Nitrowin 25 mg Injection 5 ml belongs to the class of anti-anginal medication, primarily used for treating angina pectoris and myocardial infarction. Nitrowin 25 mg Injection 5 ml can also use to control intraoperative blood pressure. Angina occurs when the heart does not get a sufficient amount of oxygen. A heart attack (myocardial infarction or MI) is a critical medical emergency in which the blood supply to the heart is suddenly cut off.

Nitrowin 25 mg Injection 5 ml contains nitroglycerin, a natural vasodilator that works by relaxing the blood vessels (veins and arteries). This boosts the blood supply to your heart, allowing more oxygen to reach your heart muscles and reducing chest pain. Thus, it prevents and treats various heart conditions.

Nitrowin 25 mg Injection 5 ml is administered by a healthcare professional; do not self-administer. Sometimes, you may experience headaches, hypotension, tachycardia (fast heart rate), dyspnea (shortness of breath), dizziness, light-headedness, and blurred vision as side effects. Most of these side effects are temporary, do not require medical attention, and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Inform your doctor if you are allergic or hypersensitive to any component present in Nitrowin 25 mg Injection 5 ml. If you are pregnant, suspect you are pregnant, plan to have a baby, or if you are breastfeeding, inform your doctor before receiving this medicine; your doctor will prescribe Nitrowin 25 mg Injection 5 ml only if the benefits outweigh the risk. Avoiding alcohol is recommended to rule out any possibility of side effects like dizziness or fainting. It should not be given to children less than 18 years of age. Before taking the Nitrowin 25 mg Injection 5 ml, inform your doctor about your medical history and ongoing medications to rule out any potential adverse effects or interactions.

Nitrowin 25 mg Injection 5 ml contains nitroglycerin, a natural vasodilator primarily used to treat angina pectoris and myocardial infarction. It can also help to control intraoperative hypertension. Nitrowin 25 mg Injection 5 ml works by relaxing the muscles surrounding blood vessels, making the heart's job easier.

• Headache
• Hypotension
• Tachycardia (fast heart rate)
• Dyspnea
• Dizziness
• Light-headedness
• Blurred vision
• Flushing (Reddening of the skin)
• Nervousness
• Xerostomia or dry mouth

Inform your doctor if you are allergic to nitroglycerin, any of the other ingredients of this medicine, or any other nitrates. It is not recommended to take Nitrowin 25 mg Injection 5 ml if you have a shock (a medical condition where insufficient blood flow reaches the body tissues) or low blood pressure or low blood volume or low blood oxygen or have fluid accumulation in the lung, or have ever had a serious head injury, cerebral haemorrhage (bleeding in the brain) or have or had heart conditions. It is strictly recommended not to take Nitrowin 25 mg Injection 5 ml if you use riociguat, a medicine used to treat pulmonary hypertension. Please check with the doctor before taking the Nitrowin 25 mg Injection 5 ml if you have/had severe liver or kidney problems, an underactive thyroid (thyroid dysfunction), or hypothermia (body temperature is lower than normal).

Drug-Drug interactions: Nitrowin 25 mg Injection 5 ml may interact with medicines that are used for erectile dysfunction (e.g. sildenafil, vardenafil, tadalafil), a medicine used in treating pulmonary hypertension (e.g. riociguat), medicines that lower blood pressure (e.g. enalapril, diltiazem, atenolol, lisinopril), anti-depressants (e.g. amitriptyline, clomipramine, imipramine, nortriptyline), certain very strong pain killers (e.g. alfentanil), medicines used to treat anxiety (e.g. risperidone), NSAID (e.g. aspirin, naproxen)  and medicines used to control blood phenylalanine levels (e.g. sapropterin).

Drug-Food Interactions: Avoid consumption of alcoholic beverages.

Drug-Disease Interactions: Inform your doctor if you have or have ever had shock (a medical condition where insufficient blood flow reaches the body tissues), severe anaemia (lack of red blood cells), low blood pressure, low blood volume, low blood oxygen, fluid accumulation in the lung, s head injury, cerebral haemorrhage (bleeding in the brain), heart conditions, severe liver or kidney problems, thyroid dysfunction (underactive thyroid), and hypothermia (body temperature is lower than normal).

• SILDENAFIL
• VARDENAFIL
• TADALAFIL
• RIOCIGUAT
• ENALAPRIL
• DILTIAZEM
• ATENOLOL
• LISINOPRIL
• AMITRIPTYLINE
• CLOMIPRAMINE
• IMIPRAMINE
• NORTRIPTYLINE
• ALFENTANIL
• RISPERIDONE
• ASPIRIN
• NAPROXEN
• SAPROPTERIN

• Follow a cholesterol-lowering diet.
• Consume low salt and a low-fat diet.
• Exercise regularly. It helps in maintaining proper weight and lowers cholesterol.
• Limit salt and sugar intake.
• Avoid smoking and alcohol consumption.
• Choose healthy fats and cut down on trans fat.
• Include omega-3 fatty acids, fiber-rich food, fruits, and vegetables.
• Get active by doing physical activities such as swimming, brisk walking, or jogging. Take the stairs instead of elevators/lifts.

Angina pectoris: It is a kind of chest pain caused due to decreased blood flow to the heart, which means insufficient oxygen supply to the heart muscle. The chest pain is often triggered by emotional stress or physical activity. Angina is a symptom of coronary artery disease. The symptoms of angina include dizziness, shortness of breath, nausea, tiredness, anxiety or excessive sweating. The risk factors for angina include smoking, diabetes, overweight, high blood pressure, high cholesterol, not exercising, or a history of heart disease.

Myocardial infarction/Heart attack: Myocardial infarction occurs when a blood clot blocks the blood flow to the heart. This blockage of arteries is often an accumulation of fat, cholesterol and other substances, which form plaque in the arteries that feed the heart (coronary arteries). Heart attack signs include chest pain, upper body pain, sweating, nausea, fatigue, and trouble breathing.

Perioperative hypertension: Perioperative hypertension is frequently associated with one of the following events: during anaesthesia induction; intraoperatively as a result of acute pain-induced sympathetic stimulation leading to vasoconstriction