II. Indications
-
Congestive Heart Failure Exacerbation Management
- Nitroglycerin Infusion is used in critical CHF exacerbations for rapid Preload reduction
- Less severe CHF exacerbations may benefit from early Nitroglycerin Ointment during initial stabilization
- Unlike Nitroglycerin Infusion that requires ED/ICU care, Nitroglycerin Ointment may be used on regular medical wards
-
Angina Pectoris
- Other Nitroglycerin preparations are preferred for acute Angina (e.g. Sublingual Nitroglycerin, Nitroglycerin Infusion)
- For chronic Angina, use Long Acting Nitroglycerin (e.g. Isosorbide or Nitroglycerin Patch) instead
III. Precautions
- Poor absorption (Other preparations are preferred)
IV. Pharmacokinetics
- One inch of ointment equivalent to 10 mcg/min IV infusion
V. Dosing
-
Nitroglycerin 2% ointment (15 mg per inch)
- Start: 0.5 inch every 8 hours
- Maintenance: 1-2 inches every 8 hours
- Maximum: 4-5 inches every 4 to 6 hours
VI. Safety
- Pregnancy Category C
- Unknown safety in Lactation
VII. Mechanism
- See Nitroglycerin
VIII. Adverse Effects
- See Nitroglycerin
IX. Resources
- Nitro-Bid Nitroglycerin Ointment
X. References
- Olson (2020) Clinical Pharmacology, Medmaster Miami, p. 70-1
- Hamilton (2020) Tarascon Pocket Pharmacopoeia
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Related Studies
Concepts | Clinical Drug (T200) |
SnomedCT | 319407007 |
English | Glyceryl trinitrate 2% oint, NITROGLYCERIN 2% TRANSDERMAL OINTMENT(GM), NITROGLYCERIN 2% Transdermal ointment, Nitroglycerin 0.02 MG/MG Topical Ointment, NITROGLYCERIN 2 %WW TOPICAL OINTMENT, NITROGLYCERIN 2% OINTMENT(GM), NITROGLYCERIN @ 2% @ OINTMENT(GM), NITROGLYCERIN 2% TRANSDERM. OINTMENT(GM), NITROGLYCERIN@2%@TRANSDERM.@OINTMENT(GM), Nitroglycerin 2% Topical ointment, NITROGLYCERIN@2 %@TRANSDERM.@OINTMENT(GM), NITROGLYCERIN 2 % TRANSDERM. OINTMENT(GM), NITROGLYCERIN 2% OINT, nitroglycerin 2 % Topical Ointment, Nitroglycerin 2% Topical application Ointment, Nitroglycerin Oint 2%, NITROGLYCERIN 2% OINT,TOP [VA Product], NITROGLYCERIN 2 % TRANSDERM OINTMENT(GM), NITROGLYCERIN 2 % TRANSDERM OINTMENT (GRAM), NITROGLYCERIN@2 %@TRANSDERM@OINTMENT (GRAM), NITROGLYCERIN@2 %@TRANSDERM@OINTMENT(GM), nitroglycerin 2% transdermal ointment, Nitroglycerin, 2% transdermal ointment, nitroglycerin 2% topical ointment, Nitroglycerin, 2% topical ointment, Nitroglycerin 2% Transdermal Ointment, NTG 0.02 MG/MG Topical Ointment, TNG 0.02 MG/MG Topical Ointment, Glyceryl trinitrate 2% ointment, Glyceryl trinitrate 2% ointment (product), Glyceryl trinitrate 2% ointment (substance), NITROGLYCERIN 2% OINT,TOP |
Spanish | trinitrato de glicerilo, 2%, pomada, trinitrato de glicerilo, 2%, ungüento (producto), trinitrato de glicerilo, 2%, ungüento |