Product image of Nitroglycerin Macure (Glyceryl Trinitrate) supplied by GNH India

Nitroglycerin Macure

Active Ingredient:
Glyceryl Trinitrate
Origin:
EU

Nitroglycerin Macure (Glyceryl Trinitrate)

Glyceryl trinitrate, the active ingredient in Nitroglycerin Macure, is an organic nitrate presented as an intravenous solution for intravenous use. It is employed to relieve acute angina pectoris, manage heart failure, and treat hypertensive crisis in adult patients.

GNH India supplies Nitroglycerin Macure as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product conforms to EU regulatory standards and is manufactured under GMP conditions. It is distributed through a secure cold‑chain logistics network to ensure product integrity during transport.

Manufacturer / TM Owner

Macure Healthcare Limited

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Indications & Clinical Uses

  • Nitroglycerin Macure (glyceryl trinitrate) is used in the cardiovascular therapeutic class to provide rapid vasodilation in acute settings.
  • Acute angina pectoris: rapid relief of chest pain by reducing myocardial oxygen demand.
  • Heart failure: improves cardiac output by decreasing preload.
  • Hypertensive crisis: lowers blood pressure through venous and arterial dilation.

How It Works

  • Glyceryl trinitrate is enzymatically converted to nitric oxide within vascular smooth‑muscle cells. The released nitric oxide activates soluble guanylate cyclase, raising cyclic GMP levels, which relaxes smooth muscle in veins and arteries. This vasodilation reduces preload and afterload, decreasing myocardial oxygen consumption and alleviating ischemic pain.

Side Effects

Nitroglycerin Macure may cause a range of adverse reactions.

Common Side Effects

  • Headache: throbbing pain due to cerebral vasodilation.
  • Hypotension: transient drop in blood pressure.
  • Flushing: warm sensation with skin reddening.
  • Dizziness: light‑headed feeling, especially on standing.

Serious or Rare Side Effects

  • Severe hypotension: marked blood pressure fall requiring medical intervention.
  • Methemoglobinemia: elevated methemoglobin levels causing cyanosis.
  • Allergic reaction: rash, itching, swelling, or anaphylaxis.

Precautions & Warnings

  • When using Nitroglycerin Macure, several safety measures should be observed.
  • Blood pressure monitoring: check systolic and diastolic values before and during infusion.
  • Concomitant phosphodiesterase‑5 inhibitors: avoid due to risk of profound hypotension.
  • Severe anemia or hypovolemia: use with caution because of additive hypotensive effect.
  • Known nitrate hypersensitivity: contraindicated; discontinue immediately if reaction occurs.
  • Cardiovascular instability: assess risk in patients with recent myocardial infarction or unstable angina.
  • Store at ambient temperature: keep below 25 °C, protect from light and moisture in original container.

Avoid Interactions

Nitroglycerin Macure can interact with several drug classes.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): can cause severe 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 mask tachycardia response to hypotension.
  • Diuretics: may enhance volume depletion and hypotensive effect.

Frequently Asked Questions

Nitroglycerin Macure contains glyceryl trinitrate, an organic nitrate used intravenously to treat acute angina pectoris, manage heart failure, and control hypertensive crisis by rapidly dilating blood vessels and reducing cardiac workload.

After intravenous administration, glyceryl trinitrate is metabolized to nitric oxide, which activates soluble guanylate cyclase in vascular smooth‑muscle cells. The resulting increase in cyclic GMP causes relaxation of veins and arteries, lowering preload and afterload and decreasing myocardial oxygen demand.

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

The safety of glyceryl trinitrate in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

To place an order, 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 cold‑chain where applicable) and necessary import documentation.

Nitroglycerin Macure belongs to the organic nitrate class, providing rapid onset of vasodilation via nitric oxide release. Compared with beta‑blockers or calcium‑channel blockers, nitrates act directly on vascular smooth muscle and are especially useful for immediate relief of ischemic chest pain, whereas other classes may be used for longer‑term rate control or blood‑pressure management.

The product should be stored at ambient temperature, preferably below 25 °C, in its original container protected from light and moisture. Ensure the vial or ampoule is kept upright and avoid exposure to extreme temperatures to maintain stability.

Nitroglycerin Macure is administered intravenously, typically as a continuous infusion or intermittent bolus under close hemodynamic monitoring. The route allows rapid plasma concentrations, enabling quick therapeutic effects in emergency cardiovascular situations.

Serious risks include profound hypotension, which can lead to syncope or shock, and rare occurrences of methemoglobinemia or severe allergic reactions. Continuous blood‑pressure monitoring and readiness to intervene with fluids or vasopressors are essential during administration.

Patients with known hypersensitivity to nitrates, those who have taken phosphodiesterase‑5 inhibitors within the past 24‑48 hours, and individuals with severe hypotension or cardiogenic shock should not receive Nitroglycerin Macure unless specifically directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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