Therapeutic Class

Anti-anginal drugs


Nitrocard Spray is indicated for acute angina & for the prophylaxis.

Chemical Composition

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.

Side Effects

Adverse reactions to oral nitroglycerin may include headache, flushing, dizziness, nausea, vomiting, weakness, restlessness, postural hypotension etc.

Drug Interaction

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.