collapse with alcohol use
  • Enhanced bioavailability of dihydroergotamine with oral GTN
  • Possible orthostatic hypotension when combined with certain medications

Contraindications

  • Hypersensitivity to nitrates or any constituents
  • Various medical conditions
  • Concomitant administration of phosphodiesterase inhibitors

Side Effects

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

Pregnancy & Lactation

  • Pregnancy Category C
  • No adequate and well-controlled studies in pregnant women
  • Caution during nursing

Precautions & Warnings

  • Particular attention during early days of acute myocardial infarction
  • Caution in patients with certain medical conditions
  • Use with caution in specific patient populations

Use in Special Populations

  • Safety and effectiveness not established in pediatric patients

Overdose Effects

  • Symptoms of nitrate overdosage
  • Risk of methemoglobinemia
  • Treatment of overdosage

Therapeutic Class

  • Nitrates: Coronary vasodilators

Storage Conditions

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

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