CLASSIFICATION
Potent coronary vasodilator/ dilation of systemic veins/ reduces BP
Presentation
Aerosol Spray: metered dose of 400mcg
ADMINISTRATION
SUBLINGUAL
Mouth should be closed immediately after each dose
INDICATIONS
Angina/ suspected MI
Pulmonary Oedema
CONTRA-INDICATIONS
SBP <90mmHg
Viagra/phosphodiesterase type 5 inhibitor used within 24hrs
Severe mitral stenosis
KSAR
DOSAGE
ADULT
ANGINA/MI: 400mcg
(repeat at 3-5min intervals, max 1200mcg)
PULMONARY OEDEMA: 800mcg (repeat x1 PRN)
PAEDIATRIC: Not indicated
SIDE EFFECTS
Headache
Transient Hypotension
Flushing
Dizziness
CAUTIONS
Inferior wall MI with right ventricular involvement may lead to profound hypotension