Nitrogard

Main Ingredient: Nitroglycerin

Nitrogard is given for the prevention and treatment for chest pain (angina pectoris). Nitrogard helps improve oxygen supply by relaxing the walls of blood vessels, resulting in their dilation and reducing the workload of the heart.

There are various types of Nitrogard, sublingual, ointment, spray, sustained release capsules or tablets or patches. Depending on its type they are used to prevent an attack of angina, relieve or to reduce the frequency of such attacks.

SIDE EFFECTS OF NITROGARD

Common side effects of Nitrogard may include dizziness, headache, light-headedness, worsened angina pain and flushing.

Rare side effects of Nitrogard may include dry mouth, diarrhea, fainting, heart pounding, low blood pressure, nausea, vomiting, pallor, restlessness, severe allergic reactions, rash, sweating, vertigo, fatigue, and numbness.

NITROGARD CAUTION

Inform your physician about any medical condition that you already have before using Nitrogard. These conditions include previous or recent heart attack, stroke, kidney or liver problems, head injury, anemia, glaucoma, hyperthyroidism and low blood pressure.

Nitrogard may cause severe low blood pressure, dizziness and fainting. Do not drive a car or operate machinery until you know how Nitrogard affects you.

Avoid using Nitrogard if you are allergic to nitrates or nitrites or to the adhesive in the patch.

Nitrogard capsule should not be used if you have closed-angle glaucoma or postural hypotension.

Avoid using the Nitrogard tablets if you are using drugs for erectile dysfunction (impotence).

Contact your physician right away if your vision becomes blurry or you experience dry mouth while taking Nitrogard.

NITROGARD INTERACTION

Nitrogard may cause extreme low blood pressure when combined with high blood pressure medicines such as:
Beta-blocker
Calcium channel blockers
isosorbide dinitrate
isosorbide mononitrate
blood vessel dilators

Nitrogard may also cause a severe drop in blood pressure when taken with the impotence drug such as sildenafil (Viagra) or similar drugs.

Aspirin and other NSAIDs may enhance the effects of Nitrogard.

Alcohol may cause a sudden decrease in blood pressure when combined with Nitrogard.

Inform your doctor if you are using any herbs that may increase or decrease blood pressure such as ginseng, hawthorn, saw palmetto etc.

NITROGARD AND PREGNANCY

The effects of Nitrogard on pregnancy have not been established.

If you are, or planning to become pregnant, inform your physician before starting Nitrogard.

Nitrogard does pass into breast milk. Nursing mothers should switch to bottle-feed while using Nitrogard.

NITROGARD DOSES

Sublingual or transmucosal tablets:
At the onset of the chest pain, dissolve 1 tablet under the tongue or between cheek and gum. Repeat after 5 minutes if the pain does not subsides. However, if pain continues even after 3 tablets, seek emergency medical help right away. Do not take more than 3 tablets in 15 minutes.

Sustained-Release Tablets and Capsules:
1 capsule 2-4 times daily. This type of Nitrogard should not be used during an attack.

Spray:
1-2 sprays under the tongue; repeat as needed to relieve the pain. However, if pain continues even after 3 doses in 15-minutes period, seek emergency medical help right away.

Patch:
For the prevention of angina attack, apply 1 patch every 24-hour period to hairless skin. Make sure to discard the used patch properly away from children and pets as the leftover drug may cause harm to them.

Ointment:
For prevention, apply 1-2 in. to a hairless skin every 4-8 hours. Rotate application sites to prevent skin inflammation or rash. Do not rub or massage the skin.

NITROGARD OVERDOSE

Symptoms of Nitrogard overdose may include low blood pressure, headache, bluish skin, dizziness, confusion, diarrhea, breathing difficulty, fainting, fever, flushed skin, loss of appetite, nausea, seizures, sweating, vertigo, visual disturbances, vomiting, paralysis, and coma. In case of Nitrogard overdose seek emergency hospital help right away.

If you miss a dose of Nitrogard, take it as soon as you can. However, if it is just about time for your next dose, skip the one you forgot and go on with your regular schedule. Avoid taking a double dose.

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