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nitroglycerin and Drug Withdrawal Symptoms

nitroglycerin has been researched along with Drug Withdrawal Symptoms in 33 studies

Nitroglycerin: A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.
nitroglycerol : A nitrate ester that is glycerol in which nitro group(s) replace the hydrogen(s) attached to one or more of the hydroxy groups.
nitroglycerin : A nitroglycerol that is glycerol in which the hydrogen atoms of all three hydroxy groups are replaced by nitro groups. It acts as a prodrug, releasing nitric oxide to open blood vessels and so alleviate heart pain.

Research Excerpts

ExcerptRelevanceReference
"The hemodynamic effects of intermittent and continuous treatment with transdermal nitroglycerin, 10 mg/24 hours, were compared in 10 patients with chronic congestive heart failure (CHF)."9.06Hemodynamic effects of intermittent transdermal nitroglycerin in chronic congestive heart failure. ( Coxon, R; Luke, R; Sharpe, N; Webster, M, 1987)
"The potential hazards of abrupt withdrawal of propranolol have been described in patients with angina pectoris; however, the effects of abrupt withdrawal from long-term therapy with verapamil have not previously been investigated."9.05Comparative effects of abrupt withdrawal of propranolol and verapamil in angina pectoris. ( Cohen, MN; Frishman, WH; Iorio, L; Klein, N; Klein, P; LeJemtel, T; Pollack, S; Roth, S; Shamoon, H; Sonnenblick, EH; Strom, J; Willens, H, 1982)
"To clarify the continuing controversy concerning the use of transdermal nitroglycerin (TDN), the shortterm hemodynamic responses to sublingual, oral and transcutaneous nitrates were evaluated and compared in 22 patients with severe chronic congestive heart failure."7.67Hemodynamic factors limiting the response to transdermal nitroglycerin in severe chronic congestive heart failure. ( Lee, WH; Medina, N; Packer, M; Yushak, M, 1986)
"In a single-blind study of 6 weeks' duration, 32 patients with stable angina pectoris, who had been receiving controlled-release, Durules, isosorbide-5-mononitrate (Imdur) 60 to 180 mg daily for at least 1 year, were assessed after abrupt withdrawal of the nitrate."7.67Abrupt withdrawal of isosorbide-5-mononitrate in Durules (Imdur) after long term treatment in patients with stable angina pectoris. ( Aberg, A; Engvall, J; Keyriläinen, O; Nyberg, G; Olsson, G; Rehnqvist, N; Reinikainen, P; Rosenqvist, U; Ulvenstam, G; Uusitalo, A, 1988)
"A case of acute transmural anterior myocardial infarction in a 45-year-old Black employee of an explosives factory during a period of withdrawal from industrial nitroglycerin is documented."7.66Acute myocardial infarction due to coronary vasospasm secondary to industrial nitroglycerin withdrawal. A case report. ( Heyns, MH; Przybojewski, JZ, 1983)
"Clonidine was administered as a bolus injection of 1-2 micrograms/kg body weight and repeated every 1-3 h."5.27Intravenous clonidine treatment in acute myocardial infarction (with comparison to a nitroglycerin-treated and control group). ( Lada, W; Zochowski, RJ, 1986)
"The hemodynamic effects of intermittent and continuous treatment with transdermal nitroglycerin, 10 mg/24 hours, were compared in 10 patients with chronic congestive heart failure (CHF)."5.06Hemodynamic effects of intermittent transdermal nitroglycerin in chronic congestive heart failure. ( Coxon, R; Luke, R; Sharpe, N; Webster, M, 1987)
"The potential hazards of abrupt withdrawal of propranolol have been described in patients with angina pectoris; however, the effects of abrupt withdrawal from long-term therapy with verapamil have not previously been investigated."5.05Comparative effects of abrupt withdrawal of propranolol and verapamil in angina pectoris. ( Cohen, MN; Frishman, WH; Iorio, L; Klein, N; Klein, P; LeJemtel, T; Pollack, S; Roth, S; Shamoon, H; Sonnenblick, EH; Strom, J; Willens, H, 1982)
"To clarify the continuing controversy concerning the use of transdermal nitroglycerin (TDN), the shortterm hemodynamic responses to sublingual, oral and transcutaneous nitrates were evaluated and compared in 22 patients with severe chronic congestive heart failure."3.67Hemodynamic factors limiting the response to transdermal nitroglycerin in severe chronic congestive heart failure. ( Lee, WH; Medina, N; Packer, M; Yushak, M, 1986)
"In a single-blind study of 6 weeks' duration, 32 patients with stable angina pectoris, who had been receiving controlled-release, Durules, isosorbide-5-mononitrate (Imdur) 60 to 180 mg daily for at least 1 year, were assessed after abrupt withdrawal of the nitrate."3.67Abrupt withdrawal of isosorbide-5-mononitrate in Durules (Imdur) after long term treatment in patients with stable angina pectoris. ( Aberg, A; Engvall, J; Keyriläinen, O; Nyberg, G; Olsson, G; Rehnqvist, N; Reinikainen, P; Rosenqvist, U; Ulvenstam, G; Uusitalo, A, 1988)
" The administration of intravenous ergonovine did not provoke ST-segment shifts or arrhythmias."3.67Coronary artery spasm after abrupt withdrawal of nitroglycerin in rabbits. ( Cook, L; Reeves, WC; Whitesell, L; Wood, MA, 1985)
"A case of acute transmural anterior myocardial infarction in a 45-year-old Black employee of an explosives factory during a period of withdrawal from industrial nitroglycerin is documented."3.66Acute myocardial infarction due to coronary vasospasm secondary to industrial nitroglycerin withdrawal. A case report. ( Heyns, MH; Przybojewski, JZ, 1983)
"Nitroglycerin infusion also was accompanied by a transient increase in plasma renin activity."1.29Long-term angiotensin-converting enzyme inhibition with high-dose enalapril retards nitrate tolerance in large epicardial arteries and prevents rebound coronary vasoconstriction in vivo. ( Bassenge, E; Münzel, T, 1996)
"In retrospect, the cardiac arrest as well as previous complaints of chest pains during weekends fit the syndrome of withdrawal from occupational exposure to nitroglycerin."1.28Cardiac arrest in an explosives factory worker due to withdrawal from nitroglycerin exposure. ( Ben-David, A, 1989)
" The LD50 value for adrenaline in control animals was 11."1.27Adrenaline toxicity in mice: sensitization of alpha 1 adrenoreceptors by nitroglycerin. ( Axelsson, KL; Rydell, EL, 1984)
"Clonidine was administered as a bolus injection of 1-2 micrograms/kg body weight and repeated every 1-3 h."1.27Intravenous clonidine treatment in acute myocardial infarction (with comparison to a nitroglycerin-treated and control group). ( Lada, W; Zochowski, RJ, 1986)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-199024 (72.73)18.7374
1990's6 (18.18)18.2507
2000's3 (9.09)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Ruotsalainen, H1
Rydell, EL1
Axelsson, KL1
Ross, PJ1
Lewis, MJ2
Sheridan, DJ1
Henderson, AH2
Singh, H1
Rimmer, A1
Przybojewski, JZ2
Heyns, MH2
Wilkinson, CJ1
Sanders, JH1
Halawa, B1
Frishman, WH1
Klein, N1
Strom, J1
Cohen, MN1
Shamoon, H1
Willens, H1
Klein, P1
Roth, S1
Iorio, L1
LeJemtel, T1
Pollack, S1
Sonnenblick, EH1
Ferratini, M1
Münzel, T1
Bassenge, E1
Kutishenko, NP2
Martsevich, SIu2
Metelitsa, VI2
Capasso, A1
Sorrentino, L1
Pinto, A1
Greiner, DZ1
Personius, BE1
Andrews, TC1
Azevedo, ER1
Schofield, AM1
Kelly, S1
Parker, JD1
RuDusky, BM1
Gerber, JG1
Nies, AS1
Morton, WE1
Muller, JE1
Gunther, SJ1
Klock, JC1
Zochowski, RJ1
Lada, W1
Ben-David, A1
Packer, M1
Medina, N1
Yushak, M1
Lee, WH1
Sharpe, N1
Coxon, R1
Webster, M1
Luke, R1
Reeves, WC2
Murthy, VS1
Holt, GW1
Christensen, CW1
Rehnqvist, N1
Olsson, G1
Engvall, J1
Rosenqvist, U1
Nyberg, G1
Aberg, A1
Ulvenstam, G1
Uusitalo, A1
Keyriläinen, O1
Reinikainen, P1
Cook, L1
Wood, MA1
Whitesell, L1
Schweisheimer, W1
Alderman, EL1
Coltart, DJ1
Wettach, GE1
Harrison, DC1
Lange, RL1
Reid, MS1
Tresch, DD1
Keelan, MH1
Bernhard, VM1
Coolidge, G1
Lund, RP1
Häggendal, J1
Johnsson, G1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Hemodynamic Effect of Intrathecal Clonidine in Hypertensive Subjects: A Pilot Study to Assess Its Effectiveness in Hypertensive Subjects With Poor Blood Pressure Control (Phase II)[NCT01297335]Phase 210 participants (Actual)Interventional2011-02-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Blood Pressure After Intrathecal Injection of Clonidine.

"Subjects baseline blood pressure (systolic blood pressure (SBP), and diastolic blood pressure (DBP)), and blood pressures after clonidine injection was compared against baseline to assess efficacy of clonidine in refractory hypertensive subjects. Subject's blood pressure was monitored continuously after intrathecal injection of clonidine until subjects blood pressure nadir and return to pre clonidine injection level. The mean value reported below are the average changes in blood pressure from baseline (pre clonidine injection) in both SBP and DBP during post clonidine injection blood pressure monitoring for 4 hours.~Blood pressure measurements were collected every 10 minutes for first hour after injection, and every 15 minutes after the first hour, up to 4 hours were averaged to report the change from baseline." (NCT01297335)
Timeframe: Baseline, Every 10 Minutes for first hour after clonidine injection, and every 15 minutes after first hour, until 4 hours after clonidine injection

Interventionmm Hg (Mean)
Change in mean SBP after clonidine injectionChange in DBP after clonidine injection
Intrathecal Clonidine7937

Changes in Visual Analogue Scale (VAS) Ratings of Sedation and Sensation of Dry Mouth Reported by the Subjects, Pre and 1 Hour Post Injection

Subjects were asked to rate severity of two of the most common side effects of clonidine, sedation and sensation of dry mouth, at pre and post (1 hour after) intrathecal administration of clonidine. The mean changes between pre and post injection VAS ratings of sedation and sensation of dry mouth are reported below. The VAS scale ranges from 1 to 10 cm, with higher values indicating higher level of sedation and higher level of dry mouth. (NCT01297335)
Timeframe: Before clonidine injection (Baseline), and at 1 hour after clonidine injection.

Interventioncm (Mean)
Change in level of sedationChange in sensation of dry mouth
Intrathecal Clonidine3.363.47

Likert Scale Pain Rating

Likert scale is 11 point digital pain rating system that asks subjects to rate their pain from 0 to 10. Rating of 0 means no pain at all, and in increasing order, 10 would mean worst pain imaginable/ unbearable pain. (NCT01297335)
Timeframe: Pre-dose and 1 hour post injection.

Interventionunits on a scale (Mean)
Pre-injection average Likert scorePost-injection average Likert score
Intrathecal Clonidine6.53.6

Reviews

4 reviews available for nitroglycerin and Drug Withdrawal Symptoms

ArticleYear
[Complications associated with sudden withdrawal of various drugs used in the treatment of cardiovascular diseases].
    Wiadomosci lekarskie (Warsaw, Poland : 1960), 1981, Mar-15, Volume: 34, Issue:6

    Topics: Cardiovascular Diseases; Clonidine; Guanethidine; Humans; Nitroglycerin; Nitroprusside; Propranolol;

1981
Risk of rebound phenomenon during nitrate withdrawal.
    International journal of cardiology, 1994, Jun-15, Volume: 45, Issue:2

    Topics: Angina Pectoris; Dose-Response Relationship, Drug; Drug Administration Routes; Drug Administration S

1994
Occupational habituation to aliphatic nitrates and the withdrawal hazards of coronary disease and hypertension.
    Journal of occupational medicine. : official publication of the Industrial Medical Association, 1977, Volume: 19, Issue:3

    Topics: Animals; Coronary Disease; Environmental Exposure; Humans; Hypertension; Nitrates; Nitroglycerin; Oc

1977
[The nitrate withdrawal syndrome. A review of the literature and the data from the authors' own research].
    Terapevticheskii arkhiv, 1992, Volume: 64, Issue:12

    Topics: Angina Pectoris; Electrocardiography; Exercise Test; Humans; Nitrates; Nitroglycerin; Physical Exert

1992

Trials

3 trials available for nitroglycerin and Drug Withdrawal Symptoms

ArticleYear
Comparative effects of abrupt withdrawal of propranolol and verapamil in angina pectoris.
    The American journal of cardiology, 1982, Volume: 50, Issue:5

    Topics: Angina Pectoris; Blood Pressure; Calcium Channel Blockers; Catecholamines; Clinical Trials as Topic;

1982
Nitroglycerin withdrawal increases endothelium-dependent vasomotor response to acetylcholine.
    Journal of the American College of Cardiology, 2001, Volume: 37, Issue:2

    Topics: Acetylcholine; Administration, Cutaneous; Coronary Angiography; Coronary Circulation; Coronary Disea

2001
Hemodynamic effects of intermittent transdermal nitroglycerin in chronic congestive heart failure.
    The American journal of cardiology, 1987, Apr-01, Volume: 59, Issue:8

    Topics: Administration, Cutaneous; Adult; Aged; Drug Administration Schedule; Drug Tolerance; Female; Heart

1987

Other Studies

26 other studies available for nitroglycerin and Drug Withdrawal Symptoms

ArticleYear
[Girl with asthma suffering from nicotine craving and feeling dizzy].
    Duodecim; laaketieteellinen aikakauskirja, 2003, Volume: 119, Issue:13

    Topics: Acute Disease; Adolescent; Asthma; Dizziness; Female; Humans; Medication Errors; Nicotine; Nitroglyc

2003
Adrenaline toxicity in mice: sensitization of alpha 1 adrenoreceptors by nitroglycerin.
    Acta pharmacologica et toxicologica, 1984, Volume: 55, Issue:1

    Topics: Angina Pectoris; Animals; Coronary Vessels; Epinephrine; Humans; Male; Mice; Mice, Inbred Strains; N

1984
Adrenergic hypersensitivity after beta-blocker withdrawal.
    British heart journal, 1981, Volume: 45, Issue:6

    Topics: Adrenergic beta-Antagonists; Angina Pectoris; Heart Rate; Humans; Hyperthyroidism; Male; Nitroglycer

1981
beta-Adrenoceptor hypersensitivity after stopping oxprenolol: discrepant findings not attributable to methodology.
    British journal of clinical pharmacology, 1983, Volume: 16, Issue:6

    Topics: Adult; Heart Rate; Humans; Male; Nitroglycerin; Oxprenolol; Receptors, Adrenergic, beta; Substance W

1983
Acute coronary vasospasm secondary to industrial nitroglycerin withdrawal. A case presentation and review.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1983, Jan-29, Volume: 63, Issue:5

    Topics: Acute Disease; Adult; Cardiac Catheterization; Coronary Vasospasm; Electrocardiography; Humans; Male

1983
Acute myocardial infarction due to coronary vasospasm secondary to industrial nitroglycerin withdrawal. A case report.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1983, Jul-16, Volume: 64, Issue:3

    Topics: Coronary Vasospasm; Humans; Male; Middle Aged; Myocardial Infarction; Nitroglycerin; Occupational Di

1983
Massive doses of nitroglycerin in a patient with variant angina.
    Anesthesia and analgesia, 1980, Volume: 59, Issue:9

    Topics: Angina Pectoris; Angina Pectoris, Variant; Blood Pressure; Cardiopulmonary Bypass; Coronary Disease;

1980
Long-term angiotensin-converting enzyme inhibition with high-dose enalapril retards nitrate tolerance in large epicardial arteries and prevents rebound coronary vasoconstriction in vivo.
    Circulation, 1996, Jun-01, Volume: 93, Issue:11

    Topics: Angiotensin-Converting Enzyme Inhibitors; Animals; Coronary Circulation; Coronary Vessels; Dogs; Dru

1996
[The possibility of the development of isosorbide dinitrate and nifedipine withdrawal syndromes in patients with stable stenocardia of effort].
    Terapevticheskii arkhiv, 1997, Volume: 69, Issue:9

    Topics: Adult; Aged; Angina Pectoris; Exercise Tolerance; Humans; Isosorbide Dinitrate; Male; Middle Aged; N

1997
The role of nitric oxide in the development of opioid withdrawal induced by naloxone after acute treatment with mu- and kappa-opioid receptor agonists.
    European journal of pharmacology, 1998, Oct-23, Volume: 359, Issue:2-3

    Topics: 3,4-Dichloro-N-methyl-N-(2-(1-pyrrolidinyl)-cyclohexyl)-benzeneacetamide, (trans)-Isomer; Acetylchol

1998
Effects of withdrawal of chronic estrogen therapy on brachial artery vasoreactivity in women with coronary artery disease.
    The American journal of cardiology, 1999, Jan-15, Volume: 83, Issue:2

    Topics: Administration, Oral; Aged; Brachial Artery; Coronary Disease; Endothelium, Vascular; Estradiol; Est

1999
Acute myocardial infarction secondary to coronary vasospasm during withdrawal from industrial nitroglycerin exposure--a case report.
    Angiology, 2001, Volume: 52, Issue:2

    Topics: Adult; Coronary Vasospasm; Humans; Male; Myocardial Infarction; Nitroglycerin; Occupational Exposure

2001
Abrupt withdrawal of cardiovascular drugs.
    The New England journal of medicine, 1979, Nov-29, Volume: 301, Issue:22

    Topics: Cardiovascular Agents; Clonidine; Hemodynamics; Homeostasis; Humans; Nitroglycerin; Nitroprusside; P

1979
Nifedipine therapy for Prinzmetal's angina.
    Circulation, 1978, Volume: 57, Issue:1

    Topics: Adult; Angina Pectoris; Angina Pectoris, Variant; Coronary Disease; Humans; Male; Myocardial Infarct

1978
Nonocclusive coronary disease after chronic exposure to nitrates: evidence for physiologic nitrate dependence.
    American heart journal, 1975, Volume: 89, Issue:4

    Topics: Administration, Oral; Adult; Coronary Angiography; Coronary Disease; Electrocardiography; Environmen

1975
Intravenous clonidine treatment in acute myocardial infarction (with comparison to a nitroglycerin-treated and control group).
    Journal of cardiovascular pharmacology, 1986, Volume: 8 Suppl 3

    Topics: Adult; Aged; Arrhythmias, Cardiac; Catecholamines; Clonidine; Female; Humans; Male; Middle Aged; Myo

1986
Cardiac arrest in an explosives factory worker due to withdrawal from nitroglycerin exposure.
    American journal of industrial medicine, 1989, Volume: 15, Issue:6

    Topics: Adult; Heart Arrest; Humans; Male; Nitroglycerin; Occupational Diseases; Substance Withdrawal Syndro

1989
Hemodynamic factors limiting the response to transdermal nitroglycerin in severe chronic congestive heart failure.
    The American journal of cardiology, 1986, Feb-01, Volume: 57, Issue:4

    Topics: Administration, Oral; Administration, Topical; Adult; Aged; Blood Pressure; Cardiac Output; Dose-Res

1986
Evaluation of myocardial perfusion and coronary vascular resistance following withdrawal of chronic nitroglycerin treatment in rabbits.
    Research communications in chemical pathology and pharmacology, 1987, Volume: 57, Issue:2

    Topics: Animals; Coronary Circulation; Electrocardiography; Ergonovine; Heart Conduction System; Indomethaci

1987
Nitrate therapy in stable angina pectoris.
    The New England journal of medicine, 1988, Jan-14, Volume: 318, Issue:2

    Topics: Angina Pectoris; Bradycardia; Humans; Hypotension; Nitrates; Nitroglycerin; Substance Withdrawal Syn

1988
Abrupt withdrawal of isosorbide-5-mononitrate in Durules (Imdur) after long term treatment in patients with stable angina pectoris.
    European heart journal, 1988, Volume: 9, Issue:12

    Topics: Acute Disease; Aged; Angina Pectoris; Delayed-Action Preparations; Drug Tolerance; Female; Humans; I

1988
Coronary artery spasm after abrupt withdrawal of nitroglycerin in rabbits.
    The American journal of cardiology, 1985, Apr-01, Volume: 55, Issue:8

    Topics: Animals; Arrhythmias, Cardiac; Coronary Vasospasm; Electrocardiography; Ergonovine; Humans; Indometh

1985
[Progress in American medicine. Current successes, current problems].
    Medizinische Klinik, 1974, Apr-19, Volume: 69, Issue:16

    Topics: Adult; Cryosurgery; Electric Stimulation; Electronics, Medical; Female; Fractures, Ununited; Heart D

1974
Coronary artery syndromes after sudden propranolol withdrawal.
    Annals of internal medicine, 1974, Volume: 81, Issue:5

    Topics: Adult; Aged; Angina Pectoris; Death, Sudden; Electrocardiography; Humans; Male; Middle Aged; Myocard

1974
Nonatheromatous ischemic heart disease following withdrawal from chronic industrial nitroglycerin exposure.
    Circulation, 1972, Volume: 46, Issue:4

    Topics: Adult; Aspartate Aminotransferases; Bundle-Branch Block; Cineangiography; Coronary Disease; Electroc

1972
Withdrawal symptoms in workers exposed to nitroglycerine.
    British journal of industrial medicine, 1968, Volume: 25, Issue:2

    Topics: Adult; Angina Pectoris; Chemical Industry; Death, Sudden; Diagnosis, Differential; Environmental Exp

1968