
Nitroglycerin ER Coupons & Discount Card – Guaranteed Prices from $1.01
generic Nitro-time
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2.5MG, Nitroglycerin ER (30 Capsule Extended Releases)
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CVS
$35.03
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Walmart
$1.01
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Rite Aid
$8.25
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Walgreens
$9.97
COUPON PRICENitroglycerin ER savings card
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Walmart
$1.01
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Nitroglycerin ER dosage forms
Dosage | Quantity | Price from | Per unit |
---|---|---|---|
2.5MG | 30 Capsule Extended Releases | $1.01 | $0.03 |
Nitroglycerin ER Warnings
This medication comes with important safety information that should be reviewed carefully. Consult with your healthcare provider if you have any questions or concerns.
Tolerance: Over time, your body may become accustomed to nitroglycerin ER (Nitro-Time), leading to reduced effectiveness, known as tolerance or tachyphylaxis. This is particularly likely if you have used other long-acting nitrates like isosorbide mononitrate (Monoket) or isosorbide dinitrate (Isordil). Increasing the dose will not counteract tolerance. To prevent this, adhere to the prescribed dosage and consult your doctor if you experience worsening chest pain. Your doctor may recommend a nitrate-free period of 10-12 hours to minimize this risk.
Low Blood Pressure: Nitroglycerin ER (Nitro-Time) can significantly lower your blood pressure, potentially causing dizziness, fatigue, or lightheadedness. It is advisable to sit down for the first few minutes after taking the medication to prevent dizziness or fainting. Change positions slowly until your body adjusts. Seek emergency medical attention if you experience symptoms like irregular heartbeat, nausea, vomiting, weakness, vision changes, sweating, cold and clammy skin, or worsening chest pain. This risk increases if you're standing when taking the medication, have certain heart conditions, are dehydrated, or use erectile dysfunction drugs, blood pressure-lowering medications, or alcohol.
Worsening Chest Pain: Although rare, nitroglycerin ER (Nitro-Time) can exacerbate chest pain in individuals with hypertrophic cardiomyopathy, a condition where the heart muscle is excessively thick and hampers blood pumping. If you have been diagnosed with this condition, consult your doctor to ensure this medication is appropriate for you. Seek immediate medical help if your chest pain worsens after taking the medication.
Headache: Some individuals may experience headaches when starting nitroglycerin ER (Nitro-Time), particularly when moving from sitting or lying down to standing. These headaches often subside as your body adjusts to the medication. If they persist or become bothersome, discuss alternative treatments with your healthcare provider. The risk of headaches increases when you first begin the medication, take higher doses, or consume alcohol.
Contraindications: Do not use this medication if you have an allergy to nitrates, such as isosorbide mononitrate (Monoket) or isosorbide dinitrate (Isordil), as it may lead to serious health complications. Always consult your healthcare provider before starting this medication if this applies to you.
Nitroglycerin ER Side Effects
Common side effects:
- Headaches
- Dizziness
- Lightheadedness
- Nausea
- Flushing
Serious side effects:
- Fainting
- Irregular or pounding heartbeat
- Severe allergic reaction
- Rash
- Itching
- Swelling of the face, tongue, or throat
- Severe dizziness
- Difficulty breathing
Nitroglycerin ER Interactions
Interactions with high risk of serious adverse effects and should be avoided:
- Avanafil
- Sildenafil
- Tadalafil
- Vardenafil
Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:
- Riociguat
- Alteplase, Recombinant
Interactions with low risk that usually do not require a change in therapy:
- Acetylcysteine
- Apomorphine
- Aspirin
- Dihydroergotamine
- Pancuronium
Why is nitroglycerin given in ER?
Nitroglycerin is often administered in the emergency room to manage acute chest pain, particularly in cases of suspected angina or myocardial infarction. It works by dilating blood vessels, which can improve blood flow to the heart and reduce its workload, thereby alleviating chest pain and preventing further cardiac complications.
What is extended-release nitroglycerin?
Extended-release nitroglycerin is a formulation of nitroglycerin designed to release the medication slowly over time. This allows for a prolonged therapeutic effect, which can be beneficial in managing conditions such as angina pectoris by helping to prevent chest pain. The extended-release form is typically taken orally and is intended for regular use to maintain consistent levels of the medication in the body.
Should you go to the ER after taking nitroglycerin?
If a person takes nitroglycerin and experiences severe side effects such as persistent chest pain, difficulty breathing, fainting, or an allergic reaction, they should seek emergency medical attention immediately. If the chest pain does not improve after taking nitroglycerin as directed, it is also important to go to the emergency room, as this could indicate a more serious condition such as a heart attack.
What should I monitor after taking nitroglycerin?
After taking nitroglycerin, it is important to monitor blood pressure and heart rate, as the medication can cause hypotension (low blood pressure) and changes in heart rate. Additionally, one should be aware of any symptoms of dizziness, headache, or lightheadedness, as these can occur due to the vasodilatory effects of the drug. If chest pain persists or worsens, it is crucial to seek medical attention immediately.
What are the main reasons nitroglycerin is given to a patient?
Nitroglycerin is primarily given to patients to relieve chest pain (angina) associated with coronary artery disease. It works by dilating blood vessels, which improves blood flow to the heart muscle and reduces its workload. Additionally, nitroglycerin may be used in the management of heart failure and to control blood pressure during certain surgical procedures.