Nitroglycerin: Difference between revisions

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==Adverse Reactions==
==Adverse Reactions==
===Serious===
===Serious===
 
*hypotension
*bradycardia
*methemoglobinemia
===Common===
===Common===
* headache
* dizziness
* flushing
* hypotension
* reflex tachycardia
*edema


==Pharmacology==
==Pharmacology==

Revision as of 22:23, 5 April 2015

General

  • Type: stimulates cGMP production causing vascular smooth muscle relaxation
  • Dosage Forms: SL, IV
  • Common Trade Names: Nitrolingual, NitroMist, Nitrostat

Adult Dosing

  • Angina, Acute: 0.3 - 0.6 mg SL q5min x 3 doses max
  • HTN/CHF: 5-200 mcg/min IV, start 5 mcg/min IV

Pediatric Dosing

HTN/CHF: 1-5 mcg/kg/min IV, start 0.25-0.5 mcg/kg/min, max: 20 mcg/kg/min

Special Populations

  • Pregnancy Rating: C
  • Lactation: safety unknown
  • Renal Dosing
    • Adult: no adjustment
    • Pediatric: no adjustment
  • Hepatic Dosing
    • Adult: not defined
    • Pediatric: not defined

Contraindications

  • Allergy to class/drug
  • Pericardial tamponade
  • severe anemia
  • sildenafil use
  • methemoglobinemia
  • caution if hypotension

Adverse Reactions

Serious

  • hypotension
  • bradycardia
  • methemoglobinemia

Common

  • headache
  • dizziness
  • flushing
  • hypotension
  • reflex tachycardia
  • edema

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:
  • Mechanism of Action:

See Also

Sources