danavish nitroglycerin 2.6mg tablet cr - Nitroglycerin (2.6mg) medicine

Angiwel 2.6mg Tablet: Comprehensive Medicine Guide

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🏭 Danavish Healthcare 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for angina prophylaxis
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe chest pain that does not respond to fast-acting nitrates
  • Fainting or loss of consciousness
  • Bluish discoloration of lips, skin, or nails
  • Severe headache with vision changes
  • Sudden swelling of face, lips, or throat
  • Irregular heartbeat or palpitations
  • Extreme weakness or difficulty breathing

If experiencing severe symptoms, call emergency services immediately.

What is danavish nitroglycerin 2.6mg tablet cr used for?

This medicine contains Nitroglycerin 2.6 mg, used to prevent angina (chest pain) in people with heart disease. It works by relaxing blood vessels to improve blood flow to the heart. It is not for immediate relief of an ongoing attack.

  • Generic Name: Nitroglycerin
  • Manufacturer: Danavish Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 danavish nitroglycerin 2.6mg tablet cr के बारे में (Hindi Summary)

उपयोग: यह दवा नाइट्रोग्लिसरीन 2.6 मिलीग्राम युक्त एक ओरल टैबलेट है, जिसका उपयोग एनजाइना (सीने में दर्द) को रोकने के लिए किया जाता है। यह हृदय की मांसपेशियों को रक्त की आपूर्ति बढ़ाने और हृदय पर दबाव कम करने में मदद करती है। यह दवा तीव्र दौरे के इलाज के लिए नहीं है, बल्कि दौरे को रोकने के लिए है।

साइड इफेक्ट्स: आम दुष्प्रभावों में सिरदर्द, चक्कर आना, चेहरे पर लालिमा और लो ब्लड प्रेशर शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन तुरंत डॉक्टर से संपर्क करें यदि आपको बेहोशी, धुंधली दृष्टि या ठंडा पसीना आए।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अचानक बंद न करें। शराब से बचें क्योंकि इससे लो ब्लड प्रेशर का खतरा बढ़ सकता है। यदि आपको लगातार सिरदर्द या चक्कर आते हैं तो डॉक्टर को बताएं। तीव्र एनजाइना के लिए इसका उपयोग न करें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 danavish nitroglycerin 2.6mg tablet cr Uses & Benefits

[{"condition":"Angina pectoris prophylaxis","description":"This medicine is used to prevent episodes of chest pain in patients with coronary artery disease.","evidence":"Well-established"},{"condition":"Chronic stable angina","description":"It helps reduce the frequency and severity of angina attacks when taken regularly.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Heart failure","description":"Sometimes used off-label in combination with other medicines to manage heart failure symptoms.","evidence":"Limited"},{"condition":"Esophageal spasm","description":"May be used off-label to relieve esophageal spasm-related chest pain.","evidence":"Limited"}]

Primary treatment for: Angina pectoris

Also treats: Coronary artery disease, Chronic stable angina

📋 Drug Information

Generic Name(s)Nitroglycerin
Brand NameAngispan - TR 2.5mg Capsule
ManufacturerDanavish Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassNO Donors
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same times each day to maintain consistent blood levels.
2
Rise slowly from sitting or lying positions to prevent dizziness.
3
Avoid alcohol while taking this medicine as it can worsen hypotension.
4
Do not use this medicine for acute angina attacks; use fast-acting nitrates for immediate relief.
5
Inform your doctor if you experience persistent headaches or dizziness.
6
Do not stop this medicine abruptly without consulting your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Chest pain (angina)
This medicine is commonly prescribed for prevention of angina.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNitroglycerin is rapidly absorbed from the gastrointestinal tract after oral administration, but undergoes extensive first-pass metabolism in the liver, resulting in low systemic bioavailability.
DistributionNitroglycerin is widely distributed throughout the body, with a volume of distribution of approximately 3 L/kg. It crosses the blood-brain barrier and placenta.
Protein BindingNitroglycerin is approximately 60% bound to plasma proteins.
MetabolismNitroglycerin is extensively metabolized in the liver by glutathione-dependent organic nitrate reductase and other enzymes to form dinitrate and mononitrate metabolites, which are less active.
Half-LifeThe elimination half-life of nitroglycerin is approximately 1 to 4 minutes.
ExcretionNitroglycerin and its metabolites are primarily excreted in the urine.
BioavailabilityOral bioavailability of nitroglycerin is low, approximately 10-20%, due to extensive first-pass metabolism.
Onset of ActionOnset of action for oral nitroglycerin is approximately 20-30 minutes.
Peak Plasma TimePeak plasma concentration is reached in about 30-60 minutes after oral administration.
Duration of ActionThe duration of action is approximately 4-6 hours for the oral immediate-release formulation.

How It Works

Nitroglycerin is converted in the body to nitric oxide, which activates guanylate cyclase. This leads to increased cyclic guanosine monophosphate (cGMP) levels, causing smooth muscle relaxation and vasodilation. The primary effect is on venous vessels, reducing preload and cardiac workload. At higher doses, it also dilates coronary arteries, improving blood flow to ischemic areas of the heart.

Mechanism Steps

1
Conversion to nitric oxide: Nitroglycerin is metabolized in smooth muscle cells to release nitric oxide.
2
Activation of guanylate cyclase: Nitric oxide activates the enzyme guanylate cyclase, increasing cGMP levels.
3
Smooth muscle relaxation: Elevated cGMP leads to relaxation of vascular smooth muscle, causing vasodilation.
4
Reduced cardiac workload: Vasodilation decreases venous return (preload) and arterial resistance (afterload), lowering myocardial oxygen demand.

💡 How to Take danavish nitroglycerin 2.6mg tablet cr

Strength: Immediate-release oral tablet, 2.6 mg

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take it at the same times each day as prescribed.
4If you experience dizziness, sit or lie down until it passes.
5Do not stop taking this medicine abruptly without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 2.6 mg taken orally two to four times daily, as prescribed by your doctor. The dose may be adjusted based on your condition and response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of nitroglycerin, especially hypotension and dizziness. Start with a lower dose and monitor closely.
Renal ImpairmentNo specific dose adjustment is recommended for renal impairment, but use with caution and monitor blood pressure.
Hepatic ImpairmentUse with caution in patients with severe hepatic impairment. Dose adjustment may be necessary.
Maximum Daily DoseThe maximum daily dose should not exceed 10.4 mg (four tablets of 2.6 mg) unless directed by a doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of danavish nitroglycerin 2.6mg tablet cr

✅ Common Side Effects

Headache (Common (10-30%))
Usually resolves with continued use. Consult doctor if severe or persistent.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying positions. Avoid driving if affected.
Flushing (Common (5-10%))
Usually temporary. Consult doctor if bothersome.
Lightheadedness (Common (5-10%))
Sit or lie down until it passes. Avoid sudden movements.

🚨 Serious Side Effects

Severe hypotension (Rare (<0.1%))
Seek immediate medical attention if you experience fainting, blurred vision, or cold sweat.
Syncope (Rare (<0.1%))
Lie down and elevate legs. Seek emergency care if it persists.
Methemoglobinemia (Very rare (<0.01%))
Seek immediate medical attention if you experience bluish lips, skin, or confusion.

⚠️ Rare Side Effects

Allergic reactions
Seek immediate medical attention if you notice rash, itching, swelling, or difficulty breathing.
Exfoliative dermatitis
Discontinue and consult a doctor immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Sildenafil Major
Tadalafil Major
Riociguat Major
Alcohol Moderate
Beta-blockers Moderate
Calcium channel blockers Moderate
Diuretics Moderate
Aspirin Minor
Heparin Minor
Ergot alkaloids Moderate

🚨 Major Interactions

  • Phosphodiesterase-5 inhibitors (e.g., sildenafil, tadalafil)
  • Riociguat

⚡ Moderate Interactions

  • Alcohol
  • Antihypertensives
  • Beta-blockers

🍷 Alcohol Interaction

Alcohol can intensify the blood pressure-lowering effects of nitroglycerin, leading to dizziness, fainting, and potentially dangerous hypotension. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to nitroglycerin or other nitrates","Severe hypotension","Increased intracranial pressure","Concurrent use of phosphodiesterase-5 inhibitors","Severe anemia","Constrictive pericarditis","Hypertrophic obstructive cardiomyopathy"]

⚠️ Warnings & Precautions

["Avoid abrupt withdrawal; may cause rebound angina.","Use with caution in patients with low blood pressure or dehydration.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Tolerance may develop with prolonged use; follow prescribed dosing schedule.","Do not use for acute angina attacks; use fast-acting nitrates for immediate relief."]

🤱 Lactation Safety

It is not known whether nitroglycerin is excreted in human breast milk. Caution should be exercised when used by nursing mothers.

💊 Overdose Management

Overdose can cause severe hypotension, headache, confusion, and methemoglobinemia. Seek immediate medical attention. Treatment is supportive and symptomatic. If methemoglobinemia occurs, methylene blue may be used.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not stop taking it suddenly without medical advice, as this can worsen angina. Avoid alcohol while taking this medicine, as it can increase the risk of low blood pressure. Inform your doctor if you experience persistent headaches or dizziness. Do not use this medicine to treat an acute angina attack; use a fast-acting nitrate for that purpose. Store at room temperature away from moisture and heat. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to hypotension and dizziness. Start with a lower dose and monitor closely.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor. This medicine should be used during pregnancy only if clearly needed.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine, as it may interact with anesthetic agents and affect blood pressure.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine, as it may cause dizziness or interact with dental anesthetics.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce heart strain.
🥗
Engage in regular low-impact exercise like walking or swimming.
😴
Avoid smoking and limit alcohol intake.
💧
Manage stress through relaxation techniques.
🧘
Follow a heart-healthy diet rich in fruits and vegetables.

🏋️ Exercise Considerations

Avoid strenuous exercise until you know how this medicine affects you, as it may cause dizziness or low blood pressure. Consult your doctor before starting any exercise program.

🥗 Diet Recommendations

Include omega-3 rich foods like fish.
Reduce salt intake to manage blood pressure.
Eat plenty of fruits and vegetables.
Avoid high-fat and processed foods.

💼 Impact on Daily Work & Life

This medicine may cause dizziness, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you. Inform your employer if your job involves such tasks.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Abrupt withdrawal can worsen angina. Your doctor will advise if and when to stop.

📅 Long-Term Use Effects

Long-term use may lead to tolerance, reducing effectiveness. To prevent tolerance, your doctor may prescribe a nitrate-free interval. Regular monitoring of blood pressure and angina symptoms is recommended. Do not stop abruptly.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet, exercise, and stress management can complement medicine.

Evidence: Well-established
Other anti-anginal medicines

Beta-blockers, calcium channel blockers, or other nitrates may be alternatives.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, consult your doctor before any vaccination.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 58-year-old man with chronic stable angina
He was prescribed this medicine to prevent angina attacks. Initially, he experienced mild headaches, but they subsided after a week. He learned to take it regularly and avoid alcohol. His angina episodes reduced significantly.
💡 Lesson: Consistent use and lifestyle modifications can greatly improve outcomes.
👤 A 65-year-old woman with a history of heart disease
She started this medicine but felt dizzy upon standing. Her doctor advised her to rise slowly and monitor her blood pressure. After adjusting the dose, she tolerated it well and had fewer chest pain episodes.
💡 Lesson: Dose adjustment and monitoring can manage side effects effectively.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 20-30 minutes after oral administration.

Q: Can I take this medicine for an acute angina attack?

A: No, this medicine is for prevention. For acute attacks, use fast-acting nitrates as prescribed.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for your next dose, skip it. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for danavish nitroglycerin 2.6mg tablet cr

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Nitroglycerin can be used to treat an acute angina attack.
    Fact: This oral form is for prevention only. Acute attacks require fast-acting nitrates like sublingual tablets or sprays.
  • Myth: Nitroglycerin is safe to take with erectile dysfunction drugs.
    Fact: Combining nitroglycerin with PDE5 inhibitors can cause dangerous hypotension and is contraindicated.

🔄 Alternative Options

Generic Alternatives

  • Nitroglycerin 2.6 mg tablet

Brand Alternatives

  • Angiwel 2.6mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Nitroglycerin","class":"Nitrate","onset":"20-30 min","duration":"4-6 hours","route":"Oral"},{"medicine":"Isosorbide dinitrate","class":"Nitrate","onset":"30-60 min","duration":"4-6 hours","route":"Oral"},{"medicine":"Isosorbide mononitrate","class":"Nitrate","onset":"30-60 min","duration":"6-8 hours","route":"Oral"}]

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