Trusted, medically reviewed health information • Not a substitute for medical advice
Medically Verified MonographPrescriptionClass: Nitrates

Nitroglycerin

Generic Name: Nitroglycerin

Common Brand Names: Nitrostat, Nitro-Dur, Nitro-Bid
Dosage Form:Sublingual Tablet, Transdermal Patch, Ointment, Spray
Route:Sublingual, Transdermal, Topical
Pregnancy Category:C
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Acute relief or prophylaxis of angina pectoris

Medical Conditions Treated:

Angina Pectoris, Anal Fissure (Topical)

Dosage & Administration Guidelines

Adult Dosage

0.4 mg SL every 5 minutes up to 3 doses for acute angina

Pediatric Dosage

N/A

Elderly / Geriatric Considerations

Same as adult; start low due to risk of hypotension

Maximum Dose Limit

3 tablets in 15 minutes

Renal Impairment:

No adjustment necessary

Hepatic Impairment:

No adjustment necessary

Side Effects & Safety Warnings

Common Side Effects

Headache, dizziness, lightheadedness, nausea, flushing

Serious Adverse Reactions

Severe hypotension, syncope, reflex tachycardia

Contraindications:

Use of PDE-5 inhibitors (sildenafil, tadalafil), severe anemia, elevated ICP

Important Warnings & Precautions:

Risk of tolerance without a 10-12 hour nitrate-free interval

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

PDE-5 inhibitors, riociguat, antihypertensives

Food & Dietary Interactions:

N/A

Alcohol Interaction Warning:

Increases risk of severe hypotension

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Use only if clearly needed

Breastfeeding / Lactation

Use caution; excretion in milk unknown

Patient Counseling & Practical Advice

How to Take:

Sit down before taking. If pain persists after first dose, call 911 immediately.

What to Do if You Miss a Dose:

If scheduled, take as soon as remembered. Do not double doses.

Recommended Monitoring & Lab Tests:

Blood pressure, heart rate, angina frequency

Trustworthy Sources & Medical Review

Content for Nitroglycerin was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.