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 myocardial ischemia in acute angina pectoris, heart failure and myocardial infarction in adult patients.

GNH India supplies Nitroglycerin Macure as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Macure Healthcare Limited

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Indications & Clinical Uses

Nitroglycerin Macure belongs to the organic nitrate class and is used to manage conditions caused by myocardial oxygen demand‑supply mismatch.

  • Acute angina pectoris: provides rapid relief of chest pain by reducing preload and afterload.
  • Heart failure: improves cardiac output by decreasing ventricular filling pressures.
  • Myocardial infarction: limits infarct expansion by enhancing coronary blood flow and reducing myocardial workload.

How It Works

  • Glyceryl trinitrate is enzymatically converted to nitric oxide within vascular smooth muscle. The released nitric oxide activates guanylate cyclase, increasing cyclic GMP levels, which relaxes smooth muscle, produces vasodilation, lowers systemic and pulmonary vascular resistance, and reduces cardiac preload and afterload, thereby alleviating myocardial ischemia.

Side Effects

Nitroglycerin Macure may cause a range of adverse reactions. Monitoring and prompt management are recommended.

Common Side Effects

  • Headache: throbbing pain often related to cerebral vasodilation.
  • Hypotension: drop in blood pressure, especially with rapid infusion.
  • Flushing: warm, reddened skin sensation.
  • Tachycardia: compensatory increase in heart rate.
  • Dizziness: sensation of light‑headedness.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Methemoglobinemia: reduced oxygen‑carrying capacity of blood.
  • Severe hypotension: may lead to syncope or organ hypoperfusion.
  • Paradoxical myocardial ischemia: chest pain despite therapy.
  • Allergic reaction: rash, pruritus, or anaphylaxis.
  • Life‑threatening arrhythmia: ventricular tachycardia or fibrillation.
  • Syncope: sudden loss of consciousness.

Precautions & Warnings

Use of Nitroglycerin Macure requires careful clinical assessment and monitoring.

  • Blood pressure monitoring: check systolic pressure before and during infusion.
  • Severe anemia: avoid or use with caution due to reduced oxygen delivery.
  • Intracranial pressure: contraindicated in patients with raised intracranial pressure.
  • Concomitant PDE5 inhibitors: avoid because of additive hypotensive effect.
  • Hypersensitivity: discontinue if allergic reaction occurs.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Nitroglycerin Macure can interact with several drug classes, altering its safety profile.

Major Interactions (Avoid)

  • Other nitrates (e.g., isosorbide dinitrate): risk of profound hypotension.
  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): additive vasodilatory effect leading to severe hypotension.
  • Alcohol: may potentiate blood pressure lowering.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may blunt tachycardic response to hypotension.
  • Calcium channel blockers: additive vasodilatory effect.
  • Diuretics: may enhance volume depletion and hypotension.
  • ACE inhibitors or ARBs: combined effect on blood pressure.
  • Antihypertensives: overall blood pressure control requires adjustment.

Frequently Asked Questions

Nitroglycerin Macure is an intravenous formulation of glyceryl trinitrate used to treat acute angina pectoris, manage heart failure, and limit damage during myocardial infarction by rapidly relieving myocardial ischemia.

Glyceryl trinitrate is converted to nitric oxide, which activates guanylate cyclase in vascular smooth muscle. This raises cyclic GMP levels, causing relaxation of the muscle, vasodilation, reduced preload and afterload, and improved coronary blood flow, thereby easing cardiac workload.

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. Dosage is individualized and not standardized in public information.

Safety data for glyceryl trinitrate in pregnancy and lactation are limited. The product 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 health professional.

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 and any necessary import documentation.

Nitroglycerin Macure, as an organic nitrate, provides rapid vasodilation and is especially useful for acute symptom relief, whereas other classes such as beta‑blockers or calcium channel blockers act more slowly and primarily reduce heart rate or contractility. Choice depends on clinical urgency and patient tolerance.

The product should be stored at room temperature, below 25 °C, in its original packaging. Protect it from moisture, direct sunlight, and extreme temperature fluctuations to maintain stability and potency.

Nitroglycerin Macure is given intravenously, typically as a continuous infusion or intermittent bolus under close hemodynamic monitoring. Administration is performed by qualified healthcare personnel in a setting equipped for cardiovascular monitoring.

The most serious risks include severe hypotension, methemoglobinemia, paradoxical myocardial ischemia, life‑threatening arrhythmias, and anaphylactic reactions. Prompt recognition and management of these events are essential during therapy.

Patients with known hypersensitivity to glyceryl trinitrate or other organic nitrates, those who have taken phosphodiesterase‑5 inhibitors within the past 24 hours, and individuals with severe anemia, increased intracranial pressure, or uncontrolled hypotension should not receive this medication.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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