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  1. Pharmacodynamics. Nitroglycerin causes the relaxation of vascular smooth muscles, causing arteriolar and venous dilatation. 17 It increases blood flow to the myocardium and reduces cardiac preload and afterload, decreasing myocardial wall stress and ameliorating anginal symptoms. 3,10,12 Nitroglycerin also reduces coronary artery spasm, decreasing systemic vascular resistance as well as ...

  2. Jul 31, 2023 · Nitroglycerin is a vasodilatory drug used primarily to provide relief from anginal chest pain. It is currently FDA approved for the acute relief of an attack or acute prophylaxis of angina pectoris secondary to coronary artery disease. Off-label, non-FDA-approved uses include treatment for hypertensive urgency/emergency, coronary artery spasm, angina secondary to cocaine use, congestive heart ...

    • 2023/07/31
    • Dosing: Adult
    • Dosing: Pediatric
    • Reconstitution
    • Administration

    Note:Nitronal IV solution has been discontinued in the US for more than 1 year. Note:Hemodynamic and antianginal tolerance often develop within 24 to 48 hours of continuous nitrate administration. Nitrate-free interval (10 to 12 hours/day) is recommended to avoid tolerance development; gradually decrease dose in patients receiving nitroglycerin for...

    Note:Nitronal IV solution has been discontinued in the US for more than 1 year. Note: Continuous IV infusion dosing units vary by age (mcg/kg/minute or mcg/minute); extra precautions should be taken. Tolerance to the hemodynamic and antianginal effects can develop within 24 to 48 hours of continuous use. Nitrate-free interval (10 to 12 hours/day) i...

    Nitronal (glyceryl trinitrate) 1 mg/mL (temporarily available in the US): To prepare a 100 mcg/mL solution: Withdraw 25 mL D5W from a 250 mL bottle of D5W and replace volume with 25 mg (25 mL) of Nitronal. To prepare a 200 mcg/mL solution: Withdraw 50 mL D5W from a 250 mL bottle of D5W and replace volume with 50 mg (50 mL) of Nitronal.

    IV: Prepare in glass bottles, EXCEL or PAB containers. Adsorption occurs to soft plastic (eg, PVC); use administration sets intended for nitroglycerin. Avoid in-line IV filters that adsorb nitroglycerin. Administer via infusion pump. Intra-anal ointment: Using a finger covering (eg, plastic wrap, surgical glove, finger cot), place finger beside 1 i...

  3. NITROSTAT is supplied as white, round, flat-faced tablets in 3 strengths (0.3 mg, 0.4 mg, and 0.6 mg) in bottles containing 100 tablets each, with color-coded labels, and in color-coded Patient Convenience Packages of 4 bottles of 25 tablets each. 0.3 mg: Coded “N” on one side and “3” on the other.

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  4. 2 DOSAGE AND ADMINISTRATION. Apply 1 inch of ointment (375 mg of ointment equivalent to 1.5 mg of nitroglycerin) intra-anally every 12 hours for up to 3 weeks. A finger covering, such as plastic-wrap, disposable surgical glove or a finger cot, should be placed on the finger to apply the ointment.

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  5. their mechanism of action is still incompletely understood. This is in part because nitrates affect systemic vessels and the heart as well as coronary vessels. Mindful of the manifold effects of nitroglycerin which include peripheral vascular and myo­ cardial factors, all interacting simultaneously with the direct coronary vascular

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  7. Nitrostat is supplied as white, round, flat-faced tablets in 3 strengths (0.3 mg, 0.4 mg, and. 0.6 mg) in bottles containing 100 tablets each, with color-coded labels, and in color-coded Patient Convenience Packages of 4 bottles of 25 tablets each. 0.3 mg: Coded “N” on one side and “3” on the other.

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