Product image of Nitresan (Nitrendipine) supplied by GNH India

Nitresan

Active Ingredient:
Nitrendipine
Origin:
EU

Nitresan (Nitrendipine)

Nitrendipine, the active ingredient in Nitresan, is a calcium channel blocker presented as a tablet for oral use. It treats hypertension in adult patients by lowering peripheral vascular resistance.
GNH India supplies Nitresan as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Pro.Med.Cs Praha A.S.

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Indications & Clinical Uses

Nitresan is a dihydropyridine calcium channel blocker indicated for conditions affecting systemic blood pressure.

  • Hypertension: reduces elevated blood pressure and helps prevent cardiovascular complications.
  • Essential hypertension: provides long‑term control of primary high blood pressure.
  • Isolated systolic hypertension: lowers systolic pressure in patients with age‑related arterial stiffness.

How It Works

  • Nitrendipine selectively blocks L‑type calcium channels in vascular smooth muscle, preventing calcium influx that is required for contraction. This vasodilatory effect decreases peripheral vascular resistance, leading to a reduction in arterial blood pressure without significant direct cardiac depression.

Side Effects

Common Side Effects

  • Headache: mild to moderate intensity, often transient.
  • Flushing: sensation of warmth, especially after the first dose.
  • Peripheral edema: swelling of ankles or lower legs.
  • Dizziness or light‑headedness, particularly when standing.
  • Tachycardia: increased heart rate as a reflex response.
  • Nausea: occasional gastrointestinal discomfort.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure causing fainting.
  • Myocardial infarction: rare occurrence of heart attack.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Allergic reactions: rash, pruritus, or anaphylaxis.
  • Severe bradycardia: markedly slow heart rate.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Blood pressure monitoring: check baseline and periodic readings to avoid excessive hypotension.
  • Discontinuation: avoid abrupt cessation; taper if long‑term therapy is stopped.
  • Hepatic impairment: use with caution and adjust dose if liver function is compromised.
  • Elderly patients: start at lower dose and monitor for orthostatic effects.
  • CYP3A4 inhibitors: avoid concomitant strong inhibitors that may raise drug levels.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Nitrendipine may interact with several drug classes, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Concomitant antihypertensives: risk of additive hypotensive effect.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): increase plasma concentrations.
  • Grapefruit juice: may elevate drug exposure and precipitate hypotension.

Moderate Interactions (Monitor Closely)

  • Calcium supplements or antacids: can reduce oral absorption.
  • Diuretics: may enhance blood‑pressure lowering effect.
  • Beta‑blockers: may mask reflex tachycardia and require monitoring.

Frequently Asked Questions

Nitresan contains the active ingredient nitrendipine and is prescribed to lower elevated blood pressure in adults. It belongs to the dihydropyridine class of calcium channel blockers and is used primarily for the management of hypertension, helping to reduce the risk of cardiovascular events associated with high blood pressure.

Nitrendipine blocks L‑type calcium channels located on vascular smooth‑muscle cells. By inhibiting calcium entry, it prevents muscle contraction, causing the blood vessels to relax and dilate. This vasodilation lowers peripheral vascular resistance, which in turn reduces systemic arterial pressure.

The exact dose of Nitresan is individualized by the prescribing healthcare professional based on the patient’s blood‑pressure profile, age, renal and hepatic function, and concomitant medications. The prescriber determines the appropriate starting dose and any necessary titration.

Limited clinical data are available on the use of nitrendipine in pregnancy, and it is generally advised to avoid it unless the potential benefit outweighs the risk to the fetus. Likewise, because it is excreted in breast milk, caution is recommended for nursing mothers, and alternative therapies are often preferred.

To place an order, submit an enquiry on the Nitresan product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and assistance with import documentation.

Both nitrendipine (Nitresan) and amlodipine belong to the dihydropyridine calcium‑channel blocker family and lower blood pressure by vasodilation. Nitrendipine typically has a shorter half‑life and may require once‑daily dosing, whereas amlodipine has a longer duration of action, often allowing for flexible dosing intervals. Choice between them depends on patient response, tolerability, and physician preference.

Nitresan tablets should be stored at temperatures below 25 °C, in their original packaging, and protected from moisture and direct sunlight. Do not store in bathrooms or other humid environments, and keep out of reach of children.

Nitresan is taken orally, usually with a glass of water. It can be taken with or without food, but consistent administration with respect to meals helps maintain stable drug levels. Patients should follow the dosing schedule prescribed by their healthcare provider.

The most serious adverse events include severe hypotension, which can cause fainting or shock, myocardial infarction in susceptible individuals, and rare cases of hepatic dysfunction or severe allergic reactions such as anaphylaxis. Patients should seek immediate medical attention if they experience symptoms like chest pain, sudden weakness, or signs of an allergic reaction.

Nitresan is contraindicated in patients with known hypersensitivity to nitrendipine or any other dihydropyridine calcium‑channel blockers. It should also be avoided in individuals with severe aortic stenosis, uncontrolled heart failure, or those taking strong CYP3A4 inhibitors that could markedly increase drug concentrations.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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