Nitrocard Spray is indicated for acute angina & for the prophylaxis.
Nitroglycerin USP 0.40 mg/dose
Each canister contains 200 metered doses
Dosage & Administration
During an anginal attack, one or two sprays should be administered under tongue. The medication should not be expectorated or the mouth rinsed for 5 to 10 minutes following administration. A spray may be repeated approximately every 3-5 minutes as needed. No more than three metered sprays are recommended within a 15-minute period. If chest pain persists, prompt medical attention is recommended. Nitrocard spray may be used 5 to 10 minutes prior to engaging in activities which might provoke an acute attack.
Hypersensitivity to nitrates, obstructive hypertrophic cardiomyopathy, low cardiac output secondary to hypovolemia, inferior myocardial infarction with right ventricular involvement, mitral valve prolapsed etc.
Adverse reactions to oral nitroglycerin may include headache, flushing, dizziness, nausea, vomiting, weakness, restlessness, postural hypotension etc.
Orthostatic hypotension may occur with the combined use of calcium channel blockers, phenothiazine and tricyclic antidepressants. Use of alcohol with nitroglycerin may produce severe hypotension and collapse.