Cardiovascular Medicine Book

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Short Acting Nitroglycerin

Aka: Short Acting Nitroglycerin, Short Acting Nitrates, Sublingual Nitroglycerin, Nitroglycerin Spray, Nitroglycerin Powder, Glyceryl trinitrate spray, Nitrostat, Nitrolingual Pumpspray, NitroMist, GoNitro
  1. Indications
    1. Acute Myocardial Ischemia (Angina Pectoris)
      1. Exertional or rest Angina
  2. 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
  3. 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)
  4. References
    1. (2016) Presc Lett 23(11)
Medication Costs
nitrostat (on 6/1/2017 at Medicaid.Gov Pharmacy Drug pricing)
NITROSTAT 0.3 MG TABLET SL Generic $0.30 each
NITROSTAT 0.4 MG TABLET SL Generic $0.57 each
NITROSTAT 0.6 MG TABLET SL $0.50 each
FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See Needy Meds for financial assistance information.

Oral form glyceryl trinitrate (C0358597)

Concepts Pharmacologic Substance (T121) , Organic Chemical (T109)
SnomedCT 346460001
English Oral glyceryl trinitrate, Oral form glyceryl trinitrate (product), Oral form glyceryl trinitrate, Oral glyceryl trinitrate (product), Oral glyceryl trinitrate (substance)
Spanish trinitrato de glicerilo oral, trinitrato de glicerilo oral (producto), trinitrato de glicerilo, forma farmacéutica oral (producto), trinitrato de glicerilo, forma farmacéutica oral
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Glyceryl trinitrate spray (C0358692)

Concepts Clinical Drug (T200)
SnomedCT 346463004
English Glyceryl trinitrate spray, Glyceryl trinitrate spray (product), Glyceryl trinitrate spray (substance)
Spanish trinitrato de glicerilo en aerosol (producto), trinitrato de glicerilo en aerosol, trinitrato de glicerilo en spray (producto), trinitrato de glicerilo en spray
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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