Introduction About NITROVAG 6.4 TABLET

NITROVAG 6.4 TABLET contains Nitroglycerine that belongs to the group of medicines called Vasodilators. It is used for the management of angina pectoris due to coronary artery disease.

Angina is a type of chest pain which is caused by reduced blood flow to the heart as a result of coronary artery disease. Symptoms are feeling pressure, squeezing, heaviness, tightness or pain in the chest or a heavy weight is lying on the chest. 

Along with NITROVAG 6.4 TABLET your doctor may advise you to make certain lifestyle changes such as quitting alcohol and smoking, eating a healthy diet, managing weight and improving your sleep pattern.

NITROVAG 6.4 TABLET is not recommended for use in patients having heart diseases (hypertrophic obstructive cardiomyopathy), anaemia, raised pressure in the head, raised pressure in the eye (glaucoma), or are taking medicines to manage erectile dysfunction (sildenafil, vardenafil, tadalafil.

NITROVAG 6.4 TABLET should be used with caution in patients having liver or kidney diseases, underactive thyroid gland, low body temperature, malnourishment, abnormally low levels of oxygen in blood, very low blood pressure, low blood volume, disease of the blood vessels supplying the brain, or conditions that lower blood volume in the heart.

NITROVAG 6.4 TABLET should be used with caution in pregnant and breast-feeding women. Take your doctor’s advice before taking the medicine. NITROVAG 6.4 TABLET is not recommended for use in children. NITROVAG 6.4 TABLET should be used with caution in elderly patients.

The most common side effects of taking NITROVAG 6.4 TABLET are throbbing headache, spinning sensation, dizziness, drowsiness, lack of energy. Consult your doctor if the symptoms worsen or doesn’t improve.

Uses Of NITROVAG 6.4 TABLET

• It is used for management of angina pectoris due to coronary artery disease

How NITROVAG 6.4 TABLET Works

NITROVAG 6.4 TABLET causes relaxation of smooth muscles within blood vessels which leads to relaxation and widening of blood vessels. This improves blood supply to the heart muscles. As a result, it helps to relieve chest pain and blood pressure.

How to use NITROVAG 6.4 TABLET

Always use NITROVAG 6.4 TABLET exactly as prescribed by your doctor.

For Tablet, Capsule: Swallow NITROVAG 6.4 TABLET with a glass of water. Do not crush or chew the medicine.

For Sublingual Tablet: Place NITROVAG 6.4 TABLET inside your mouth, below the tongue and allow it to dissolve completely. Do not swallow or chew the medicine.

Your doctor will decide the correct dose and duration of therapy for you depending on your age, body weight and severity of the disease condition. Continue to take NITROVAG 6.4 TABLET for the stipulated duration prescribed by your doctor to achieve better results.

Side Effects Of NITROVAG 6.4 TABLET

How To Manage Side Effects

Nausea:

Take this medicine with or after meals. Stick to simple meals while taking this medicine. Avoid eating rich or spicy food. Do not consume any medication by yourself. Take your doctor’s advice if the nausea doesn’t improve or worsen.

Headache:

Try to take rest and do not involve yourself in exertive activities. Rest in a quiet and dark room. Apply a pain-relieving balm on your forehead. Take your doctor’s advice if the headache doesn’t improve

Vomiting:

Drink clear or ice-cold drinks. Eat bland, light foods and avoid fried, oily, or sweet foods. Avoid carbonated drinks. Take your doctor’s advice if vomiting doesn’t improve.

Dizziness:

Lie, or sit down immediately when you feel dizzy. If you're feeling severe episodes of spinning(vertigo), lie in a dark and quiet place with your eyes closed. Try to avoid vehicle driving. Take your doctor’s advice if dizziness doesn’t improve.

Drowsiness:

Take adequate sleep. Do not involve in rigorous activities. Do not interfere with your sleep cycle. Talk to your doctor if the drowsiness doesn’t improve.

Warning & Precautions

Pregnancy

NITROVAG 6.4 TABLET should be used with caution in pregnant women. Consult your doctor before taking NITROVAG 6.4 TABLET.

Breastfeeding

NITROVAG 6.4 TABLET should be used with caution in breastfeeding women.  Consult your doctor before taking NITROVAG 6.4 TABLET.

Driving and Using Machines

Do not drive or operate any machines if you feel dizzy after taking NITROVAG 6.4 TABLET.

Alcohol

Avoid consumption of alcohol during the management with NITROVAG 6.4 TABLET as it may increase some effects of the medicine.

Kidney

NITROVAG 6.4 TABLET should be taken with caution in patients with severe kidney disease. Consult your doctor before taking it.

Liver

NITROVAG 6.4 TABLET should be used with caution in patients with severe liver disease. Consult your doctor before taking it.

Allergy

Do not take NITROVAG 6.4 TABLET if you are allergic to Nitroglycerine or any other components of this medicine.

Heart Disease

NITROVAG 6.4 TABLET is not recommended for use in patients having heart diseases such as hypertrophic obstructive cardiomyopathy (thickening of heart muscles). NITROVAG 6.4 TABLET should be used with caution in patients having other heart diseases such as have had a recent heart attack, narrowing of heart valves, inflammation of the heart, heart failure or fluid build-up around the heart. Consult your doctor before taking NITROVAG 6.4 TABLET.

Interactions

A. Drug-Drug interactions:

Before taking NITROVAG 6.4 TABLET, inform your doctor if you are taking any of the following medicine:

• medicines for erectile dysfunction (male impotence) (Ex. sildenafil, vardenafil, tadalafil)
• medicines used to manage paracetamol overdose (Ex. n-acetylcysteine)
• medicines for migraine (Ex. ergotamine)
• other nitrates used to manage heart diseases (Ex. isosorbide dinitrate, isosorbide mononitrate, disopyramide), high blood pressure (Ex. ramipril, atorvastatin)
• medicines used for thinning your blood and managing blood clots (Ex. warfarin)
• medicines used to manage Parkinson’s disease (Ex. apomorphine)
• medicines used to manage stomach ulcers (Ex. propantheline)
• medicines used to manage anxiety and depression (Ex. amitriptyline, isocarboxazid)

Overdosage:

If you or anyone else uses too much of NITROVAG 6.4 TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdosage of NITROVAG 6.4 TABLET may include nausea, low blood pressure, restlessness, fainting, blue coloration of the skin, methaemoglobin in the blood, breathing difficulties, lack of oxygen in tissues, slow heartbeat or mental illness.

Synopsis

More Information

• Keep NITROVAG 6.4 TABLET out of reach in children
• Store NITROVAG 6.4 TABLET at room temperature below 25°C

FAQs About NITROVAG 6.4 TABLET

Why is NITROVAG 6.4 TABLET prescribed?

NITROVAG 6.4 TABLET is used for the management of angina pectoris due to coronary artery disease. Angina is a type of chest pain which is caused by reduced blood flow to the heart as a result of coronary artery disease. Symptoms are feeling pressure, squeezing, heaviness, tightness or pain in the chest or a heavy weight is lying on the chest. 

Can NITROVAG 6.4 TABLET be used in elderly patients?

NITROVAG 6.4 TABLET should be used with caution in elderly patients. Take the medicines sat down to reduce possible low blood pressure or fainting. Your doctor may change the dose to suit your condition. If you notice that NITROVAG 6.4 TABLET is not working as well at relieving pain as they have done, contact your doctor.

How to use NITROVAG 6.4 TABLET?

Always use NITROVAG 6.4 TABLET exactly as prescribed by your doctor.

For Tablet, Capsule: Swallow NITROVAG 6.4 TABLET with a glass of water. Do not crush or chew the medicine.

For Sublingual Tablet: Place NITROVAG 6.4 TABLET inside your mouth, below the tongue and allow it to dissolve completely. Do not swallow or chew the medicine.

Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and severity of disease condition. Continue to take NITROVAG 6.4 TABLET for the stipulated duration prescribed by your doctor to achieve better results.

Can NITROVAG 6.4 TABLET cause a headache?

Yes. NITROVAG 6.4 TABLET can cause throbbing headaches. If it happens, try to take a rest and do not involve yourself in exertive activities. Rest in a quiet and dark room. Apply a pain-relieving balm on your forehead. Do not consume any medication without consulting a doctor. Take your doctor’s advice if the headache doesn’t improve

Is it safe to consume alcohol while being managed with NITROVAG 6.4 TABLET?

You are advised not to drink alcohol with NITROVAG 6.4 TABLET, as some of the effects of this medicine are increased such as dizziness. If you have a habit of drinking alcohol, take your doctor’s advice before taking NITROVAG 6.4 TABLET.

Can NITROVAG 6.4 TABLET affect my ability to drive?

As NITROVAG 6.4 TABLET can cause dizziness, you should make sure you are not affected before driving or operating machinery, especially if taken with alcohol. Do not drive or operate any machines if you feel dizzy after taking NITROVAG 6.4 TABLET. You can resume doing your activities after you feel normal again.

References

1. KD. Tripathi. Antianginal and Other Anti-ischaemic Drugs. Essentials of medical pharmacology. Eighth edition. 2019. Page – 588, 589.

2. Panel Donald, P.PageN, Aubrey Carson Clarence, A.Buhr, Paul E.Flinn, Clyde E, Wells Margaret, T.Randall. Stability Study of Nitroglycerin Sublingual Tablets. Science Direct. January 2016. [Accessed 10th October 2022]. https://www.sciencedirect.com/science/article/abs/pii/S0022354915400085

3. T Winsor, H J Berger. Oral nitroglycerin as a prophylactic antianginal drug: clinical, physiologic, and statistical evidence of efficacy based on a three-phase experimental design. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. November 1975. [Accessed 10th October 2022]. https://pubmed.ncbi.nlm.nih.gov/811102/

4. W Schneider, M Kaltenbach, B Stahl, W D Bussmann. Anti-anginal efficacy of oral nitroglycerin. A clinical double-blind study with dose-effect relationships. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. August 1984. [Accessed 10th October 2022]. https://pubmed.ncbi.nlm.nih.gov/6430666/

5. Kyle H. Kim, Connor C. Kerndt, Ghufran Adnan, Derek J. Schaller. Statpearls. Nitroglycerin. NIH National Library of Medicine, National center for biotechnology information. November 202. [Accessed on 8th October 2022]. https://www.ncbi.nlm.nih.gov/books/NBK482382/

6. Accord. Electronic Medicines Compendium (EMC); [Revised on October 2019] [Accessed 10th October 2022]. https://www.medicines.org.uk/emc/files/pil.5827.pdf

7. Torrent Pharmaceuticals Ltd. Vasovin XL (Nitroglycerine). [Revised in February 2022]. [Accessed 10th October 2022]. https://www.torrentian.com/pisheet/Upload/PI_Sheet/1790.pdf

8. Leeford Healthcare. Caditril 6.4 (Nitroglycerine). [Accessed 10th October 2022]. https://www.leeford.in/product/568/caditril-64

9. Leeford Healthcare. Caditril 2.6 (Nitroglycerine). [Accessed 10th October 2022]. https://www.leeford.in/product/568/caditril-64

Useful Diagnostic Tests

• ECG (electrocardiogram)
• Kidney Function Tests
• Liver Function Tests
• Chest Xray