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: rectal ointment.
Other dosage forms:
- capsule extended release, packet, spray, tablet
- intravenous solution
- transdermal ointment, transdermal patch extended release
Precautions
It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and to check for unwanted effects.
Do not take sildenafil (Viagra®), tadalafil (Cialis®), or vardenafil (Levitra®) while you are using this medicine. Using these medicines together may cause blurred vision, dizziness, lightheadedness, low blood pressure, or fainting.
This medicine may cause headaches. The headaches are a sign that the medicine is working. Do not stop using the medicine or change how you use it to avoid the headaches. If you have questions about this, talk with your doctor.
Dizziness, lightheadedness, or fainting may occur, especially when you get up quickly from a lying or sitting position. Getting up slowly will help. You should also limit the amount of alcohol you drink to prevent more dizziness. If you have questions about this, talk with your doctor.
This medicine may make you dizzy or lightheaded. Avoid driving, using machines, or doing anything else that could be dangerous if you are dizzy.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
Common side effects of Nitro-Dur
Some side effects of nitroglycerin may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common side effects
- dizziness or lightheadedness
- headache
Incidence not known
- cracks in the skin
- loss of heat from the body
- red, swollen skin
- scaly skin
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 immediately if any of the following side effects occur while taking nitroglycerin:
Rare side effects
- bluish-colored lips, fingernails, or palms
- dark urine
- difficulty with breathing
- difficulty with swallowing
- fast heartbeat
- feeling of warmth
- fever
- hives
- itching
- pale skin
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- redness of the face, neck, arms, and occasionally, upper chest
- shortness of breath
- skin rash
- tightness in the chest
- unusual bleeding or bruising
- unusual tiredness or weakness
- wheezing
Incidence not known
- blurred vision
- confusion
- dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
- sweating
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]
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References
1. (2002) "Product Information. Tridil (nitroglycerin)." DuPont Pharmaceuticals
2. (2002) "Product Information. Nitrostat (nitroglycerin)." Parke-Davis
3. (2004) "Product Information. Nitrolingual (nitroglycerin)." First Horizon Pharmaceutical Corporation
4. Cerner Multum, Inc. "UK Summary of Product Characteristics."
5. Cerner Multum, Inc. "Australian Product Information."
Frequently asked questions
- How do you take GoNitro to treat an angina attack (chest pain)?
- What is the shelf life of nitroglycerin tablets?
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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.