Product image of Nitrocine (Glyceryl Trinitrate) supplied by GNH India

Nitrocine

Active Ingredient:
Glyceryl Trinitrate
Origin:
EU

Nitrocine (Glyceryl Trinitrate)

Glyceryl Trinitrate, the active ingredient in Nitrocine, is an organic nitrate vasodilator presented as an injection solution for intravenous use. It is employed to relieve acute angina, support management of myocardial infarction, and lower blood pressure in hypertensive emergencies.

GNH India supplies Nitrocine as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide. The company adheres to EU quality standards and provides regulatory‑approved batches to healthcare facilities across multiple regions.

Manufacturer / TM Owner

Merus Labs Luxco Ii S.À R.L.

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Indications & Clinical Uses

  • Nitrocine, an organic nitrate vasodilator, is used in several acute cardiovascular conditions where rapid reduction of myocardial oxygen demand is required.
  • Acute angina pectoris: provides rapid relief of chest pain by dilating coronary vessels.
  • Myocardial infarction (adjunct therapy): reduces cardiac workload during acute coronary events.
  • Acute decompensated heart failure: improves hemodynamics by decreasing preload and afterload.
  • Hypertensive emergencies: lowers systemic vascular resistance to control severe blood pressure spikes.

How It Works

  • Glyceryl trinitrate acts as a nitric‑oxide donor. After intravenous administration it is metabolized to nitric oxide, which activates soluble guanylate cyclase in vascular smooth‑muscle cells. The resulting increase in cyclic GMP leads to relaxation of both venous and arterial smooth muscle, producing vasodilation, reduced preload and afterload, and consequently lower myocardial oxygen consumption.

Side Effects

Intravenous administration of Nitrocine may be associated with a range of adverse reactions.

Common Side Effects

  • Headache: throbbing pain due to cerebral vasodilation.
  • Flushing: warmth and redness of the skin.
  • Hypotension: transient drop in blood pressure.
  • Tachycardia: compensatory increase in heart rate.
  • Dizziness: light‑headed sensation.

Serious or Rare Side Effects

  • Severe hypotension: marked blood pressure fall leading to syncope.
  • Methemoglobinemia: rare oxidation of hemoglobin impairing oxygen delivery.
  • Allergic reaction: rash, itching, or anaphylaxis.
  • Cardiac arrest: extremely rare but life‑threatening event.

Precautions & Warnings

When using Nitrocine, clinicians should observe several safety measures to minimise risks.

  • Blood pressure monitoring: check systolic and diastolic values before and during infusion.
  • Dose titration: adjust infusion rate gradually to avoid abrupt hypotension.
  • Concurrent nitrate therapy: avoid co‑administration to prevent additive vasodilation.
  • Cardiovascular status: use cautiously in patients with severe aortic stenosis or recent myocardial infarction.
  • Pregnancy and lactation: assess risk‑benefit as safety data are limited.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Nitroglycerin interacts with several drug classes that can modify its hemodynamic effects.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): may cause profound hypotension.
  • Other vasodilators (e.g., hydralazine): additive blood pressure lowering.
  • Sodium nitroprusside: excessive nitrate load leading to methemoglobinemia.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt reflex tachycardia.
  • Diuretics: can enhance hypotensive response.
  • ACE inhibitors or ARBs: may increase risk of low blood pressure.

Frequently Asked Questions

Nitrocine is an intravenous formulation of glyceryl trinitrate used in acute cardiovascular settings. It provides rapid relief of angina pectoris, serves as an adjunct in the management of myocardial infarction, helps stabilize patients with acute decompensated heart failure, and is employed to lower dangerously high blood pressure during hypertensive emergencies.

Glyceryl trinitrate is a nitric‑oxide donor. After it enters the bloodstream, it is converted to nitric oxide, which activates soluble guanylate cyclase in vascular smooth‑muscle cells. This raises cyclic GMP levels, causing smooth‑muscle relaxation, vasodilation of veins and arteries, reduced cardiac preload and afterload, and consequently a lower myocardial oxygen demand.

The appropriate dose of Nitrocine is determined by the prescribing clinician based on the patient’s clinical condition, response, and tolerance. Dosing regimens are individualized and may involve continuous infusion or intermittent bolus administration under close hemodynamic monitoring.

Safety data for glyceryl trinitrate during pregnancy and lactation are limited. The drug should only be used when the potential maternal benefit justifies any possible risk to the fetus or infant, and the decision must be made by the treating physician after careful assessment.

To order Nitrocine, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including cold‑chain handling if required) and assists with any necessary import documentation.

Nitrocine (glyceryl trinitrate) is a short‑acting nitrate that provides rapid onset of vasodilation when given intravenously, making it suitable for emergency situations. Longer‑acting oral nitrates such as isosorbide dinitrate have a slower onset and are used for chronic angina prophylaxis. The intravenous route of Nitrocine allows precise titration, whereas oral agents rely on fixed dosing schedules.

Nitrocine must be stored at 2‑8 °C in a refrigerator, protected from light. The solution should not be frozen or shaken, and any unused portion should be discarded according to local regulations after the recommended shelf‑life once removed from controlled storage.

Nitrocine is administered by intravenous injection or infusion. The healthcare professional prepares the solution under aseptic conditions, connects it to an IV line, and adjusts the infusion rate or administers bolus doses while continuously monitoring blood pressure, heart rate and clinical response.

The most serious risks include severe hypotension that can lead to syncope or organ hypoperfusion, methemoglobinemia which impairs oxygen delivery, and rare allergic reactions that may progress to anaphylaxis. Prompt recognition and immediate management of these events are essential.

Nitrocine should be avoided in patients with known hypersensitivity to glyceryl trinitrate or other organic nitrates, those taking phosphodiesterase‑5 inhibitors, and individuals with severe aortic stenosis or uncontrolled hypotension. Caution is also advised in patients with recent head injury, elevated intracranial pressure, or significant anemia.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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