Europe — EMA
Nitroglicerină Zentiva S.A. (Glyceryl Trinitrate)
GNH USA supplies Nitroglicerină Zentiva (Glyceryl trinitrate), a nitrate vasodilator for angina pectoris, heart failure and hypertensive emergencies.
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What is Glyceryl Trinitrate?
Glyceryl trinitrate, the active ingredient in Nitroglicerină Zentiva S.A., is a nitrate vasodilator presented as an oral formulation for prescription use. It is employed to relieve chest pain associated with angina, to improve symptoms in heart failure, and to manage certain hypertensive emergencies in adult patients.
GNH USA supplies Nitroglicerină Zentiva S.A. as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑compliant documentation for global distribution.
What is Glyceryl Trinitrate used for?
Glyceryl trinitrate acts as a nitrate vasodilator to reduce myocardial oxygen demand in several cardiovascular conditions.
- Angina pectoris: alleviates chest pain by dilating coronary vessels and decreasing cardiac workload. - Heart failure: improves symptoms by reducing preload and afterload, easing ventricular strain. - Hypertensive emergencies: lowers blood pressure rapidly through systemic vasodilation.
What are the side effects of Glyceryl Trinitrate?
Glyceryl trinitrate may cause a range of adverse reactions, varying from mild to severe.
Common Side Effects: - Headache: throbbing pain often occurring shortly after dosing. - Dizziness or light‑headedness. - Flushing of the face and neck. - Hypotension: mild drop in blood pressure. - Tachycardia: compensatory increase in heart rate. - Nausea or vomiting.
Serious or Rare Side Effects: - Severe hypotension leading to syncope. - Myocardial infarction in patients with unstable coronary disease. - Methemoglobinemia: reduced oxygen‑carrying capacity of blood. - Allergic reactions such as rash or angioedema.
What precautions apply to Glyceryl Trinitrate?
When prescribing glyceryl trinitrate, clinicians should observe several safety measures.
- Cardiovascular assessment: evaluate blood pressure and heart rate before initiation. - Concomitant PDE5 inhibitors: avoid use with sildenafil, tadalafil or vardenafil due to risk of profound hypotension. - Combined nitrates: do not co‑administer with other nitrate preparations. - Blood pressure monitoring: check regularly during dose titration. - Patient education: advise a daily nitrate‑free interval to prevent tolerance. - Store at room temperature: keep in original container, protect from moisture and light.
What does Glyceryl Trinitrate interact with?
Glyceryl trinitrate interacts with several drug classes, requiring careful management.
Major Interactions (Avoid): - Phosphodiesterase‑5 inhibitors (e.g., sildenafil, tadalafil): may cause life‑threatening hypotension. - Other nitrate agents (e.g., isosorbide dinitrate): additive vasodilatory effect leading to severe blood pressure fall.
Moderate Interactions (Monitor Closely): - Antihypertensive agents (beta‑blockers, calcium‑channel blockers, ACE inhibitors): may enhance blood‑pressure‑lowering effect. - Alcohol: can increase hypotensive response. - Diuretics: may potentiate volume depletion and hypotension.



