Europe — EMA
Nitroglycerin Macure (Glyceryl Trinitrate)
GNH USA supplies Nitroglycerin Macure (Glyceryl Trinitrate), a organic nitrate for acute angina, heart failure and hypertensive crisis.
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What is Glyceryl Trinitrate?
Glyceryl trinitrate, the active ingredient in Nitroglycerin Macure, is an organic nitrate presented as an intravenous solution for intravenous use. It is employed to relieve acute angina pectoris, manage heart failure, and treat hypertensive crisis in adult patients.
GNH USA supplies Nitroglycerin Macure as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product conforms to EU regulatory standards and is manufactured under GMP conditions. It is distributed through a secure cold‑chain logistics network to ensure product integrity during transport.
What is Glyceryl Trinitrate used for?
Nitroglycerin Macure (glyceryl trinitrate) is used in the cardiovascular therapeutic class to provide rapid vasodilation in acute settings.
Acute angina pectoris: rapid relief of chest pain by reducing myocardial oxygen demand. Heart failure: improves cardiac output by decreasing preload. Hypertensive crisis: lowers blood pressure through venous and arterial dilation.
What are the side effects of Glyceryl Trinitrate?
Nitroglycerin Macure may cause a range of adverse reactions.
Common Side Effects: - Headache: throbbing pain due to cerebral vasodilation. - Hypotension: transient drop in blood pressure. - Flushing: warm sensation with skin reddening. - Dizziness: light‑headed feeling, especially on standing.
Serious or Rare Side Effects: - Severe hypotension: marked blood pressure fall requiring medical intervention. - Methemoglobinemia: elevated methemoglobin levels causing cyanosis. - Allergic reaction: rash, itching, swelling, or anaphylaxis.
What precautions apply to Glyceryl Trinitrate?
When using Nitroglycerin Macure, several safety measures should be observed.
Blood pressure monitoring: check systolic and diastolic values before and during infusion. Concomitant phosphodiesterase‑5 inhibitors: avoid due to risk of profound hypotension. Severe anemia or hypovolemia: use with caution because of additive hypotensive effect. Known nitrate hypersensitivity: contraindicated; discontinue immediately if reaction occurs. Cardiovascular instability: assess risk in patients with recent myocardial infarction or unstable angina. Store at ambient temperature: keep below 25 °C, protect from light and moisture in original container.
What does Glyceryl Trinitrate interact with?
Nitroglycerin Macure can interact with several drug classes.
Major Interactions (Avoid): - Phosphodiesterase‑5 inhibitors (e.g., sildenafil): can cause severe hypotension. - Other vasodilators (e.g., hydralazine): additive blood pressure lowering. - Sodium nitroprusside: excessive nitrate load leading to methemoglobinemia.
Moderate Interactions (Monitor Closely): - Beta‑blockers: may mask tachycardia response to hypotension. - Diuretics: may enhance volume depletion and hypotensive effect.



