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 an oral formulation for oral use. It is employed to manage hypertension in adult patients, helping to lower elevated blood pressure by relaxing vascular smooth muscle.

GNH India supplies Nitresan as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable sourcing for healthcare providers across multiple regions. Our distribution network ensures timely delivery and regulatory compliance for each shipment.

Manufacturer / TM Owner

Pro.Med.Cs Praha A.S.

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Indications & Clinical Uses

  • Nitrendipine is used to treat hypertension, acting on the vascular smooth muscle to lower blood pressure.
  • Hypertension: Reduces systolic and diastolic blood pressure in patients with essential hypertension.
  • Isolated systolic hypertension: Improves systolic pressure control in elderly patients.
  • Renovascular hypertension: Assists in managing blood pressure associated with renal artery narrowing.

How It Works

  • Nitrendipine selectively inhibits L‑type calcium channels on vascular smooth‑muscle cells, preventing calcium influx that triggers contraction. This blockade leads to relaxation of arterial smooth muscle, resulting in vasodilation, decreased peripheral vascular resistance, and ultimately a reduction in systemic blood pressure.

Side Effects

Nitrendipine may cause several adverse reactions, ranging from mild to severe.

Common Side Effects

  • Flushing: Warm sensation and redness of the skin.
  • Headache: Mild to moderate intensity.
  • Dizziness: Light‑headed feeling, especially upon standing.
  • Peripheral edema: Swelling of ankles or feet.
  • Tachycardia: Increased heart rate.
  • Nausea: Stomach discomfort or urge to vomit.

Serious or Rare Side Effects

  • Severe hypotension: Marked drop in blood pressure leading to fainting.
  • Myocardial infarction: Heart attack risk in susceptible patients.
  • Arrhythmias: Abnormal heart rhythms.
  • Hepatic dysfunction: Elevated liver enzymes or hepatitis.
  • Stevens‑Johnson syndrome: Severe skin reaction.
  • Blood dyscrasias: Unusual drops in blood cell counts.

Precautions & Warnings

Before prescribing nitrendipine, clinicians should consider several safety measures.

  • Monitor blood pressure: Check regularly to avoid excessive hypotension.
  • Assess liver function: Perform baseline and periodic liver enzyme tests.
  • Use caution in the elderly: Start at low dose and observe for orthostatic effects.
  • Review concurrent antihypertensives: Adjust doses to prevent additive blood pressure lowering.
  • Avoid abrupt discontinuation: Taper gradually to reduce rebound hypertension.
  • Store at room temperature: Keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Nitrendipine can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Concomitant use with other calcium channel blockers: May cause excessive vasodilation and hypotension.
  • Potent CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): Increase plasma levels, raising risk of toxicity.
  • Strong antihypertensives (e.g., clonidine, alpha‑blockers): Additive blood pressure lowering leading to severe hypotension.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): Decrease drug exposure, reducing effectiveness.
  • Beta‑blockers: May enhance bradycardia and AV‑block risk.
  • Diuretics: Can amplify orthostatic hypotension.
  • NSAIDs: May blunt antihypertensive effect.
  • Grapefruit juice: May modestly increase drug concentration.

Frequently Asked Questions

Nitresan contains the active ingredient nitrendipine, which is prescribed to treat high blood pressure (hypertension). By relaxing the smooth muscle in blood vessels, it helps lower systolic and diastolic pressures in adult patients, reducing the risk of cardiovascular complications associated with uncontrolled hypertension.

Nitrendipine belongs to the dihydropyridine class of calcium channel blockers. It selectively blocks L‑type calcium channels in vascular smooth‑muscle cells, preventing calcium influx that is necessary for contraction. This inhibition causes vasodilation, decreases peripheral vascular resistance, and ultimately lowers arterial blood pressure.

The dosage of Nitresan is individualized by the prescribing healthcare professional based on the patient’s clinical condition, response to therapy, and any concomitant medications. The prescriber determines the appropriate strength, frequency, and duration of treatment in accordance with local guidelines and product labeling.

Safety data for nitrendipine in pregnancy and lactation are limited, and the product’s pregnancy category has not been established. It should only be used if the potential benefit justifies the possible risk to the fetus. Breastfeeding mothers should consult their physician, as the drug may be excreted in milk.

To request Nitresan, visit the product page on gnhindia.com, enter the desired quantity, and submit the enquiry form. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any required import documentation.

Compared with non‑dihydropyridine calcium channel blockers, nitrendipine primarily causes arterial vasodilation with minimal effect on cardiac conduction. It differs from ACE inhibitors or ARBs, which act on the renin‑angiotensin system, and from beta‑blockers, which reduce heart rate. Choice of therapy depends on patient profile, comorbidities, and tolerance.

Nitresan tablets should be stored at room temperature, below 25 °C, in the original packaging to protect them from moisture and light. Keep the product out of reach of children and avoid storing in humid or excessively hot environments to maintain stability.

Nitresan is taken orally, usually with a glass of water. It may be taken with or without food, but patients should follow the prescriber’s instructions regarding timing and any dietary considerations to ensure consistent absorption.

The most serious adverse events include severe hypotension, myocardial infarction, life‑threatening arrhythmias, hepatic dysfunction, and severe skin reactions such as Stevens‑Johnson syndrome. Patients should seek immediate medical attention if they experience fainting, chest pain, irregular heartbeat, jaundice, or widespread rash.

Nitresan is contraindicated in patients with known hypersensitivity to nitrendipine or other dihydropyridine calcium channel blockers. It should also be avoided in individuals with severe aortic stenosis, unstable angina, or acute myocardial infarction, and in those where significant drug interactions could lead to dangerous hypotension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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