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Introduction

Expert Advice

Indications:

It is used as a prevention and treatment of angina (chest pain) and as a combination therapy in
myocardial infarction (heart attack) and congestive heart failure.

Administration:

This medicine is used orally or injected into a vein. The lowest oral dose should be used for the elderly. The injectable form is injected into a vein by a medical professional. The dose is dependent on the age, condition and its severity.

This medicine is not recommended for children.

 

Storage:

Store this medicine at room temperature (20-30 Celsius) or refrigerate, depending on the type of medicine. Please keep away from excessive light, moisture, and children.

 

Side Effects:

Its side effects are postural hypotension (decreased blood pressure on changing postures), tachycardia (increased heart rate), throbbing headache, dizziness, nausea, vomiting, heartburn, flushing (temporary reddening of the face), syncope (temporary consciousness loss), temporary hypoxemia (reduced blood oxygen level), reaction at the site of injection, and glaucoma.
Specific side effects include severe hypotension, diaphoresis (sweating), apprehension (anxiety),
restlessness, muscle twitching, retrosternal (around the ribs) discomfort, palpitations, abdominal pain,
and methemoglobinemia (blood disorder in which too little oxygen is delivered within the body).

Precautions:

hypothyroidism (decreased production of thyroid hormone), malnutrition, hypothermia (a situation where the body loses heat faster than it can produce heat), heart failure, hypoxemia (low level of oxygen in the blood), severe liver or kidney impairment,
orthostatic dysfunction (development of certain symptoms when standing upright), head trauma, cerebral hemorrhage (blood leakage in the vessels of the brain), susceptibility to glaucoma. Ensure to monitor blood pressure and heart rate regularly.

 

Effects on pregnancy and lactation:

The effects of this medicine are unknown therefore use with precaution in pregnant and lactating females.

 

Contraindications:

This medicine should not be used in people with hypersensitivity to nitrates, hypotension (decreased
blood pressure), hypovolemia (decreased blood volume), hypertrophic cardiomyopathy (a condition
with a thickened portion of the heart), aortic stenosis (narrowing of the aorta), cardiac tamponade (fluid
accumulation around the heart), constrictive pericarditis (inflammation around the heart), toxic
pulmonary edema (swelling around lungs), head trauma, cerebral hemorrhage (blood leakage in the
vessels of the brain), cerebrovascular diseases, marked anemia, raised intracranial pressure (pressure
within the brain), extreme bradycardia (decreased heart rate), closed-angle glaucoma (an eye condition
that damage the optic nerve) and G6PD deficiency (a male genetic disorder)

Primary Uses

Indications

It is used as a prevention and treatment of angina (chest pain) and as a combination therapy in
myocardial infarction (heart attack) and congestive heart failure.

Side Effects

Its side effects are postural hypotension (decreased blood pressure on changing postures), tachycardia
(increased heart rate), throbbing headache, dizziness, nausea, vomiting, heartburn, flushing (temporary
reddening of the face), syncope (temporary consciousness loss), temporary hypoxemia (reduced blood
oxygen level), reaction at the site of injection, and glaucoma.
Specific side effects include severe hypotension, diaphoresis (sweating), apprehension (anxiety),
restlessness, muscle twitching, retrosternal (around the ribs) discomfort, palpitations, abdominal pain,
and methemoglobinemia (blood disorder in which too little oxygen is delivered within the body).

Warnings

Pregnancy

No definite data regarding pregnancy is available, therefore, be cautious. Consult your healthcare provider before this medication.

Lactation

It is advised to use this medicine with caution in nursing females. Consult your doctor. 

Precautions

Caution is advised in the following conditions: hypothyroidism (decreased production of thyroidhormone), malnutrition, hypothermia (a situation where the body loses heat faster than it can produceheat), heart failure, hypoxemia (low level of oxygen in the blood), severe liver or kidney impairment,orthostatic dysfunction (development of certain symptoms when standing upright), head trauma,cerebral hemorrhage (blood leakage in the vessels of the brain), susceptibility to glaucoma. Ensure tomonitor blood pressure and heart rate regularly.

Contraindications

This medicine should not be used in people with hypersensitivity to nitrates, hypotension (decreased
blood pressure), hypovolemia (decreased blood volume), hypertrophic cardiomyopathy (a condition
with a thickened portion of the heart), aortic stenosis (narrowing of the aorta), cardiac tamponade (fluid
accumulation around the heart), constrictive pericarditis (inflammation around the heart), toxic
pulmonary edema (swelling around lungs), head trauma, cerebral hemorrhage (blood leakage in the
vessels of the brain), cerebrovascular diseases, marked anemia, raised intracranial pressure (pressure
within the brain), extreme bradycardia (decreased heart rate), closed-angle glaucoma (an eye condition
that damage the optic nerve) and G6PD deficiency (a male genetic disorder)

FAQS

Indications:

This medicine is used to prevent and treat angina (chest pain). It is also used in combination with other medicines for the treatment of acute congestive heart failure and chronic congestive heart failure.

Administration:

This medicine is used orally or injected into a vein. The lowest oral dose should be used for the elderly. The injectable form is injected into a vein by a medical professional. The dose is dependent on the age, condition and its severity. This medicine is not recommended for children.

Storage:

Please store this medicine at room temperature (20-30 Celsius) or refrigerate, depending on the type of medicine. Please keep away from excessive light, moisture, and children. Please read the leaflet provided with the medicine fir further storage guidance.

Side Effects:

You may experience the following: • Headache • Nausea • Redness or irritation at injection site • Low blood pressure • Restlessness

Precautions:

Following are the precautions for using this medicine: • Patients with thyroid disorders must be cautions • Patients with heart disease must be cautions • Patients with glaucoma (high pressure in the eye) must be cautions • Get up slowly from sitting position to avoid dizziness

Effects on pregnancy and lactation:

The effects of this medicine are unknown therefore use with precaution in pregnant and lactating females.

Contraindications:

• Glaucoma • Severe heart problems • Anemia G6PD deficiency (enzyme)

Disclaimer

Dawaai's intention is to make sure that it's consumers get information that is accurate, reviewed by an expert and error-free. However, the information mentioned here should not be used as a replacement for the advice of a qualified physician. The information given here is for informational purposes only, which may not cover all possible precautions, side effects, contraindications or drug interactions. Consult your doctor and discuss your queries related to any medicine or disease.

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