Nitro-Dur Side Effects

Generic name: nitroglycerin

Medically reviewed by Drugs.com. Last updated on Jun 25, 2024.

Note: This document provides detailed information about Nitro-Dur Side Effects associated with nitroglycerin. Some dosage forms listed on this page may not apply specifically to the brand name Nitro-Dur.

Applies to nitroglycerin: intravenous solution.

Other dosage forms:

• capsule extended release, packet, spray, tablet
• rectal ointment
• transdermal ointment, transdermal patch extended release

Precautions

It is very important that your doctor check your progress closely while you are receiving this medicine to make sure it is working properly.

Do not take riociguat (Adempas®), sildenafil (Viagra®), tadalafil (Cialis®), or vardenafil (Levitra®) while you are using this medicine. Using these medicines together may cause blurred vision, dizziness, lightheadedness, or fainting. If you are taking these medicines and you experience an angina attack, you must go to the hospital right away.

Dizziness, lightheadedness, or faintness may occur, especially when you get up quickly from a lying or sitting position. Getting up slowly may help.

This medicine may cause headaches. These headaches are a sign that the medicine is working. If you have severe pain, talk with your doctor.

Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests.

Serious side effects of Nitro-Dur

Along with its needed effects, nitroglycerin (the active ingredient contained in Nitro-Dur) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur while taking nitroglycerin:

Get emergency help immediately if any of the following symptoms of overdose occur while taking nitroglycerin:

Symptoms of overdose

• blurred or loss of vision
• bulging soft spot on the head of an infant
• change in consciousness
• change in the ability to see colors, especially blue or yellow
• cold, clammy skin
• convulsions
• disturbed color perception
• double vision
• feeling of constant movement of self or surroundings
• flushed skin
• halos around lights
• headache, severe and throbbing
• increased sweating
• loss of appetite
• loss of consciousness
• nausea or vomiting
• night blindness
• overbright appearance of lights
• paralysis
• sensation of spinning
• slow or irregular heartbeat
• tunnel vision

For healthcare professionals

Applies to nitroglycerin: buccal tablet extended release, intravenous solution, oral capsule extended release, rectal ointment, sublingual powder, sublingual spray, sublingual tablet, transdermal film extended release, transdermal ointment.

General adverse events

The most common side effect is headache.^[Ref]

Nervous system

• Very common (10% or more): Headache (up to 64%)
• Common (1% to 10%): Dizziness, lightheadedness, syncope, vertigo, drowsiness
• Rare (0.1% to 0.01%): Severe and prolonged headache
• Very rare (less than 0.01%): Cerebral ischemia
• Frequency not reported: Faintness, somnolence^[Ref]

Cardiovascular

• Common (1% to 10%): Hypotension, angina increased, paradoxical bradycardia, tachycardia, orthostatic hypotension, blood pressure decreased, facial flushing
• Uncommon (0.1 to 1%): Circulatory collapse
• Rare (less than 0.1%): Bradycardia, cyanosis, flushing, heart rate increase
• Frequency not reported: Crescendo angina, rebound hypertension, palpitations, hypertension, decreased arterial oxygen tension, severe arterial hypotension with bradycardia, transient flushing^[Ref]

Gastrointestinal

• Common (1% to 10%): Nausea, vomiting
• Rare (0.01% to 0.1%): Dry mouth
• Very rare (less than 0.01%): Heartburn, halitosis
• Frequency not reported: Abdominal pain, retching, lip and tongue swelling^[Ref]

Dermatologic

• Uncommon (0.1% to 1%): Dermatitis contact, erythema, pruritus, burning, irritation, eczema, urticaria
• Rare (0.01 to 0.1%): Allergic skin reactions, rash
• Very rare (less than 0.01%): Exfoliative dermatitis, drug rash
• Frequency not reported: Cutaneous flushing, diaphoresis, angioedema
• Postmarketing reports: Rash generalized^[Ref]

Other

• Common (1% to 10%): Asthenia, weakness
• Frequency not reported: Retrosternal discomfort^[Ref]

Hypersensitivity

• Rare (less than 0.1%): Hypersensitivity reactions, anaphylaxis
• Frequency not reported: Allergic reaction, anaphylactoid reaction^[Ref]

Psychiatric

• Common (1% to 10%): Restlessness
• Frequency not reported: Apprehension^[Ref]

Respiratory

• Very rare (less than 0.01%): Impairment of respiration
• Frequency not reported: Hypoxemia, dyspnea^[Ref]

Hematologic

• Very rare (less than 0.01%): Methemoglobinemia^[Ref]

Ocular

• Rare (less than 0.1%): Blurred vision
• Frequency not reported: Increased ocular pressure^[Ref]

Musculoskeletal

• Frequency not reported: Muscle twitching^[Ref]

See also:

Frequently asked questions

• How do you take GoNitro to treat an angina attack (chest pain)?
• What is the shelf life of nitroglycerin tablets?

Further information

Nitro-Dur side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.

Medical Disclaimer