What are the possible side effects of Nitromak Retard?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Seek emergency medical attention if you have symptoms of a heart attack, such as:
chest pain or pressure;
pain spreading to your jaw or shoulder; or
nausea, sweating, general ill feeling.
Nitromak Retard can cause severe headaches, especially when you first start using it. These headaches may gradually become less severe as you continue to use Nitromak Retard. Do not stop taking this medicine. Ask your doctor before using any headache pain medication.
Call your doctor at once if you have:
severe or throbbing headaches that do not become less severe with continued use of Nitromak Retard;
pounding heartbeats or fluttering in your chest;
slow heart rate;
blurred vision or dry mouth; or
a light-headed feeling, like you might pass out.
Common side effects may include:
mild burning or tingling with the tablet in your mouth;
dizziness, spinning sensation;
flushing (warmth, redness, or tingly feeling);
pale skin, increased sweating; or
feeling weak or dizzy.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Side effects of Nitromak Retard in details
A side effect of any drug can be defined as the unwanted or undesired effect produced by the drug. The side effect can be major or in few medications minor that can be ignored. Side effects not only vary from drug to drug, but it also depends on the dose of the drug, the individual sensitivity of the person, brand or company which manufactures it. If side effects overweigh the actual effect of the medicine, it may be difficult to convince the patient to take the drug. Few patients get specific side effects to specific drugs; in that case, a doctor replaces the drug with another. If you feel any side effect and it troubles you, do not forget to share with your healthcare practitioner.
In addition to its needed effects, some unwanted effects may be caused by Nitromak Retard (the active ingredient contained in Nitromak Retard). In the event that any of these side effects do occur, they may require medical attention.
Major Side Effects
You should check with your doctor immediately if any of these side effects occur when taking Nitromak Retard:
Bloating or swelling of the face, arms, hands, lower legs, or feet
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
difficult or labored breathing
feeling faint, dizzy, or lightheadedness
feeling of warmth or heat
flushing or redness of the skin, especially on the face and neck
rapid weight gain
tightness in the chest
tingling of the hands or feet
unusual weight gain or loss
Bluish-colored lips, fingernails, or palms
rapid heart rate
unusual bleeding or bruising
unusual tiredness or weakness
Incidence not known:
Arm, back, or jaw pain
chest pain or discomfort
chest tightness or heaviness
cracks in the skin
difficulty with swallowing
dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
fast, irregular, pounding, or racing heartbeat or pulse
feeling of constant movement of self or surroundings
feeling of warmth
hives, itching, or rash
loss of heat from the body
nausea or vomiting
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
red, swollen skin
redness of the face, neck, arms, and occasionally, upper chest
sensation of spinning
If any of the following symptoms of overdose occur while taking Nitromak Retard, get emergency help immediately:
Symptoms of overdose:
Bluish-colored lips, fingernails, or palms
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
disturbed color perception
dizziness or lightheadedness
halos around lights
headache, severe and throbbing
loss of appetite
loss of consciousness
overbright appearance of lights
slow or irregular heartbeat
unusual bleeding or bruising
unusual tiredness or weakness
Minor Side Effects
Some of the side effects that can occur with Nitromak Retard may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:
Abdominal or stomach pain
body aches or pain
lack or loss of strength
tender, swollen glands in the neck
What is the most important information I should know about Nitromak Retard?
Nitromak Retard patch may cause dizziness, light-headedness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Nitromak Retard patch with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Check with your doctor before you drink alcohol while you are taking Nitromak Retard patch. Drinking alcohol may increase the risk of low blood pressure with Nitromak Retard patch.
Nitromak Retard patch may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
Contact your doctor right away if you develop slow heartbeat or new or worsening chest pain after you take Nitromak Retard patch.
Tell your doctor or dentist that you take Nitromak Retard patch before you receive any medical or dental care, emergency care, or surgery.
Nitromak Retard patch may give you daily headaches. This should become less noticeable with time. Do not change how you use Nitromak Retard patch to avoid these headaches. Talk with your doctor for ways to lessen this side effect.
Other dosage forms of Nitromak Retard patch (eg, sublingual, or under the tongue, tablets) may not work as well while you are taking Nitromak Retard patch.
Nitromak Retard patch takes about 1 to 2 hours to start working and should not be used for a sudden chest pain attack.
You may need to check your blood pressure often while using Nitromak Retard patch. Talk with your doctor.
Use Nitromak Retard patch with caution in the ELDERLY; they may be more sensitive to its effects.
PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Nitromak Retard patch while you are pregnant. It is not known if Nitromak Retard patch is found in breast milk. If you are or will be breast-feeding while you are using Nitromak Retard patch, check with your doctor. Discuss any possible risks to your baby.
When used for long periods of time without a break, Nitromak Retard patch may not work as well. This is known as TOLERANCE. Increasing the dose is not effective in managing tolerance to Nitromak Retard patch. Tolerance to other nitrates or nitrites may also occur. Be sure to have a "nitrate-free" period of time each day to help prevent this tolerance. Talk with your doctor if Nitromak Retard patch stops working well. Do not take more than prescribed.
Some people who use Nitromak Retard patch for a long time without a break may develop a physical need to continue taking it. This is known as physical DEPENDENCE. If you use Nitromak Retard patch without a break and then suddenly stop using it, you may get WITHDRAWAL symptoms. These may include chest pain, heart attack, or possibly sudden death. Be sure to have a "nitrate-free" period of time each day; this may help prevent dependence and withdrawal problems.
Nitromak Retard contraindications
Contraindication can be described as a special circumstance or a disease or a condition wherein you are not supposed to use the drug or undergo particular treatment as it can harm the patient; at times, it can be dangerous and life threatening as well. When a procedure should not be combined with other procedure or when a medicine cannot be taken with another medicine, it is called Relative contraindication. Contraindications should be taken seriously as they are based on the relative clinical experience of health care providers or from proven research findings.
4.1 PDE-5-Inhibitors and sGC-Stimulators
Do not use Nitromak Retard Lingual Spray in patients who are taking PDE-5 inhibitors, such as avanafil, sildenafil, tadalafil, or vardenafil. Concomitant use can cause severe hypotension, syncope, or myocardial ischemia.
Do not use Nitromak Retard Lingual Spray in patients who are taking the soluble guanylate cyclase (sGC) stimulator riociguat. Concomitant use can cause hypotension.
4.2 Severe Anemia
Nitromak Retard Lingual Spray is contraindicated in patients with severe anemia (large doses of Nitromak Retard may cause oxidation of hemoglobin to methemoglobin and could exacerbate anemia).
4.3 Increased Intracranial Pressure
Nitromak Retard Lingual Spray may precipitate or aggravate increased intracranial pressure and thus should not be used in patients with possible increased intracranial pressure (e. g. cerebral hemorrhage or traumatic brain injury).
Nitromak Retard Lingual Spray is contraindicated in patients who are allergic to Nitromak Retard, other nitrates or nitrites or any excipient.
4.5 Circulatory Failure and Shock
Nitromak Retard Lingual Spray is contraindicated in patients with acute circulatory failure or shock.
DailyMed. "NITROGLYCERIN: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
European Chemicals Agency - ECHA. "Glycerol trinitrate: The information provided here is aggregated from the "Notified classification and labelling" from ECHA's C&L Inventory. ". https://echa.europa.eu/information-o... (accessed September 17, 2018).
The results of a survey conducted on ndrugs.com for Nitromak Retard are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Nitromak Retard. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.
Consumer reported side effects
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