Nitrates
Vasodilators
Uses
Mechanism
- nitric oxide relaxes smooth muscle, leading to vasodilation, especially in veins
- increased venous pooling leads to decreased preload
Dose and Half Life
- oral administration leads to liver metabolism
- sublingual administration acts within 60 seconds and lasts ~20 mins
- transdermal patch provides 8-12 hours of activity
Adverse Drug Reactions
- headaches
- reflex increase in heart rate due to baroreceptor response
- high degree of tolerance over time
long term
Counter-Indications and Drug Interactions
Metabolism and Excretion
Dependency