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Nitro-Dur

Generic Name: Nitroglycerin Transdermal Patch (NYE troe GLIS er in)
Brand Name: Minitran, Nitro-Dur

Uses of Nitro-Dur:

  • It is used to prevent chest pain or pressure.
  • It may be given to you for other reasons. Talk with the doctor.

What do I need to tell my doctor BEFORE I take Nitro-Dur?

  • If you have an allergy to nitroglycerin or any other part of Nitro-Dur (nitroglycerin transdermal patch).
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you have any of these health problems: Anemia, raised pressure in the head, or recent heart attack.
  • If you are taking any of these drugs: Avanafil, riociguat, sildenafil, tadalafil, or vardenafil.
  • If you have an allergy to adhesive.

This is not a list of all drugs or health problems that interact with this medicine.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Nitro-Dur with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Nitro-Dur?

  • Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
  • Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how Nitro-Dur affects you.
  • To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down stairs.
  • Have your blood pressure checked often. Talk with your doctor.
  • This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take this medicine.
  • Talk with your doctor before you drink alcohol.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Nitro-Dur while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
  • Do not use this medicine to treat chest pain that becomes worse. Talk with your doctor.
  • If you have been taking Nitro-Dur for a long time without a break, it may not work as well. This is known as tolerance. Be sure to have a "nitrate-free" period of time each day. Talk with your doctor if this medicine stops working well. Do not take more than ordered.
  • Do not stop taking Nitro-Dur all of a sudden without calling your doctor. You may have a greater risk of side effects. If you need to stop this medicine, you will want to slowly stop it as ordered by your doctor.
  • If you are 65 or older, use Nitro-Dur with care. You could have more side effects.
  • The patch may have metal. Take off the patch before an MRI or cardioversion.
  • Your skin may be red or feel warm after you take the patch off. This is normal. If these effects do not go away, call your doctor.

How is this medicine (Nitro-Dur) best taken?

Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • To gain the most benefit, do not miss doses.
  • Keep using Nitro-Dur (nitroglycerin transdermal patch) as you have been told by your doctor or other health care provider, even if you feel well.
  • Follow how to use as you have been told by the doctor or read the package insert.
  • Wash your hands before and after use.
  • Put patch on at the same time of day.
  • Do not put on right after a shower or bath.
  • Put patch on clean, dry, healthy skin.
  • Put patch on a site without hair.
  • Wear only one patch at a time.
  • Put the patch in a new area each time you change the patch.
  • If the patch falls off, replace with a new one on a new site.

What do I do if I miss a dose?

  • Put on a missed patch as soon as you think about it after taking off the old one.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not put on more than 1 patch at a time.

See also: Dosage Information (in more detail)

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Very bad dizziness or passing out.
  • Very bad headache.
  • Fast or slow heartbeat.
  • Flushing.
  • Blurred eyesight.
  • Dry mouth.
  • Sweating a lot.
  • Pale skin.
  • Very upset stomach or throwing up.
  • A heartbeat that does not feel normal.
  • Restlessness.
  • Feeling very tired or weak.
  • Chest pain that is new or worse.
  • Very bad skin irritation.

What are some other side effects of Nitro-Dur?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

  • Dizziness.
  • Skin irritation.
  • You may have headaches when you start taking this medicine. Most of the time it gets better with time. Do not change how you use Nitro-Dur to avoid these headaches. Talk with your doctor for ways to lessen this side effect.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

See also: Side effects (in more detail)

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Nitro-Dur?

  • Store at room temperature.
  • Store in a dry place. Do not store in a bathroom.
  • Throw away all patches in a sealed container away from children and pets.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

Consumer Information Use and Disclaimer

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about this medicine, please talk with your doctor, nurse, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This information should not be used to decide whether or not to take Nitro-Dur or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Nitro-Dur. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Review Date: October 4, 2017

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