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Nitroglycerin

Nitrostat · Nitro-Bid

Organic nitrate / nitric oxide donor / vasodilator

Metabolized to nitric oxide (NO) in vascular smooth muscle → activates guanylyl cyclase → ↑cGMP → smooth muscle relaxation. PREFERENTIAL VENOUS dilation (low doses) → reduces preload (decreases LV wall stress, ↓myocardial O₂ demand). Higher doses → arterial dilation, including coronary arteries (↑coronary perfusion in non-stenotic vessels).

Indications

  • Angina/MI (chronic, acute)
  • Acute LV failure / pulmonary edema
  • Controlled hypotension intraop (rare modern use)
  • Coronary vasospasm (Prinzmetal)
  • Esophageal achalasia (acute relaxation of lower esophageal sphincter)
  • Pulmonary hypertension acute management

Dosing

ContextAdultPediatric
Sublingual angina0.4 mg SL q5min × 3
Continuous infusion (acute MI, HF, controlled hypotension)5-200 mcg/min IV titrated to target
Bolus IV (esophageal spasm, sphincter relaxation)50-200 mcg IV
Topical paste1-2 inches q4-6h chronic

Pharmacokinetics

Onset 1-3 min IV. Half-life 1-3 min (very short). Hepatic metabolism via glutathione + organic nitrate reductase. Tachyphylaxis develops within 24 h continuous infusion (sulfhydryl depletion) — drug-free interval needed for chronic use.

Hemodynamic effects

↓Preload (dominant low dose), ↓afterload (high dose), reflex tachycardia possible, may lower coronary perfusion pressure (if MAP drops disproportionately). At low/moderate dose: improves coronary supply > increases demand.

Side effects

  • !Hypotension (additive with other antihypertensives)
  • !Headache (universal — common reason for non-compliance)
  • !Methemoglobinemia (rare, with very high cumulative doses)
  • !Tachyphylaxis with continuous infusion >24 h
  • !Reflex tachycardia

Contraindications

  • ×Hypotension (already low BP)
  • ×Severe aortic stenosis (preload reduction → severe hypotension)
  • ×Right ventricular MI (preload-dependent state)
  • ×Concurrent PDE5 inhibitor (sildenafil, tadalafil) — severe hypotension within 24-48 h of use
  • ×Increased ICP (cerebral vasodilation)
  • ×Constrictive pericarditis (preload-dependent)

Clinical pearls

  • FIRST-LINE for myocardial ischemia + acute LV failure — preload reduction often resolves both.
  • PDE5 inhibitor (sildenafil, tadalafil) within 24 h: avoid nitroglycerin — severe refractory hypotension via additive cGMP elevation.
  • INFERIOR/RV MI: AVOID — preload-dependent state, NTG drops preload → severe hypotension. Use cautiously.
  • Controlled hypotension: nicardipine + esmolol preferred over NTG in modern practice (NTG tachyphylaxis + tachycardia limit titration).
  • Concentration: standard intraop infusion 100 mcg/mL (50 mg in 500 mL D5W). Start 10-20 mcg/min, titrate to target. Avoid PVC tubing — NTG adsorbs (use polyolefin/polyethylene tubing).
  • Esophageal spasm or sphincter relaxation: 50-200 mcg IV bolus rapidly relaxes (ENT useful adjunct for vocal cord adduction during awake fiberoptic too).
Education only — confirm against current package inserts and institutional protocols. Doses assume normal organ function unless otherwise noted.