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Glyceryl Trinitrate

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Molecule Summary

Uses
angina pectoris
Therapy
Anti-Anginal
Side Effects
nausea, vomiting, dizziness, vertigo, throbbing headache, fluctuations in heart rate
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Molecule Description

Glyceryl Trinitrate is a vasodilator used in heart diseases. It is used to treat angina pectoris, a chest pain caused by reduced blood flow to the heart. Glyceryl Trinitrate works by relaxing the blood vessels, thereby lowering the load on the heart. The dose and duration of this medicine varies among individuals depending on the severity of the condition. Do not take more than the prescribed dose in 24 hours. Do not stop the medication on your own without consulting the doctor.

Uses

  • Relief of Angina pectoris

Contraindications

When should one not use Glyceryl Trinitrate

  • Allergy to Glyceryl Trinitrate or any other excipient
  • Patients taking sildenafil, vardenafil, tadalafil
  • Patients with increased pressure in the brain due to trauma
  • Anaemia
  • Closed-angle glaucoma (Increased pressure in the eye)
  • Chest pain due to abnormal thickening of the heart muscle (hypertrophic obstructive cardiomyopathy)

Side effects

Common side effects of this drug are:

  • Throbbing headaches
  • Vertigo
  • Dizziness
  • Drowsiness
  • Increased/Decreased heart rate
  • Raised/Decreased blood pressure
  • Weakness
  • Fainting
  • Flushing of face
  • Nausea
  • Vomiting
  • Allergic skin reactions
  • Heartburn
  • Impaired breathing
  • Palpitations

Precautions and Warnings

Pregnancy

Pregnancy

Glyceryl Trinitrate should be avoided during pregnancy unless recommended by the physician.

Breast Feeding

Breast Feeding

It is unknown whether Glyceryl Trinitrate is excreted in breast milk. Therefore, the risk to the infant remains unknown. Hence, Glyceryl Trinitrate should be avoided during breastfeeding unless recommended by the physician.

Driving

Driving

Glyceryl Trinitrate may cause dizziness and drowsiness. Hence caution is advised before driving or operating machines.

Alcohol

Alcohol

Alcohol may intensify the dizziness and drowsiness caused by this medicine. Therefore, caution is advised.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You are allergic to Glyceryl Trinitrate or any other excipient
  • You have liver or kidney disorder
  • You have a heart disease
  • You have low blood pressure
  • You are on heparin therapy
  • You have severe breathing difficulties
  • You are taking other medication for the similar condition
  • You are taking herbal, nutritional supplements, vitamins or minerals

Mode of Action

How Does It Work?

Glyceryl Trinitrate acts on blood vessels and smooth muscles, leading to their dilatation which relieves the pain.

Interactions

Interactions with other medicines

  • Glyceryl Trinitrate along with vasodilators, antihypertensives, beta-blockers, calcium channel blockers and neuroleptics, tricyclic antidepressants and sapropterin, can lead to low blood pressure
  • N-acetylcysteine may increase the effects of Glyceryl Trinitrate
  • Glyceryl Trinitrate may interfere in the clotting mechanism when used with heparin
  • Glyceryl Trinitrate and anticholinergic, antimuscarinics, tricyclic antidepressants can cause dryness of mouth
  • Ergot alkaloids may oppose the vasodilatation effect of Glyceryl Trinitrate
  • Sildenafil, vardenafil and tadalafil should not be taken with Glyceryl Trinitrate as they can cause a severe fall in blood pressure

Dosage

Overdose

In case of overdose, you may experience dizziness, nausea, or lightheadedness. If you experience these symptoms, visit the nearest hospital or contact your doctor immediately.

Missed a Dose

If you forget to take a dose, take it as soon as you remember. If the next dose is approaching, skip the missing dose. Use your next dose at the same time every day. To catch up, do not increase the dose.

Frequently Asked Questions (FAQs)

While travelling do not keep the medicine close to your body. Keep it in a purse, wallet or a handbag.

It is best to discuss with your physician about any possible drug interactions of Glyceryl Trinitrate and herbal medicines before using both together.

No habit forming tendencies have been reported with Glyceryl Trinitrate.

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