Nitrovas SR 2.6 mg (Tablet (Sustained Release))

Unit Price: ৳ 5.00 (5 x 10: ৳ 250.00)
Strip Price: ৳ 50.00

Medicine Details

Indications

  • Prophylaxis of angina pectoris

Pharmacology

  • Causes relaxation of vascular smooth muscle
  • Produces a vasodilator effect on peripheral arteries and veins
  • Reduces left ventricular end-diastolic pressure
  • Reduces systemic vascular resistance and arterial pressure

Dosage & Administration

  • Dosage should be adjusted according to individual patient response
  • One 2.6 mg sustained release tablet in morning and evening
  • Take on an empty stomach

Interaction

  • May increase antihypertensive properties of vasodilators
  • May increase antihypertensive properties of calcium antagonists
  • May increase antihypertensive properties of beta-adrenergic blockers
  • Concomitant use with tricyclic antidepressants and alcohol may cause high blood pressure
  • Concomitant use with phosphodiesterase type 5 (PDE5) inhibitors can 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
  • Known hypersensitivity to other organic nitrates or nitrites
  • Contraindicated in acute myocardial infarction
  • Contraindicated in marked anaemia
  • Contraindicated in head trauma
  • Contraindicated in cerebral haemorrhage
  • Contraindicated in closed angle glaucoma

Side Effects

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

Pregnancy & Lactation

  • No evidence of safety in pregnancy and lactation

Precautions & Warnings

  • Use with caution in patients predisposed to closed-angle glaucoma
  • Abrupt discontinuation may lead to exacerbation of symptoms
  • Discontinuation should be gradual over several days
  • Requires particular attention during acute myocardial infarction

Overdose Effects

  • Peripheral vasodilation with fall in blood pressure
  • Reflex tachycardia
  • Monitoring of cardiac function and supportive measures required
  • Circulating plasma volume should be increased by fluid substitution
  • Consideration of vasopressors administration in life-threatening situations

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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