GNH USA

Europe — EMA

Isosorbidedinitraat-Vaselinecrème Fna Tiofarma

GNH USA supplies Isosorbidedinitraat-Vaselinecrème Fna Tiofarma (Isosorbide Dinitrate), a organic nitrate for angina pectoris and heart failure.

Isosorbide Dinitrate

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What is Isosorbide Dinitrate?

Isosorbide dinitrate, the active ingredient in Isosorbidedinitraat-Vaselinecrème Fna Tiofarma, is an organic nitrate presented as a rectal cream for rectal use. It treats angina pectoris and heart failure in adult patients.

GNH USA supplies Isosorbidedinitraat-Vaselinecrème Fna Tiofarma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

What is Isosorbide Dinitrate used for?

Isosorbide dinitrate is an organic nitrate used in the management of cardiovascular conditions.

Angina pectoris: reduces the frequency and severity of chest pain by lowering myocardial oxygen demand. Chronic stable angina (prophylaxis): provides preventive relief of anginal episodes during exertion. Heart failure: improves symptoms by decreasing preload and enhancing cardiac output.

What are the side effects of Isosorbide Dinitrate?

Isosorbide dinitrate may cause a range of adverse reactions, from mild to severe.

Common Side Effects: - Headache: throbbing pain often occurring shortly after application. - Dizziness or light‑headedness: related to blood pressure changes. - Flushing: warm sensation and reddening of the skin. - Hypotension: measurable drop in blood pressure. - Tachycardia: rapid heart rate as a compensatory response. - Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects: - Severe hypotension: marked drop in blood pressure requiring medical attention. - Syncope: sudden loss of consciousness. - Myocardial infarction: rare but possible in susceptible individuals. - Allergic skin reaction: rash, itching, or swelling at the application site. - Methemoglobinemia: rare blood disorder causing reduced oxygen delivery.

What precautions apply to Isosorbide Dinitrate?

Before using Isosorbidedinitraat‑Vaselinecrème Fna Tiofarma, consider the following safety measures.

Monitor blood pressure: check regularly to detect hypotension. Avoid concomitant nitrates: combined use can cause excessive vasodilation. Caution with phosphodiesterase‑5 inhibitors: risk of severe hypotension. Use carefully in anemia or severe cardiac disease: may exacerbate symptoms. Do not discontinue abruptly: taper under medical supervision to avoid rebound angina. Store at room temperature: keep in the original container, protect from moisture and light.

What does Isosorbide Dinitrate interact with?

Isosorbide dinitrate can interact with several drug classes; some require avoidance while others need close monitoring.

Major Interactions (Avoid): - Phosphodiesterase‑5 inhibitors (e.g., sildenafil, tadalafil): risk of profound hypotension. - Other organic nitrates or nitrites: additive vasodilatory effect. - Guanylate cyclase stimulators: excessive vasodilation.

Moderate Interactions (Monitor Closely): - Antihypertensive agents (ACE inhibitors, ARBs, beta‑blockers): may enhance blood‑pressure lowering. - Diuretics: potential for volume depletion and hypotension. - Calcium‑channel blockers: additive cardiovascular effects. - Azole antifungals (e.g., ketoconazole): may increase nitrate levels. - Alcohol: can potentiate hypotensive response.

Frequently asked questions

What is Isosorbidedinitraat‑Vaselinecrème Fna Tiofarma used for?+
Isosorbidedinitraat‑Vaselinecrème Fna Tiofarma is a prescription rectal cream that contains isosorbide dinitrate, an organic nitrate used to relieve angina pectoris and to improve symptoms of heart failure by reducing cardiac workload.
How does isosorbide dinitrate work in this cream?+
The active molecule releases nitric oxide after absorption through the rectal mucosa. Nitric oxide activates guanylate cyclase, raising cyclic GMP levels, which relaxes vascular smooth muscle, dilates veins and arteries, lowers preload, and reduces myocardial oxygen demand.
What is the usual dose of this product?+
The appropriate dose and frequency are determined by the prescribing clinician based on the individual’s condition, severity, and response. Patients should follow the exact instructions provided by their healthcare professional.
Is it safe to use during pregnancy or breastfeeding?+
Safety data for isosorbide dinitrate in pregnancy and lactation are limited. The product should only be used if the potential benefit justifies any possible risk to the fetus or infant, and this decision must be made by a qualified prescriber.
How do I order Isosorbidedinitraat‑Vaselinecrème Fna Tiofarma from GNH USA?+
Submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any required import documentation.
How does this cream compare with other anti‑anginal drugs?+
Compared with oral nitrates, the rectal cream provides a localized route that may reduce systemic side effects while still delivering nitric oxide. It differs from beta‑blockers or calcium‑channel blockers, which act through distinct mechanisms such as heart‑rate reduction or calcium antagonism.
What are the storage and handling requirements?+
Store the cream at room temperature, below 25 °C, in its original packaging. Keep it away from moisture, direct sunlight, and sources of heat. Ensure the container is tightly closed when not in use.
How is the cream administered?+
The prescribed amount of cream is applied to the rectal mucosa, usually using a fingertip or applicator, as directed by the prescriber. The site should be clean and dry before application, and the dose should not exceed the recommended amount.
What are the most serious risks to watch for?+
Serious adverse events include severe hypotension, syncope, myocardial infarction, and rare allergic reactions such as skin rash or methemoglobinemia. Patients should seek immediate medical attention if they experience fainting, chest pain, or signs of an allergic response.
Who should not use this rectal cream?+
Patients with known hypersensitivity to isosorbide dinitrate or any component of the formulation, those taking other nitrates or phosphodiesterase‑5 inhibitors, and individuals with severe anemia, hypotension, or recent myocardial infarction should avoid using this product unless specifically advised by a physician.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Isosorbide Dinitrate
Route
Rectal Use
Manufacturer
Tiofarma B.V.
Origin
EU

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