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Nitro-Dur (Nitroglycerin)

Nitro-Dur comes as a patch you apply to the skin. It is usually applied once a day. Your doctor may tell you to remove the patch at a certain time each day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use the nitroglycerin skin patch exactly as directed. Do not apply it more or less often than prescribed by your doctor.

Nitro-Dur skin patches control chest pain but do not cure it. Continue to use the Nitro-Dur skin patch even if you feel well. Do not stop using the Nitro-Dur skin patch without talking to your doctor. Stopping the drug abruptly may cause chest pain.

Apply the patch to clean, dry skin that is relatively free of hair (above your knee) or upper arm (above your elbow). Avoid irritated, scarred, broken, and calloused skin. Select a different area each day to avoid skin irritation. Be sure to remove the patch before you apply another one.

If the patch loosens or falls off, replace it with a fresh one. Fold the used patch in half with the sticky sides together and dispose of it carefully. The patch still contains active medication that could be harmful to children or pets.

Nitro-Dur can lose its effectiveness when used for a long time. This effect is called tolerance. If your angina attacks happen more often, last longer, or are more severe, call your doctor.

Nitro-Dur : Full Prescribing Information

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tell your doctor and pharmacist if you are allergic to nitroglycerin skin patches, tablets, capsules, or ; isosorbide (Imdur, Isordil, Sorbitrate); or any other drugs.
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially aspirin; beta blockers such as atenolol (Tenormin), carteolol (Cartrol), labetalol (Normodyne,Trandate), metoprolol (Lopressor), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), and timolol (Blocadren); calcium channel blockers such as amlodipine (Norvasc), diltiazem (Cardizem), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Procardia), and verapamil (Calan, Isoptin); dihydroergotamine (D.H.E. 45); sildenafil (Viagra); and vitamins.
tell your doctor if you have or have ever had low red blood cell counts (anemia), glaucoma, or recent head trauma.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using a nitroglycerin skin patch, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are using a nitroglycerin skin patch.
you should know that Nitro-Dur may make you drowsy or dizzy. Do not drive a car or operate machinery until you know how Nitro-Dur affects you.
ask your doctor about the safe use of alcoholic beverages while you are using a nitroglycerin skin patch. Alcohol can make the side effects from the Nitro-Dur skin patch worse.


What should I do if I forget a dose?

Apply the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not apply a double dose to make up for a missed one.

What side effects can Nitro-Dur cause?

Side effects from Nitro-Dur skin patches are common. Tell your doctor if any of these symptoms are severe or do not go away:

headache
skin irritation or rash
dizziness
upset stomach
headache
flushing (feeling of warmth)
If you experience any of the following symptoms, call your doctor immediately:

blurred vision
dry mouth
chest pain
fainting

Nitro-Dur : Full Prescribing Information

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