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Short Acting Nitroglycerin

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Short Acting Nitroglycerin, Short Acting Nitrates, Sublingual Nitroglycerin, Nitroglycerin Spray, Nitroglycerin Powder, Glyceryl trinitrate spray, Nitrostat, Nitrolingual Pumpspray, NitroMist, GoNitro

  • Indications
  1. Acute Myocardial Ischemia (Angina Pectoris)
    1. Exertional or rest Angina
  • Precautions
  1. Do not take more than 3 Nitroglycerin doses in 15 minutes
  2. Seek immediate attention (call 911):
    1. Anginal pain not improved after the first Nitroglycerin after 5 minutes
  • Preparations
  1. Nitroglycerin Sublingual (0.15 to 0.6 mg)
    1. Sublingual 0.4 mg prn Angina up to 3 in 15 minutes
    2. Costs roughly 40 cents per tablet
    3. Sublingual tablets are now good until expiration bottle (even after opening)
      1. Formulation lasts 2 years from manufacture date
      2. Assumes the bottle is kept capped, at room Temperature
      3. Older formulations in the distant past needed replacement every 6 months
  2. Nitroglycerin Spray (0.4 mg/spray)
    1. Spray 1 prn Angina up to 3 sprays in 15 minutes
    2. Expensive ($1.50 to $4.50 per spray in 2016)
  3. Nitroglycerin Powder (single dose packet)
    1. Open packet and pour under Tongue up to 3 in 15 minutes
    2. Expensive ($7 per packet in 2016)
  • References
  1. (2016) Presc Lett 23(11)