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Nitroglycerin gel for sale. Nitro-Bid: Comprehensive Guide to Nitroglycerin Ointment for Angina Relief

What is Nitro-Bid and how does it work. How to properly apply nitroglycerin ointment for angina. What are the potential side effects of using Nitro-Bid. How does Nitro-Bid compare to other forms of nitroglycerin. When should you seek medical attention while using nitroglycerin ointment.

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Understanding Nitro-Bid: A Powerful Angina Treatment

Nitro-Bid is a brand name for nitroglycerin ointment, a topical medication used to prevent and treat angina pectoris. This 2% ointment comes in a 30-gram tube and is manufactured by Savage Laboratories. Nitroglycerin belongs to a class of drugs called nitrates, which work by relaxing blood vessels and improving blood flow to the heart.

How does Nitro-Bid alleviate angina symptoms? The active ingredient, nitroglycerin, is absorbed through the skin and converted to nitric oxide in the body. This compound dilates blood vessels, reducing the workload on the heart and increasing oxygen supply to the cardiac muscle. As a result, patients experience relief from chest pain and discomfort associated with angina.

Proper Application and Dosage of Nitro-Bid Ointment

Applying Nitro-Bid correctly is crucial for its effectiveness. The recommended dosage is typically 1/2 inch to 2 inches of ointment, applied to the skin every 3 to 4 hours. However, the exact amount may vary depending on individual needs and doctor’s instructions.

Where should Nitro-Bid be applied? The ointment is usually spread on the chest, arms, or thighs. It’s important to rotate application sites to prevent skin irritation. Patients should avoid applying the ointment to hairy, irritated, or broken skin.

Step-by-Step Application Guide

  1. Wash hands thoroughly before and after application
  2. Measure the prescribed amount of ointment onto the dose-measuring paper provided
  3. Apply the ointment to clean, dry skin
  4. Gently rub the ointment into the skin until it disappears
  5. Cover the application site with plastic wrap if directed by your healthcare provider

Can Nitro-Bid be used for immediate relief of an angina attack? While Nitro-Bid is primarily used for prevention, it may not act quickly enough for acute angina episodes. For immediate relief, sublingual nitroglycerin tablets or spray are typically recommended.

Potential Side Effects and Precautions of Nitroglycerin Ointment

Like all medications, Nitro-Bid can cause side effects. Common adverse reactions include headache, dizziness, and lightheadedness. These effects are often related to the blood vessel dilation caused by nitroglycerin.

Are there any serious side effects to be aware of? While rare, severe reactions can occur. Patients should seek immediate medical attention if they experience:

  • Severe dizziness or fainting
  • Rapid or irregular heartbeat
  • Severe headache that doesn’t subside
  • Signs of allergic reaction, such as rash, itching, or swelling

Can Nitro-Bid interact with other medications? Yes, nitroglycerin can interact with various drugs, including phosphodiesterase inhibitors (like sildenafil), blood pressure medications, and certain antidepressants. Patients should always inform their healthcare provider about all medications they’re taking.

Comparing Nitro-Bid to Other Forms of Nitroglycerin

Nitroglycerin is available in several formulations, each with its own advantages. How does Nitro-Bid compare to other forms?

FormOnset of ActionDurationBest Use
Nitro-Bid (ointment)20-60 minutes3-4 hoursPrevention
Sublingual tablets1-3 minutes30-60 minutesAcute relief
Transdermal patch30-60 minutes12-14 hoursLong-term prevention

Why might a doctor prescribe Nitro-Bid over other formulations? Nitro-Bid offers several advantages, including:

  • Longer duration of action compared to sublingual forms
  • Flexibility in dosing
  • Fewer systemic side effects than oral medications
  • Easy application for patients who have difficulty swallowing pills

Storage and Handling of Nitro-Bid Ointment

Proper storage of Nitro-Bid is essential to maintain its effectiveness and safety. The ointment should be kept at room temperature, away from light and moisture. Extreme temperatures can affect the stability of nitroglycerin, potentially reducing its efficacy.

How long can Nitro-Bid be stored after opening? Once opened, the ointment should be used within a specific timeframe, typically 6 to 8 weeks. Patients should check the packaging or consult their pharmacist for exact guidelines.

Important Handling Precautions

  • Keep the tube tightly closed when not in use
  • Do not transfer the ointment to other containers
  • Avoid touching the applicator tip to any surface
  • Wash hands thoroughly after each application
  • Dispose of unused medication properly as directed by a healthcare professional

Is it safe to travel with Nitro-Bid? When traveling, keep Nitro-Bid in its original container and carry a copy of the prescription. Be aware that the ointment may be affected by extreme temperatures during travel.

Monitoring and Adjusting Nitro-Bid Treatment

Regular monitoring is crucial for patients using Nitro-Bid. Healthcare providers may need to adjust the dosage based on the patient’s response and the frequency of angina attacks. Patients should keep a record of their symptoms and medication use to share with their doctor.

How often should patients follow up with their healthcare provider? Initially, frequent follow-ups may be necessary to assess the effectiveness of the treatment. Once stabilized, patients typically have check-ups every 3 to 6 months, or as recommended by their doctor.

Signs of Tolerance Development

Long-term use of nitroglycerin can lead to tolerance, where the medication becomes less effective over time. Signs of tolerance may include:

  • Increased frequency or severity of angina attacks
  • Need for higher doses to achieve the same effect
  • Reduced duration of symptom relief

What should patients do if they suspect tolerance? If tolerance is suspected, patients should not increase their dose without consulting their healthcare provider. The doctor may recommend a nitrate-free interval or adjust the treatment plan.

Lifestyle Considerations for Nitro-Bid Users

While Nitro-Bid can effectively manage angina symptoms, it’s important for patients to adopt heart-healthy lifestyle habits. These changes can complement the medication’s effects and improve overall cardiovascular health.

Recommended Lifestyle Modifications

  • Maintain a balanced, low-fat diet
  • Engage in regular, moderate exercise as approved by a doctor
  • Quit smoking and avoid secondhand smoke
  • Manage stress through relaxation techniques or counseling
  • Control other risk factors like high blood pressure and diabetes

Can alcohol be consumed while using Nitro-Bid? Alcohol can enhance the blood pressure-lowering effects of nitroglycerin, potentially leading to dizziness or fainting. Patients should consult their healthcare provider about safe alcohol consumption while using Nitro-Bid.

Cost and Insurance Coverage for Nitro-Bid

The cost of Nitro-Bid can vary depending on factors such as location, pharmacy, and insurance coverage. As of 2024, the average retail price for a 30-gram tube of Nitro-Bid 2% ointment is approximately $55.37, though prices may fluctuate.

Is Nitro-Bid covered by insurance? Many insurance plans cover Nitro-Bid, but coverage and copayments can vary. Patients should check with their insurance provider for specific details about their coverage.

Options for Reducing Medication Costs

  • Ask about generic alternatives to Nitro-Bid
  • Investigate patient assistance programs offered by the manufacturer
  • Use pharmacy discount cards or coupons
  • Compare prices at different pharmacies, including online options

Are there any long-term financial considerations for Nitro-Bid users? While the ongoing cost of medication is a factor, it’s important to consider the potential savings from prevented hospitalizations and improved quality of life that effective angina management can provide.

Nitro-Bid (Brand for Nitroglycerin, Topical Ointment)

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Nitro-Bid®, (Nitroglycerin Ointment USP 2%), 2%, Ointment, 30gm Tube

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  • Nitro-Bid®, (Nitroglycerin Ointment USP 2%), 2%, Ointment, 30gm Tube


Manufacturer:

Savage





$55. 37


Item Code:
003922


Mfg Part #:
00281-0326-30



Controlled:



—Yes




Shipping:



—Free 3 Day ShippingUPS Next Day Air ($35 per box)UPS 2nd Day Air ($20 per box)


Brand Name

Nitro-Bid®

Medical License Required

Yes

Container

Tube

Feature

Nitroglycerin is 1,2,3-propanetriol trinitrate, an organic nitrate

Form

Ointment

Generic Name

Nitroglycerin Ointment

Route of Administration

Topical

Size

30 gm

Strength

0. 02

Therapeutic Class

Diuretic/Cardiovascular

Unit of Measure

Each


Brand Name

Nitro-Bid®

Medical License Required

Yes

Container

Tube

Feature

Nitroglycerin is 1,2,3-propanetriol trinitrate, an organic nitrate

Form

Ointment

Generic Name

Nitroglycerin Ointment

Route of Administration

Topical

Size

30 gm

Strength

0. 02

Therapeutic Class

Diuretic/Cardiovascular

Unit of Measure

Each