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 presented as an intravenous solution for intravenous use. It is employed to relieve acute angina, manage certain heart‑failure situations, and treat hypertensive emergencies in adult patients.

GNH India supplies Nitrocine as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, clinics and procurement teams worldwide.

Manufacturer / TM Owner

Merus Labs Luxco Ii S.À R.L.

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Indications & Clinical Uses

  • Nitrocine, an organic nitrate, is used in cardiovascular conditions where rapid vasodilation is required.
  • Acute angina pectoris: provides rapid relief of chest pain by dilating coronary arteries.
  • Heart failure: improves cardiac output by reducing preload and afterload.
  • Hypertensive emergencies: lowers blood pressure swiftly through systemic vasodilation.

How It Works

  • Glyceryl trinitrate is metabolized to nitric oxide within vascular smooth muscle. The released nitric oxide activates soluble guanylate cyclase, raising cyclic guanosine monophosphate (cGMP) levels. Elevated cGMP causes dephosphorylation of myosin light chains, leading to relaxation of smooth muscle and resulting in venous and arterial dilation, which reduces cardiac workload and enhances myocardial oxygen supply.

Side Effects

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

Common Side Effects

  • Headache
  • Flushing
  • Hypotension
  • Tachycardia
  • Dizziness
  • Nausea

Serious or Rare Side Effects

  • Severe hypotension
  • Myocardial ischemia
  • Methemoglobinemia
  • Allergic reactions (rash, bronchospasm)
  • Cardiac arrhythmias
  • Rebound angina on abrupt discontinuation

Precautions & Warnings

  • When using Nitrocine, several safety considerations should be observed.
  • Assess blood pressure: monitor before and during infusion to avoid excessive hypotension.
  • Evaluate cardiac status: ensure patient is not in recent myocardial infarction without stabilization.
  • Avoid concurrent nitrate therapy: combined use can cause profound hypotension.
  • Use with caution in patients with anemia or increased intracranial pressure.
  • Limit exposure to light: the solution is light‑sensitive and should be protected.
  • Store below 25°C: keep in original container, protect from moisture and light.

Avoid Interactions

Glyceryl trinitrate can interact with several medicines, altering its efficacy or safety.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): may cause severe hypotension.
  • Other nitrates or nitrites: additive vasodilatory effect leading to dangerous blood pressure drop.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt compensatory tachycardia.
  • Calcium channel blockers: additive hypotensive effect.
  • Antihypertensives (ACE inhibitors, ARBs): may enhance blood pressure lowering.
  • Alcohol: can increase vasodilatory response.

Frequently Asked Questions

Nitrocine contains Glyceryl trinitrate and is used intravenously to treat acute angina pectoris, to improve haemodynamics in certain forms of heart failure, and to rapidly lower blood pressure in hypertensive emergencies. It provides fast‑acting vasodilation that relieves chest pain and reduces cardiac workload.

Glyceryl trinitrate is converted to nitric oxide inside vascular smooth‑muscle cells. Nitric oxide activates soluble guanylate cyclase, increasing cGMP levels, which cause smooth‑muscle relaxation and dilation of veins and arteries. This vasodilation decreases preload and afterload, improving myocardial oxygen supply and lowering systemic blood pressure.

The specific dose and infusion rate of Nitrocine are determined by the prescribing clinician based on the patient’s condition, response, and monitoring parameters. Healthcare professionals adjust the regimen to achieve the desired haemodynamic effect while avoiding excessive hypotension.

Safety data for Glyceryl trinitrate in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and under close medical supervision.

To request Nitrocine, submit an enquiry on the 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 necessary import documentation.

Nitrocine belongs to the organic nitrate class, providing rapid, short‑acting vasodilation. Compared with oral nitrates, it offers immediate onset suitable for emergency settings. Unlike beta‑blockers or calcium‑channel blockers, its primary effect is venous dilation, which reduces cardiac preload more directly, but it may require careful blood‑pressure monitoring.

Nitrocine should be stored below 25 °C in its original container, protected from moisture and light because the solution is light‑sensitive. Keep the vial sealed when not in use and avoid exposure to high temperatures or direct sunlight to maintain potency.

Nitrocine is administered intravenously, typically as a continuous infusion or intermittent bolus under strict clinical supervision. The infusion set should be primed with the solution, and the rate is adjusted according to the patient’s blood‑pressure response and therapeutic goals.

The most serious risks include severe hypotension, myocardial ischemia due to coronary steal, methemoglobinemia, and life‑threatening allergic reactions. Continuous haemodynamic monitoring is essential, and any signs of profound blood‑pressure drop or chest pain should prompt immediate medical intervention.

Nitrocine is contraindicated in patients with known hypersensitivity to organic nitrates, those who have taken phosphodiesterase‑5 inhibitors within the previous 24 hours, and individuals with severe anaemia, increased intracranial pressure, or uncompensated shock where further vasodilation could be harmful.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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