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Molecule

Nitroglycerin

Nitrate Vasodilator
Available on requestCardiology
Presentations
33
Brands
6
Manufacturers
7
Available from stock
0

Nitroglycerin is a nitrate vasodilator indicated for acute relief of an attack or prophylaxis of angina pectoris due to coronary artery disease. It is available as sublingual tablets, transdermal patches and ointment for intravenous use. MedsAcross supplies Nitroglycerin for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Nitrate Vasodilator, Vasodilation
ATC classification
C01DA02 Nitroglycerin · Vasodilator agent, subgroup C01DAC05AE01 Nitroglycerin · Vein and capillary protectors, subgroup C05A, subgroup C05AE
US FDA first approval
30 September 1981
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Sublingual, Transdermal, Intravenous, Oral, Rectal, Topical
Dosage forms
Sublingual tablet, Transdermal patch, Ointment, Injection, Oral spray
Identifiers
UNII G59M7S0WS3RxCUI 4917CAS 55-63-0DrugBank DB00727Q162867

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Nitroglycerin Lingual Spray is indicated for acute relief of an attack or prophylaxis of angina pectoris due to coronary artery disease. Nitroglycerin Lingual Spray is a nitrate vasodilator indicated for acute relief of an attack or prophylaxis of angina pectoris due to coronary artery disease.

Source: US FDA prescribing information

How it works

Nitroglycerin forms free radical nitric oxide (NO), which activates guanylate cyclase, resulting in an increase of guanosine 3',5'-monophosphate (cyclic GMP) in smooth muscle and other tissues. This eventually leads to dephosphorylation of myosin light chains, which regulates the contractile state in smooth muscle and results in vasodilatation.

Source: US FDA prescribing information

Dosing overview

At the onset of an attack, administer onto or under the tongue. Repeat every 5 minutes as needed. Do up to three metered sprays within a 15-minute period. If chest pain persists, advise prompt medical attention. May be used prophylactically 5 to 10 minutes prior to engaging in activities that might precipitate an acute attack.

Source: US FDA prescribing information

Contraindications

Use of phosphodiesterase type 5 (PDE-5) Inhibitors, such as avanafil, sildenafil, tadalafil, or vardenafil, or soluble guanylate cyclase (sGC) stimulator (riociguat). Severe anemia. Increased intracranial pressure. Hypersensitivity to Nitroglycerin Lingual Spray or to other nitrates or nitrites or any excipient.

Source: US FDA prescribing information

Warnings and precautions

Tolerance: Excessive use may lead to tolerance. Hypotension: Severe hypotension may occur. Tolerance Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute angina attack should be used. 5. 2 Hypotension Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin particularly in patients with constrictive pericarditis, aortic or mitral stenosis, patients who may be volume-depleted, or are already hypotensive. Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. Symptoms of severe hypotension (nausea, vomiting, weakness, pallor, perspiration and collapse/syncope) may occur even with therapeutic doses.

Source: US FDA prescribing information

Side effects

Most common adverse reactions occurring at a frequency greater than 2 % are headache, dizzinesss and paresthesia.

Source: US FDA prescribing information

Interactions

Antihypertensives: Possible additive hypotensive effects. Ergotamine: increased bioavailability of ergotamine. Avoid concomitant use 7. 1 P DE -5- I nhibitors and sGC- S timulators Nitroglycerin Lingual Spray is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE-5). PDE-5-Inhibitors such as avanafil, sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. Nitroglycerin Lingual Spray is contraindicated in patients who are taking soluble guanylate cyclase (sGC) stimulators. Concomitant use can cause hypotension. The time course and dose dependence of these interactions have not been studied, and use within a few days of one another is not recommended.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

33 presentations of Nitroglycerin, sorted by availability.

MedicineManufacturerRegisterAvailability
Nitroglycerin 0.4 mg sublingual tabletSublingualGeneric name—US FDAAvailable on request
Nitroglycerin 0.3 mg sublingual tabletSublingualGeneric name—US FDAAvailable on request
Nitroglycerin 0.6 mg sublingual tabletSublingualGeneric name—US FDAAvailable on request
Nitroglycerin 0.4% ointmentRectalGeneric name—US FDAAvailable on request
Nitroglycerin 400 mcg oral sprayOralGeneric name—US FDAAvailable on request
Nitrostat 0.4 mg sublingual tabletSublingualViatris SpecialtyUS FDAAvailable on request
Nitroglycerin 50 mg/10 mL injectionIntravenousGeneric name—US FDAAvailable on request
Nitroglycerin 2% ointmentTopicalGeneric name—US FDAAvailable on request
Nitro-bid 2% ointmentTopicalSavage LaboratoriesUS FDAAvailable on request
Nitroglycerin 25 mg/250 mL injectionIntravenousGeneric name—US FDAAvailable on request
Nitroglycerin 50 mg/250 mL injectionIntravenousGeneric name—US FDAAvailable on request
nitroglycerin lingual 400 mcg oral sprayOralPadagis Israel PharmaceuticalsUS FDAAvailable on request
Nitrolingual 400 mcg oral sprayOralIndependence PharmaceuticalsUS FDAAvailable on request
Nitro-dur 120 mg transdermal patchTransdermalIngenus PharmaceuticalsUS FDAAvailable on request
Nitro-dur 160 mg transdermal patchTransdermalIngenus PharmaceuticalsUS FDAAvailable on request
Nitro-dur 20 mg transdermal patchTransdermalIngenus PharmaceuticalsUS FDAAvailable on request
Nitro-dur 40 mg transdermal patchTransdermalIngenus PharmaceuticalsUS FDAAvailable on request
Nitro-dur 60 mg transdermal patchTransdermalIngenus PharmaceuticalsUS FDAAvailable on request
Nitro-dur 80 mg transdermal patchTransdermalIngenus PharmaceuticalsUS FDAAvailable on request
Nitroglycerin 0.1 mg/hour transdermal patchTransdermalGeneric name—US FDAAvailable on request
Nitroglycerin 0.2 mg/hour transdermal patchTransdermalGeneric name—US FDAAvailable on request
Nitroglycerin 0.4 mg/hour transdermal patchTransdermalGeneric name—US FDAAvailable on request
Nitroglycerin 0.6 mg/hour transdermal patchTransdermalGeneric name—US FDAAvailable on request
Nitroglycerin 100 mg/20 mL injectionIntravenousGeneric name—US FDAAvailable on request
Nitroglycerin 100 mg/250 mL injectionIntravenousGeneric name—US FDAAvailable on request
Nitroglycerin 120 mg transdermal patchTransdermalGeneric name—US FDAAvailable on request
Nitroglycerin 20 mg transdermal patchTransdermalGeneric name—US FDAAvailable on request
Nitroglycerin 40 mg transdermal patchTransdermalGeneric name—US FDAAvailable on request
Nitroglycerin 80 mg transdermal patchTransdermalGeneric name—US FDAAvailable on request
Nitroglycerin Lingual 400 mcg oral sprayOralAllegis PharmaceuticalsUS FDAAvailable on request
Nitrostat 0.3 mg sublingual tabletSublingualViatris SpecialtyUS FDAAvailable on request
Nitrostat 0.6 mg sublingual tabletSublingualViatris SpecialtyUS FDAAvailable on request
Rectiv 0.4% ointmentRectalAllerganUS FDAAvailable on request

Brands by market

6 brand names across 1 markets.

Brand names by country

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 30 September 1981Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Nitroglycerin in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Nitroglycerin available for export from India?

Yes, on request. MedsAcross lists 33 presentations of Nitroglycerin and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Nitroglycerin have?

The catalogue lists 7 brand names for Nitroglycerin, including Nitro-bid, Nitro-dur, nitroglycerin lingual, Nitroglycerin Lingual, Nitrolingual, Nitrostat, Rectiv.

Is Nitroglycerin approved by the US FDA?

Yes. The US FDA first approved Nitroglycerin on 30 September 1981, according to Drugs@FDA.

Does Nitroglycerin need cold chain shipping?

No listed presentation of Nitroglycerin is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Nitroglycerin in?

Nitroglycerin is classified under ATC code C01DA02 (Nitroglycerin).

References

  1. NITROGLYCERIN LINGUAL prescribing information (Allegis Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 17 December 2025

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