{"id":59486,"date":"2024-02-28T06:00:08","date_gmt":"2024-02-28T06:00:08","guid":{"rendered":"https:\/\/medsname.com\/angispan-tr\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"angispan-tr","status":"publish","type":"product","link":"https:\/\/medsbase.com\/bg\/product\/angispan-tr\/","title":{"rendered":"Angispan-TR"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Angispan-TR?<\/h3>\n<p style=\"margin:0;\"><strong>Angispan-TR<\/strong> \u0435 <strong>nitroglycerin (glyceryl trinitrate) 6.5&nbsp;mg time-release capsule<\/strong>, used for daily <em>\u043f\u0440\u043e\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0430<\/em> of chronic stable angina. The usual dose is <strong>one capsule twice daily<\/strong>, taken 7&nbsp;hours apart (e.g. 7&nbsp;a.m. and 2&nbsp;p.m.) to preserve an <strong>8&ndash;12 hour overnight nitrate-free interval<\/strong>. Angispan-TR is <strong>\u043d\u0435<\/strong> a rescue medication for acute attacks &mdash; keep sublingual nitroglycerin for that.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>\u041a\u0430\u043a\u0432\u043e \u043f\u043e\u043b\u0443\u0447\u0430\u0432\u0430\u0442\u0435 \u0441 MedsBase:<\/strong> \u041f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u0442\u0435\u043b, \u0441\u0435\u0440\u0442\u0438\u0444\u0438\u0446\u0438\u0440\u0430\u043d \u043e\u0442 WHO-GMP \u00b7 \u0414\u0438\u0441\u043a\u0440\u0435\u0442\u043d\u0430 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0430 \u00b7 \u0414\u043e\u0441\u0442\u0430\u0432\u043a\u0430 \u043f\u043e \u0446\u0435\u043b\u0438\u044f \u0441\u0432\u044f\u0442 \u00b7 \u041d\u0430\u0434 1400 \u043f\u043e\u0442\u0432\u044a\u0440\u0434\u0435\u043d\u0438 <a href=\"https:\/\/medsbase.com\/bg\/reviews\/\">\u043e\u0442\u0437\u0438\u0432\u0430 \u043e\u0442 \u043a\u043b\u0438\u0435\u043d\u0442\u0438<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u0412\u0441\u044f\u043a\u0430 \u043f\u043e\u0440\u044a\u0447\u043a\u0430 \u0435 \u043f\u043e\u043a\u0440\u0438\u0442\u0430 \u043e\u0442 \u043d\u0430\u0448\u0430\u0442\u0430 <a href=\"https:\/\/medsbase.com\/bg\/medsbase-re-shipment-assurance-policy\/\"><strong>\u041f\u043e\u043b\u0438\u0442\u0438\u043a\u0430 \u0437\u0430 \u043f\u043e\u0432\u0442\u043e\u0440\u043d\u0430 \u0438\u0437\u043f\u0440\u0430\u0442\u043a\u0430<\/strong><\/a> \u2014 \u0430\u043a\u043e \u0432\u0430\u0448\u0430\u0442\u0430 \u043f\u0440\u0430\u0442\u043a\u0430 \u043d\u0435 \u043f\u0440\u0438\u0441\u0442\u0438\u0433\u043d\u0435 \u0432 \u0440\u0430\u043c\u043a\u0438\u0442\u0435 \u043d\u0430 20 \u0440\u0430\u0431\u043e\u0442\u043d\u0438 \u0434\u043d\u0438, \u043d\u0438\u0435 \u044f \u0438\u0437\u043f\u0440\u0430\u0449\u0430\u043c\u0435 \u043e\u0442\u043d\u043e\u0432\u043e.<\/p>\n<h3>\u0417\u0430\u0449\u043e \u0434\u0430 \u043f\u043e\u0440\u044a\u0447\u0432\u0430\u0442\u0435 \u043e\u0442 MedsBase<\/h3>\n<p>\u041d\u0430\u0448\u0438\u0442\u0435 \u0433\u0435\u043d\u0435\u0440\u0438\u0447\u043d\u0438 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430 \u0441\u0435 \u0434\u043e\u0441\u0442\u0430\u0432\u044f\u0442 \u043e\u0442 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u0442\u0435\u043b\u0438, \u0441\u0435\u0440\u0442\u0438\u0444\u0438\u0446\u0438\u0440\u0430\u043d\u0438 \u043e\u0442 WHO-GMP, \u0438 \u0441\u0435 \u0438\u0437\u043f\u0440\u0430\u0449\u0430\u0442 \u043f\u043e \u0446\u0435\u043b\u0438\u044f \u0441\u0432\u044f\u0442 \u0432 \u0434\u0438\u0441\u043a\u0440\u0435\u0442\u043d\u0430, \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0430 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0430 \u2014 \u0431\u0435\u0437 \u0438\u043c\u0435 \u043d\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e\u0442\u043e \u0432\u044a\u043d\u0448\u043d\u043e \u043d\u0430 \u043f\u0440\u0430\u0442\u043a\u0430\u0442\u0430. \u041f\u043b\u0430\u0449\u0430\u043d\u0438\u044f\u0442\u0430 \u0441 \u043a\u0430\u0440\u0442\u0430 \u0441\u0435 \u043e\u0431\u0440\u0430\u0431\u043e\u0442\u0432\u0430\u0442 \u0447\u0440\u0435\u0437 \u0440\u0435\u0433\u0443\u043b\u0438\u0440\u0430\u043d \u043f\u0440\u043e\u0446\u0435\u0441\u043e\u0440 (\u043e\u043f\u0438\u0441\u0430\u043d\u0438\u0435\u0442\u043e \u043d\u0430 \u0438\u0437\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e \u0432\u043a\u043b\u044e\u0447\u0432\u0430 \u0440\u0435\u0433\u0443\u043b\u0438\u0440\u0430\u043d \u043f\u0440\u043e\u0446\u0435\u0441\u043e\u0440 \u0437\u0430 \u043f\u043b\u0430\u0449\u0430\u043d\u0435 \u0441 \u043a\u0430\u0440\u0442\u0430 \u2014 \u043d\u0438\u043a\u043e\u0433\u0430 \u201cMedsBase\u201d \u0438\u043b\u0438 \u0438\u043c\u0435 \u043d\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e). \u041f\u0440\u0438\u0435\u043c\u0430\u0442 \u0441\u0435 \u0441\u044a\u0449\u043e \u043a\u0440\u0438\u043f\u0442\u043e\u0432\u0430\u043b\u0443\u0442\u0438 \u0438 \u0431\u0430\u043d\u043a\u043e\u0432 \u043f\u0440\u0435\u0432\u043e\u0434 SEPA. \u0412\u0441\u044f\u043a\u0430 \u043f\u043e\u0440\u044a\u0447\u043a\u0430 \u0435 \u043f\u043e\u0434\u043a\u0440\u0435\u043f\u0435\u043d\u0430 \u043e\u0442 \u043d\u0430\u0448\u0430\u0442\u0430 \u043f\u043e\u043b\u0438\u0442\u0438\u043a\u0430 \u0437\u0430 \u0433\u0430\u0440\u0430\u043d\u0442\u0438\u0440\u0430\u043d\u043e \u043f\u0440\u0435\u0438\u0437\u043f\u0440\u0430\u0449\u0430\u043d\u0435.<\/p>\n<p><strong>Angispan-TR 6.5&nbsp;mg<\/strong> is a time-release (TR) oral nitroglycerin capsule. &ldquo;TR&rdquo; stands for &ldquo;Time Release&rdquo; &mdash; the capsule is engineered to release its 6.5&nbsp;mg of glyceryl trinitrate gradually over 6&ndash;8 hours, giving steady anti-anginal cover during the active part of the day without the peak-and-trough swings of short-acting nitrates.<\/p>\n<p>Angispan-TR is prescribed across India and Southeast Asia as a mainstream long-term anti-anginal agent, often as the first choice when sublingual rescue doses alone are not enough to keep a patient symptom-free. Typical patients are those with stable coronary artery disease whose chest pain limits their daily activity, who cannot tolerate beta-blocker-only therapy, or who need combination therapy after diagnosis.<\/p>\n<h2 class=\"wp-block-heading\">What Is Angispan-TR Used For?<\/h2>\n<p>Angispan-TR is indicated for:<\/p>\n<ul>\n<li><strong>Chronic stable angina pectoris<\/strong> &mdash; reducing chest pain frequency and severity<\/li>\n<li><strong>Effort-induced ischaemia<\/strong> &mdash; pre-medication before reliable triggers (walking outdoors in the cold, stair climbing)<\/li>\n<li><strong>\u0412\u0430\u0440\u0438\u0430\u043d\u0442\u043d\u0430 (\u041f\u0440\u0438\u043d\u0446\u043c\u0435\u0442\u0430\u043b) \u0430\u043d\u0433\u0438\u043d\u0430<\/strong> &mdash; coronary artery spasm<\/li>\n<li><strong>Heart failure with ischaemic component<\/strong> &mdash; preload reduction<\/li>\n<\/ul>\n<p>\u041d\u0435 \u0435 <em>\u043d\u0435<\/em> appropriate for an acute episode. Onset is 30&ndash;60 minutes, far too slow to abort an ongoing attack. Every patient on Angispan-TR should also carry sublingual nitroglycerin or a sublingual isosorbide dinitrate 5 mg (Sorbitrate) tablet for rescue.<\/p>\n<h2 class=\"wp-block-heading\">\u041a\u0430\u043a \u0434\u0435\u0439\u0441\u0442\u0432\u0430\u0442 \u043d\u0438\u0442\u0440\u0430\u0442\u0438\u0442\u0435?<\/h2>\n<p>\u0412\u0441\u0438\u0447\u043a\u0438 \u043d\u0438\u0442\u0440\u0430\u0442\u043d\u0438 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430 \u0438\u043c\u0430\u0442 \u0435\u0434\u0438\u043d \u0438 \u0441\u044a\u0449 \u043e\u0441\u043d\u043e\u0432\u0435\u043d \u043c\u0435\u0445\u0430\u043d\u0438\u0437\u044a\u043c. \u0421\u043b\u0435\u0434 \u0430\u0431\u0441\u043e\u0440\u0431\u0438\u0440\u0430\u043d\u0435 \u0442\u0435 \u0441\u0435 \u0435\u043d\u0437\u0438\u043c\u0430\u0442\u0438\u0447\u043d\u043e \u043f\u0440\u0435\u0432\u0440\u044a\u0449\u0430\u0442 \u0432 <strong>\u0430\u0437\u043e\u0442\u0435\u043d \u043e\u043a\u0441\u0438\u0434 (NO)<\/strong> \u0432\u044a\u0432 \u0432\u0430\u0441\u043a\u0443\u043b\u0430\u0440\u043d\u0438\u0442\u0435 \u0433\u043b\u0430\u0434\u043a\u043e\u043c\u0443\u0441\u043a\u0443\u043b\u043d\u0438 \u043a\u043b\u0435\u0442\u043a\u0438. NO \u0430\u043a\u0442\u0438\u0432\u0438\u0440\u0430 \u0433\u0443\u0430\u043d\u0438\u043b\u0430\u0442\u0446\u0438\u043a\u043b\u0430\u0437\u0430\u0442\u0430, \u043f\u043e\u0432\u0438\u0448\u0430\u0432\u0430\u0439\u043a\u0438 \u0438\u043d\u0442\u0440\u0430\u0446\u0435\u043b\u0443\u043b\u0430\u0440\u043d\u0438\u044f cGMP \u0438 \u0440\u0435\u043b\u0430\u043a\u0441\u0438\u0440\u0430\u0439\u043a\u0438 \u0433\u043b\u0430\u0434\u043a\u0430\u0442\u0430 \u043c\u0443\u0441\u043a\u0443\u043b\u0430\u0442\u0443\u0440\u0430 \u043d\u0430 \u043a\u0440\u044a\u0432\u043e\u043d\u043e\u0441\u043d\u0438\u0442\u0435 \u0441\u044a\u0434\u043e\u0432\u0435. \u041a\u043b\u0438\u043d\u0438\u0447\u043d\u0438\u0442\u0435 \u0435\u0444\u0435\u043a\u0442\u0438 \u0441\u0430:<\/p>\n<ul>\n<li><strong>\u0412\u0435\u043d\u043e\u0437\u043d\u0430 \u0434\u0438\u043b\u0430\u0442\u0430\u0446\u0438\u044f<\/strong> (\u0434\u043e\u043c\u0438\u043d\u0438\u0440\u0430\u0449\u0430 \u043f\u0440\u0438 \u043d\u0438\u0441\u043a\u0438 \u0434\u043e\u0437\u0438) \u2014 \u043d\u0430\u043c\u0430\u043b\u044f\u0432\u0430 \u0432\u0435\u043d\u043e\u0437\u043d\u0438\u044f \u0432\u0440\u044a\u0449\u0430\u043d\u0435 \u043a\u044a\u043c \u0441\u044a\u0440\u0446\u0435\u0442\u043e, \u043d\u0430\u043c\u0430\u043b\u044f\u0432\u0430\u0439\u043a\u0438 <em>\u043f\u0440\u0435\u0434\u043d\u0430\u0442\u043e\u0432\u0430\u0440\u0432\u0430\u043d\u0435<\/em>. \u0422\u0430\u043a\u0430 \u043d\u0438\u0442\u0440\u0430\u0442\u0438\u0442\u0435 \u043d\u0430\u043c\u0430\u043b\u044f\u0432\u0430\u0442 \u043c\u0438\u043e\u043a\u0430\u0440\u0434\u043d\u043e\u0442\u043e \u043a\u0438\u0441\u043b\u043e\u0440\u043e\u0434\u043d\u043e \u043f\u043e\u0442\u0440\u0435\u0431\u043b\u0435\u043d\u0438\u0435.<\/li>\n<li><strong>\u0410\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u043d\u0430 \u0434\u0438\u043b\u0430\u0442\u0430\u0446\u0438\u044f<\/strong> (\u043f\u043e-\u0432\u0438\u0441\u043e\u043a\u0438 \u0434\u043e\u0437\u0438) \u2014 \u043d\u0430\u043c\u0430\u043b\u044f\u0432\u0430 \u0441\u0438\u0441\u0442\u0435\u043c\u043d\u0430\u0442\u0430 \u0441\u044a\u0434\u043e\u0432\u0430 \u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u043e\u0441\u0442 \u0438 <em>\u0441\u043b\u0435\u0434\u043d\u0430\u0442\u043e\u0432\u0430\u0440\u0432\u0430\u043d\u0435<\/em>, \u0434\u043e\u043f\u044a\u043b\u043d\u0438\u0442\u0435\u043b\u043d\u043e \u043d\u0430\u043c\u0430\u043b\u044f\u0432\u0430\u0439\u043a\u0438 \u0441\u044a\u0440\u0434\u0435\u0447\u043d\u0430\u0442\u0430 \u0440\u0430\u0431\u043e\u0442\u0430.<\/li>\n<li><strong>\u0414\u0438\u043b\u0430\u0442\u0430\u0446\u0438\u044f \u043d\u0430 \u043a\u043e\u0440\u043e\u043d\u0430\u0440\u043d\u0438\u0442\u0435 \u0430\u0440\u0442\u0435\u0440\u0438\u0438<\/strong> \u2014 \u043f\u043e\u0434\u043e\u0431\u0440\u044f\u0432\u0430 \u043a\u0440\u044a\u0432\u043e\u0441\u043d\u0430\u0431\u0434\u044f\u0432\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0438\u0441\u0445\u0435\u043c\u0438\u0447\u043d\u0438 \u0440\u0435\u0433\u0438\u043e\u043d\u0438 \u043d\u0430 \u0441\u044a\u0440\u0434\u0435\u0447\u043d\u0438\u044f \u043c\u0443\u0441\u043a\u0443\u043b, \u043e\u0441\u043e\u0431\u0435\u043d\u043e \u043f\u0440\u0438 \u043a\u043e\u0440\u043e\u043d\u0430\u0440\u0435\u043d \u0441\u043f\u0430\u0437\u044a\u043c.<\/li>\n<\/ul>\n<p>\u041d\u0435\u0442\u043d\u0438\u044f\u0442 \u0435\u0444\u0435\u043a\u0442 \u0435 \u043f\u043e-\u043c\u0430\u043b\u043a\u043e \u0431\u043e\u043b\u043a\u0438 \u0432 \u0433\u044a\u0440\u0434\u0438\u0442\u0435, \u043f\u043e-\u043c\u0430\u043b\u043a\u043e \u0435\u043f\u0438\u0437\u043e\u0434\u0438 \u043d\u0430 \u0430\u043d\u0433\u0438\u043d\u0430 \u0438 \u043f\u043e\u0434\u043e\u0431\u0440\u0435\u043d\u0430 \u0442\u043e\u043b\u0435\u0440\u0430\u043d\u0442\u043d\u043e\u0441\u0442 \u043a\u044a\u043c \u0443\u043f\u0440\u0430\u0436\u043d\u0435\u043d\u0438\u044f \u043f\u0440\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438 \u0441\u044a\u0441 \u0441\u0442\u0430\u0431\u0438\u043b\u043d\u0430 \u043a\u043e\u0440\u043e\u043d\u0430\u0440\u043d\u0430 \u0430\u0440\u0442\u0435\u0440\u0438\u0430\u043b\u043d\u0430 \u0431\u043e\u043b\u0435\u0441\u0442.<\/p>\n<h2 class=\"wp-block-heading\">\u041d\u0438\u0442\u0440\u0430\u0442\u043d\u0430 \u0442\u043e\u043b\u0435\u0440\u0430\u043d\u0442\u043d\u043e\u0441\u0442 \u2014 \u043a\u0440\u0438\u0442\u0438\u0447\u043d\u043e\u0442\u043e \u043f\u0440\u0430\u0432\u0438\u043b\u043e \u0437\u0430 \u0434\u043e\u0437\u0438\u0440\u0430\u043d\u0435<\/h2>\n<p>\u041d\u0438\u0442\u0440\u0430\u0442\u043d\u0430\u0442\u0430 \u0442\u043e\u043b\u0435\u0440\u0430\u043d\u0442\u043d\u043e\u0441\u0442 \u0435 \u043d\u0430\u0439-\u0432\u0430\u0436\u043d\u0430\u0442\u0430 \u043a\u043e\u043d\u0446\u0435\u043f\u0446\u0438\u044f \u0437\u0430 \u0432\u0441\u0435\u043a\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442, \u043f\u0440\u0438\u0435\u043c\u0430\u0449 \u043d\u0438\u0442\u0440\u0430\u0442\u0438. \u0410\u043a\u043e \u043d\u0438\u0442\u0440\u0430\u0442 \u0441\u0435 \u043f\u0440\u0438\u043b\u0430\u0433\u0430 \u043f\u0440\u0435\u0437 \u0446\u044f\u043b\u043e\u0442\u043e \u0432\u0440\u0435\u043c\u0435 \u2014 \u0441 \u043f\u043e\u0441\u0442\u043e\u044f\u043d\u043d\u0438 \u043d\u0438\u0432\u0430 \u0432 \u043a\u0440\u044a\u0432\u0442\u0430 \u0437\u0430 24 \u0447\u0430\u0441\u0430 \u043d\u0430 \u0434\u0435\u043d \u2014 \u0430\u043d\u0442\u0438\u0430\u043d\u0433\u0438\u043d\u0430\u043b\u043d\u0438\u044f\u0442 \u0435\u0444\u0435\u043a\u0442 \u0438\u0437\u0447\u0435\u0437\u0432\u0430 \u0432 \u0440\u0430\u043c\u043a\u0438\u0442\u0435 \u043d\u0430 48 \u0434\u043e 72 \u0447\u0430\u0441\u0430. \u0422\u043e\u0432\u0430 \u0435 \u0434\u043e\u0431\u0440\u0435 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0438\u0440\u0430\u043d, \u0432\u044a\u0437\u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u043c \u0444\u0430\u0440\u043c\u0430\u043a\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u043d \u0444\u0435\u043d\u043e\u043c\u0435\u043d, \u0430 \u043d\u0435 \u0432\u044a\u043e\u0431\u0440\u0430\u0436\u0430\u0435\u043c \u0435\u0444\u0435\u043a\u0442.<\/p>\n<p>\u0420\u0435\u0448\u0435\u043d\u0438\u0435\u0442\u043e \u0435 \u043f\u0440\u043e\u0441\u0442\u043e \u0438 \u043d\u0435 \u043f\u043e\u0434\u043b\u0435\u0436\u0438 \u043d\u0430 \u043e\u0431\u0441\u044a\u0436\u0434\u0430\u043d\u0435: \u0432\u0441\u0435\u043a\u0438 24-\u0447\u0430\u0441\u043e\u0432 \u0446\u0438\u043a\u044a\u043b \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u0432\u043a\u043b\u044e\u0447\u0432\u0430 <strong>\u0438\u043d\u0442\u0435\u0440\u0432\u0430\u043b \u0431\u0435\u0437 \u043d\u0438\u0442\u0440\u0430\u0442\u0438 \u043e\u0442 \u043f\u043e\u043d\u0435 8\u201312 \u0447\u0430\u0441\u0430<\/strong>, \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u043e \u043f\u0440\u0435\u0437 \u043d\u043e\u0449\u0442\u0430. \u0421\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u0438\u0442\u0435 \u0441\u0442\u0440\u0430\u0442\u0435\u0433\u0438\u0438 \u0441\u0430:<\/p>\n<ul>\n<li>\u0410\u0441\u0438\u043c\u0435\u0442\u0440\u0438\u0447\u043d\u043e \u0434\u043e\u0437\u0438\u0440\u0430\u043d\u0435 \u0434\u0432\u0430 \u043f\u044a\u0442\u0438 \u0434\u043d\u0435\u0432\u043d\u043e (\u043d\u0430\u043f\u0440. 7 \u0447. \u0441\u0443\u0442\u0440\u0438\u043d\u0442\u0430 \u0438 15 \u0447. \u0441\u043b\u0435\u0434\u043e\u0431\u0435\u0434, \u0431\u0435\u0437 \u0434\u043e\u043f\u044a\u043b\u043d\u0438\u0442\u0435\u043b\u043d\u0438 \u0434\u043e\u0437\u0438 \u0434\u043e \u0441\u043b\u0435\u0434\u0432\u0430\u0449\u0430\u0442\u0430 \u0441\u0443\u0442\u0440\u0438\u043d)<\/li>\n<li>\u0415\u0434\u043d\u043e\u043a\u0440\u0430\u0442\u043d\u0438 \u0434\u043e\u0437\u0438 \u0441 \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u043e \u043e\u0441\u0432\u043e\u0431\u043e\u0436\u0434\u0430\u0432\u0430\u043d\u0435, \u043f\u0440\u0435\u0434\u043d\u0430\u0437\u043d\u0430\u0447\u0435\u043d\u0438 \u0434\u0430 \u043e\u0441\u0438\u0433\u0443\u0440\u044f\u0442 \u043d\u0438\u0441\u043a\u043e \u043c\u0438\u043d\u0438\u043c\u0430\u043b\u043d\u043e \u043d\u0438\u0432\u043e<\/li>\n<li>\u041f\u0440\u0435\u043c\u0430\u0445\u0432\u0430\u043d\u0435 \u043d\u0430 \u0442\u0440\u0430\u043d\u0441\u0434\u0435\u0440\u043c\u0430\u043b\u0435\u043d \u043f\u043b\u0430\u0441\u0442\u0435\u0440 \u0441\u043b\u0435\u0434 12\u201314 \u0447\u0430\u0441\u0430 \u043d\u0430 \u043a\u043e\u0436\u0430\u0442\u0430<\/li>\n<\/ul>\n<p>\u041d\u0430\u043f\u0440\u0430\u0432\u0435\u0442\u0435 <em>\u043d\u0435<\/em> \u043d\u0435 \u043f\u0440\u0438\u0435\u043c\u0430\u0439\u0442\u0435 \u0434\u043e\u043f\u044a\u043b\u043d\u0438\u0442\u0435\u043b\u043d\u0438 \u0434\u043e\u0437\u0438 \u201c\u043f\u0440\u0435\u0437 \u043d\u043e\u0449\u0442\u0430\u201d \u0438\u043b\u0438 \u043f\u043e \u0432\u0440\u0435\u043c\u0435 \u043d\u0430 \u043d\u043e\u0449\u0442\u0430, \u043e\u0441\u0432\u0435\u043d \u0430\u043a\u043e \u043b\u0435\u043a\u0430\u0440\u044f\u0442 \u0432\u0438 \u0438\u0437\u0440\u0438\u0447\u043d\u043e \u043d\u0435 \u043f\u0440\u0435\u0434\u043f\u0438\u0448\u0435 \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u043f\u0440\u0435\u0437 \u0446\u044f\u043b\u043e\u0442\u043e \u0432\u0440\u0435\u043c\u0435 \u043f\u043e \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u0430 \u043f\u0440\u0438\u0447\u0438\u043d\u0430.<\/p>\n<h2 class=\"wp-block-heading\">Angispan-TR Dosing<\/h2>\n<p>\u0417\u0430 \u0445\u0440\u043e\u043d\u0438\u0447\u043d\u0430 \u0441\u0442\u0430\u0431\u0438\u043b\u043d\u0430 \u0430\u043d\u0433\u0438\u043d\u0430 \u043f\u0435\u043a\u0442\u043e\u0440\u0438\u0441 \u043f\u0440\u0438 \u0432\u044a\u0437\u0440\u0430\u0441\u0442\u043d\u0438:<\/p>\n<ul>\n<li><strong>\u041e\u0431\u0438\u0447\u0430\u0439\u043d\u0430 \u0434\u043e\u0437\u0430:<\/strong> One capsule (6.5 mg) twice daily &mdash; morning and early afternoon<\/li>\n<li><strong>\u0412\u0440\u0435\u043c\u0435 \u043d\u0430 \u043f\u0440\u0438\u0435\u043c\u0430\u043d\u0435:<\/strong> Doses should be 6&ndash;7 hours apart to give coverage through the active day, with a clear 14&ndash;17 hour nitrate-free interval overnight. Typical pattern: 7&nbsp;a.m. and 2&nbsp;p.m., then nothing until the next morning<\/li>\n<li><strong>Upward titration:<\/strong> If symptoms persist, some cardiologists go to 6.5 mg three times daily (avoid dosing after 4&nbsp;p.m.), or to a 13 mg twice-daily regimen. Most patients do better with a switch to isosorbide mononitrate (Monit) rather than higher NTG SR doses<\/li>\n<li><strong>Capsule handling:<\/strong> Swallow whole with water. Do not open, chew, or crush &mdash; this destroys the time-release matrix<\/li>\n<\/ul>\n<p>If you miss a dose, take it when you remember unless your next dose is due within 3 hours &mdash; then skip it. Never double up.<\/p>\n<p>In older patients (over 70), hepatic impairment, or alongside antihypertensives, start at the lowest dose and titrate cautiously; Angispan-TR can drop blood pressure noticeably in these groups.<\/p>\n<h2 class=\"wp-block-heading\">Who Should Not Take Angispan-TR?<\/h2>\n<p>\u0418\u043c\u0430 \u0435\u0434\u043d\u0430 \u0430\u0431\u0441\u043e\u043b\u044e\u0442\u043d\u0430 \u043a\u043e\u043d\u0442\u0440\u0430\u0438\u043d\u0434\u0438\u043a\u0430\u0446\u0438\u044f, \u043a\u043e\u044f\u0442\u043e \u0432\u0441\u0435\u043a\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442 \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u0440\u0430\u0437\u0431\u0435\u0440\u0435 \u043f\u0440\u0435\u0434\u0438 \u043f\u044a\u0440\u0432\u0430\u0442\u0430 \u0434\u043e\u0437\u0430:<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:16px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>\u041d\u0438\u043a\u043e\u0433\u0430 \u043d\u0435 \u043a\u043e\u043c\u0431\u0438\u043d\u0438\u0440\u0430\u0439\u0442\u0435 \u043d\u0438\u0442\u0440\u0430\u0442\u0438 \u0441 PDE5 \u0438\u043d\u0445\u0438\u0431\u0438\u0442\u043e\u0440\u0438.<\/strong> \u0421\u0438\u043b\u0434\u0435\u043d\u0430\u0444\u0438\u043b (Viagra), \u0442\u0430\u0434\u0430\u043b\u0430\u0444\u0438\u043b (Cialis), \u0432\u0430\u0440\u0434\u0435\u043d\u0430\u0444\u0438\u043b (Levitra) \u0438 \u0430\u0432\u0430\u043d\u0430\u0444\u0438\u043b (Stendra) \u0443\u0441\u0438\u043b\u0432\u0430\u0442 \u0432\u0430\u0437\u043e\u0434\u0438\u043b\u0430\u0442\u043e\u0440\u043d\u0438\u044f \u0435\u0444\u0435\u043a\u0442 \u043d\u0430 \u043d\u0438\u0442\u0440\u0430\u0442\u0438\u0442\u0435 \u0438 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u043f\u0440\u0438\u0447\u0438\u043d\u044f\u0442 \u0436\u0438\u0432\u043e\u0442\u043e\u0437\u0430\u0441\u0442\u0440\u0430\u0448\u0430\u0432\u0430\u0449\u0430 \u0445\u0438\u043f\u043e\u0442\u043e\u043d\u0438\u044f, \u043a\u043e\u043b\u0430\u043f\u0441, \u0438\u043d\u0441\u0443\u043b\u0442 \u0438\u043b\u0438 \u0438\u043d\u0444\u0430\u0440\u043a\u0442 \u043d\u0430 \u043c\u0438\u043e\u043a\u0430\u0440\u0434\u0430. \u0418\u0437\u0447\u0430\u043a\u0430\u0439\u0442\u0435 \u043f\u043e\u043d\u0435 <strong>24 \u0447\u0430\u0441\u0430 \u0441\u043b\u0435\u0434 \u0441\u0438\u043b\u0434\u0435\u043d\u0430\u0444\u0438\u043b\/\u0432\u0430\u0440\u0434\u0435\u043d\u0430\u0444\u0438\u043b<\/strong> \u0438 <strong>48 \u0447\u0430\u0441\u0430 \u0441\u043b\u0435\u0434 \u0442\u0430\u0434\u0430\u043b\u0430\u0444\u0438\u043b<\/strong> \u043f\u0440\u0435\u0434\u0438 \u0434\u0430 \u043f\u0440\u0438\u0435\u043c\u0435\u0442\u0435 \u043a\u0430\u043a\u0432\u0430\u0442\u043e \u0438 \u0434\u0430 \u0435 \u0434\u043e\u0437\u0430 \u043d\u0438\u0442\u0440\u0430\u0442\u0438. \u0422\u043e\u0432\u0430 \u0441\u0435 \u043e\u0442\u043d\u0430\u0441\u044f \u0437\u0430 \u0432\u0441\u0438\u0447\u043a\u0438 \u0444\u043e\u0440\u043c\u0438 \u2014 \u043f\u0435\u0440\u043e\u0440\u0430\u043b\u043d\u0438, \u0441\u0443\u0431\u043b\u0438\u043d\u0433\u0432\u0430\u043b\u043d\u0438, \u0442\u0440\u0430\u043d\u0441\u0434\u0435\u0440\u043c\u0430\u043b\u043d\u0438 \u0438 \u0441\u043f\u0440\u0435\u0439.<\/p>\n<\/div>\n<p>\u0414\u0440\u0443\u0433\u0438 \u0432\u0430\u0436\u043d\u0438 \u043a\u043e\u043d\u0442\u0440\u0430\u0438\u043d\u0434\u0438\u043a\u0430\u0446\u0438\u0438:<\/p>\n<ul>\n<li>\u0422\u0435\u0436\u043a\u0430 \u0445\u0438\u043f\u043e\u0442\u043e\u043d\u0438\u044f \u0438\u043b\u0438 \u0445\u0438\u043f\u043e\u0432\u043e\u043b\u0435\u043c\u0438\u044f (\u0441\u0438\u0441\u0442\u043e\u043b\u0438\u0447\u043d\u043e \u043a\u0440\u044a\u0432\u043d\u043e \u043d\u0430\u043b\u044f\u0433\u0430\u043d\u0435 &lt; 90 mmHg)<\/li>\n<li>\u0422\u0435\u0436\u043a\u0430 \u0430\u043d\u0435\u043c\u0438\u044f (\u043d\u0438\u0442\u0440\u0430\u0442\u0438\u0442\u0435 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0432\u043b\u043e\u0448\u0430\u0442 \u0434\u043e\u0441\u0442\u0430\u0432\u044f\u043d\u0435\u0442\u043e \u043d\u0430 \u043a\u0438\u0441\u043b\u043e\u0440\u043e\u0434 \u0434\u043e \u0442\u044a\u043a\u0430\u043d\u0438\u0442\u0435)<\/li>\n<li>\u0425\u0438\u043f\u0435\u0440\u0442\u0440\u043e\u0444\u0438\u0447\u043d\u0430 \u043e\u0431\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043a\u0430\u0440\u0434\u0438\u043e\u043c\u0438\u043e\u043f\u0430\u0442\u0438\u044f (HOCM) \u2014 \u043d\u0438\u0442\u0440\u0430\u0442\u0438\u0442\u0435 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0432\u043b\u043e\u0448\u0430\u0442 \u043e\u0431\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u044f\u0442\u0430 \u043d\u0430 \u0438\u0437\u0442\u0438\u0447\u0430\u043d\u0435\u0442\u043e<\/li>\n<li>\u0422\u0435\u0436\u043a\u0430 \u0430\u043e\u0440\u0442\u043d\u0430 \u0441\u0442\u0435\u043d\u043e\u0437\u0430 \u2014 \u0440\u0438\u0441\u043a \u043e\u0442 \u0441\u0438\u043d\u043a\u043e\u043f\u0435<\/li>\n<li>\u041f\u043e\u0432\u0438\u0448\u0435\u043d\u043e \u0432\u044a\u0442\u0440\u0435\u0447\u0435\u0440\u0435\u043f\u043d\u043e \u043d\u0430\u043b\u044f\u0433\u0430\u043d\u0435 \u0438\u043b\u0438 \u0441\u043a\u043e\u0440\u043e\u0448\u043d\u0430 \u0442\u0440\u0430\u0432\u043c\u0430 \u043d\u0430 \u0433\u043b\u0430\u0432\u0430\u0442\u0430<\/li>\n<li>\u0418\u043d\u0444\u0430\u0440\u043a\u0442 \u043d\u0430 \u0434\u0435\u0441\u043d\u0438\u044f \u0432\u0435\u043d\u0442\u0440\u0438\u043a\u0443\u043b \u2014 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u043d\u043e\u0442\u043e \u043d\u0430\u0442\u043e\u0432\u0430\u0440\u0432\u0430\u043d\u0435 \u0435 \u043e\u0442 \u0441\u044a\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043e \u0437\u043d\u0430\u0447\u0435\u043d\u0438\u0435, \u043d\u0438\u0442\u0440\u0430\u0442\u0438\u0442\u0435 \u0433\u043e \u043d\u0430\u043c\u0430\u043b\u044f\u0432\u0430\u0442<\/li>\n<li>\u041a\u043e\u043d\u0441\u0442\u0440\u0438\u043a\u0442\u0438\u0432\u0435\u043d \u043f\u0435\u0440\u0438\u043a\u0430\u0440\u0434\u0438\u0442 \u0438\u043b\u0438 \u0442\u0430\u043c\u043f\u043e\u043d\u0430\u0434\u0430 \u043d\u0430 \u0441\u044a\u0440\u0446\u0435\u0442\u043e<\/li>\n<li>\u0418\u0437\u0432\u0435\u0441\u0442\u043d\u0430 \u0445\u0438\u043f\u0435\u0440\u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u043d\u043e\u0441\u0442 \u043a\u044a\u043c \u043e\u0440\u0433\u0430\u043d\u0438\u0447\u043d\u0438 \u043d\u0438\u0442\u0440\u0430\u0442\u0438<\/li>\n<li>\u0415\u0434\u043d\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u043e \u0438\u0437\u043f\u043e\u043b\u0437\u0432\u0430\u043d\u0435 \u0441\u044a\u0441 \u0441\u0442\u0438\u043c\u0443\u043b\u0430\u0442\u043e\u0440\u0438 \u043d\u0430 \u0440\u0430\u0437\u0442\u0432\u043e\u0440\u0438\u043c\u0430\u0442\u0430 \u0433\u0443\u0430\u043d\u0438\u043b\u0430\u0442\u0446\u0438\u043a\u043b\u0430\u0437\u0430 (\u0440\u0438\u043e\u0446\u0438\u0433\u0443\u0430\u0442)<\/li>\n<\/ul>\n<p>\u0418\u0437\u043f\u043e\u043b\u0437\u0432\u0430\u0439\u0442\u0435 \u0441 \u043f\u0440\u0435\u0434\u043f\u0430\u0437\u043b\u0438\u0432\u043e\u0441\u0442 \u043f\u0440\u0438 \u0431\u0440\u0435\u043c\u0435\u043d\u043d\u0438 (\u043a\u0430\u0442\u0435\u0433\u043e\u0440\u0438\u044f C) \u0438 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0438\u0440\u0430\u0439\u0442\u0435 \u0441\u0435 \u0441\u044a\u0441 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442. \u041f\u0440\u0438 \u043a\u044a\u0440\u043c\u0435\u043d\u0435 \u0435\u043f\u0438\u0437\u043e\u0434\u0438\u0447\u043d\u0430\u0442\u0430 \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u0430 \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u043e \u0441\u0435 \u043f\u0440\u0438\u0435\u043c\u0430, \u043d\u043e \u0440\u0443\u0442\u0438\u043d\u043d\u0430\u0442\u0430 \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u0431\u044a\u0434\u0435 \u043f\u0440\u0435\u0433\u043b\u0435\u0434\u0430\u043d\u0430 \u0441 \u043a\u0430\u0440\u0434\u0438\u043e\u043b\u043e\u0433.<\/p>\n<h2 class=\"wp-block-heading\">Common Side Effects of Angispan-TR<\/h2>\n<p>\u041f\u043e\u0432\u0435\u0447\u0435\u0442\u043e \u0441\u0442\u0440\u0430\u043d\u0438\u0447\u043d\u0438 \u0435\u0444\u0435\u043a\u0442\u0438 \u043d\u0430 \u043d\u0438\u0442\u0440\u0430\u0442\u0438\u0442\u0435 \u0441\u0430 \u043f\u0440\u044f\u043a\u043e \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0435\u043d\u0438\u0435 \u043d\u0430 \u0442\u044f\u0445\u043d\u043e\u0442\u043e \u0432\u0430\u0437\u043e\u0434\u0438\u043b\u0430\u0442\u0430\u0442\u043e\u0440\u043d\u043e \u0434\u0435\u0439\u0441\u0442\u0432\u0438\u0435 \u0438 \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u043e \u0441\u0435 \u043d\u0430\u043c\u0430\u043b\u044f\u0432\u0430\u0442 \u043f\u0440\u0435\u0437 \u043f\u044a\u0440\u0432\u0438\u0442\u0435 1\u20132 \u0441\u0435\u0434\u043c\u0438\u0446\u0438 \u043d\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u0435.<\/p>\n<p><strong>\u041c\u043d\u043e\u0433\u043e \u0447\u0435\u0441\u0442\u043e (&gt;10% \u043e\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435):<\/strong><\/p>\n<ul>\n<li><strong>\u0413\u043b\u0430\u0432\u043e\u0431\u043e\u043b\u0438\u0435<\/strong> \u2014 \u043f\u0443\u043b\u0441\u0438\u0440\u0430\u0449\u0430, \u0447\u0435\u043b\u043d\u0430 \u0433\u043b\u0430\u0432\u043e\u0431\u043e\u043b\u0438\u0435, \u0447\u0435\u0441\u0442\u043e \u043d\u0430\u0439-\u0441\u0438\u043b\u043d\u0430 \u043f\u0440\u0435\u0437 \u043f\u044a\u0440\u0432\u0438\u0442\u0435 \u043d\u044f\u043a\u043e\u043b\u043a\u043e \u0434\u043d\u0438. \u041f\u0430\u0440\u0430\u0446\u0435\u0442\u0430\u043c\u043e\u043b\u044a\u0442 \u0435 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u0435\u043d. \u0413\u043b\u0430\u0432\u043e\u0431\u043e\u043b\u0438\u0435\u0442\u043e \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u043e \u0438\u0437\u0447\u0435\u0437\u0432\u0430 \u0432 \u0440\u0430\u043c\u043a\u0438\u0442\u0435 \u043d\u0430 7\u201314 \u0434\u043d\u0438, \u0434\u043e\u043a\u0430\u0442\u043e \u0442\u044f\u043b\u043e\u0442\u043e \u0441\u0435 \u0430\u0434\u0430\u043f\u0442\u0438\u0440\u0430; \u0442\u043e \u0435 <em>\u043d\u0435<\/em> \u043f\u0440\u0438\u0437\u043d\u0430\u043a \u043d\u0430 \u043f\u0440\u0435\u0434\u043e\u0437\u0438\u0440\u0430\u043d\u0435.<\/li>\n<li>\u0417\u0430\u043c\u0430\u044f\u043d\u043e\u0441\u0442 \u0438\u043b\u0438 \u0443\u0441\u0435\u0449\u0430\u043d\u0435 \u0437\u0430 \u0441\u0432\u0435\u0442\u043e\u0432\u044a\u0440\u0442\u0435\u0436, \u043e\u0441\u043e\u0431\u0435\u043d\u043e \u043f\u0440\u0438 \u0441\u0442\u0430\u0432\u0430\u043d\u0435<\/li>\n<li>\u0417\u0430\u0447\u0435\u0440\u0432\u044f\u0432\u0430\u043d\u0435 \u043d\u0430 \u043b\u0438\u0446\u0435\u0442\u043e<\/li>\n<\/ul>\n<p><strong>\u0427\u0435\u0441\u0442\u043e (1\u201310%):<\/strong><\/p>\n<ul>\n<li>\u041f\u043e\u0441\u0442\u0443\u0440\u0430\u043b\u043d\u0430 \u0445\u0438\u043f\u043e\u0442\u0435\u043d\u0437\u0438\u044f<\/li>\n<li>\u0420\u0435\u0444\u043b\u0435\u043a\u0441\u043d\u0430 \u0442\u0430\u0445\u0438\u043a\u0430\u0440\u0434\u0438\u044f (\u0431\u044a\u0440\u0437 \u0441\u044a\u0440\u0434\u0435\u0447\u0435\u043d \u0440\u0438\u0442\u044a\u043c)<\/li>\n<li>\u0413\u0430\u0434\u0435\u043d\u0435, \u043f\u043e\u043d\u044f\u043a\u043e\u0433\u0430 \u043f\u043e\u0432\u0440\u044a\u0449\u0430\u043d\u0435<\/li>\n<li>\u041a\u043e\u0436\u0435\u043d \u043e\u0431\u0440\u0438\u0432 (\u043f\u043e-\u0447\u0435\u0441\u0442\u043e \u0441\u0440\u0435\u0449\u0430\u043d \u043f\u0440\u0438 \u0442\u0440\u0430\u043d\u0441\u0434\u0435\u0440\u043c\u0430\u043b\u043d\u0438\u044f \u043f\u043b\u0430\u0441\u0442\u0435\u0440)<\/li>\n<\/ul>\n<p><strong>\u041d\u0435\u0447\u0435\u0441\u0442\u043e \u0441\u0440\u0435\u0449\u0430\u043d\u0438, \u043d\u043e \u0432\u0430\u0436\u043d\u0438:<\/strong><\/p>\n<ul>\n<li>\u0421\u0438\u043d\u043a\u043e\u043f (\u043f\u0440\u0438\u043f\u0430\u0434\u044a\u043a) \u2014 \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u043e \u043f\u0440\u0438 \u043f\u044a\u0440\u0432\u0430\u0442\u0430 \u0434\u043e\u0437\u0430, \u043f\u0440\u0438 \u0441\u0442\u0430\u0432\u0430\u043d\u0435 \u0438\u043b\u0438 \u0441\u043b\u0435\u0434 \u043a\u043e\u043d\u0441\u0443\u043c\u0430\u0446\u0438\u044f \u043d\u0430 \u0430\u043b\u043a\u043e\u0445\u043e\u043b<\/li>\n<li>\u041f\u0430\u0440\u0430\u0434\u043e\u043a\u0441\u0430\u043b\u043d\u043e \u0432\u043b\u043e\u0448\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u0430\u043d\u0433\u0438\u043d\u0430 \u2014 \u0440\u044f\u0434\u043a\u043e; \u043f\u043e\u0442\u044a\u0440\u0441\u0435\u0442\u0435 \u0441\u043f\u0435\u0448\u043d\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u044f<\/li>\n<li>\u041c\u0435\u0442\u0445\u0435\u043c\u043e\u0433\u043b\u043e\u0431\u0438\u043d\u0435\u043c\u0438\u044f \u2014 \u043c\u043d\u043e\u0433\u043e \u0440\u044f\u0434\u043a\u043e \u043f\u0440\u0438 \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u0430 \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u0441 \u0432\u0438\u0441\u043e\u043a\u0438 \u0434\u043e\u0437\u0438<\/li>\n<\/ul>\n<p>\u0421\u043f\u0440\u0435\u0442\u0435 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u043e\u0442\u043e \u0438 \u0441\u0435 \u0441\u0432\u044a\u0440\u0436\u0435\u0442\u0435 \u0441\u043f\u0435\u0448\u043d\u043e \u0441 \u043b\u0435\u043a\u0430\u0440\u044f \u0441\u0438, \u0430\u043a\u043e \u0440\u0430\u0437\u0432\u0438\u0435\u0442\u0435 \u0442\u0435\u0436\u043a\u0430 \u0438\u043b\u0438 \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0438\u0442\u0435\u043b\u043d\u0430 \u0433\u043b\u0430\u0432\u043e\u0431\u043e\u043b\u0438\u0435, \u043a\u043e\u044f\u0442\u043e \u043d\u0435 \u043e\u0442\u0448\u0443\u043c\u044f\u0432\u0430, \u043f\u0440\u0438\u043f\u0430\u0434\u044a\u0446\u0438, \u043c\u0435\u0445\u0443\u0440\u0438\u0440\u0430\u0449 \u043e\u0431\u0440\u0438\u0432 \u0438\u043b\u0438 \u0441\u0438\u043d\u044c\u043e \u043e\u0446\u0432\u0435\u0442\u0435\u043d\u0438 \u0443\u0441\u0442\u043d\u0438 \u0438 \u043a\u043e\u0436\u0430.<\/p>\n<h2 class=\"wp-block-heading\">Angispan-TR vs Angiplat &mdash; What is the Difference?<\/h2>\n<p>Both Angispan-TR and Angiplat are sustained-release oral nitroglycerin capsules. The difference is dose per capsule:<\/p>\n<ul>\n<li><strong>Angiplat 2.5&nbsp;mg<\/strong> &mdash; lower starting dose, more flexible titration, useful in elderly and low-BP patients<\/li>\n<li><strong>Angispan-TR 6.5&nbsp;mg<\/strong> &mdash; higher per-dose delivery, simpler twice-daily schedule, preferred when angina is not fully controlled on lower doses<\/li>\n<\/ul>\n<p>Both products follow the same tolerance rules and the same contraindications &mdash; they are clinically interchangeable at equivalent daily doses. Do not combine them on the same day.<\/p>\n<h2 class=\"wp-block-heading\">Angispan-TR vs Isosorbide Mononitrate (Monit)<\/h2>\n<p>Some cardiologists prefer <strong>\u0438\u0437\u043e\u0441\u043e\u0440\u0431\u0438\u0434 \u043c\u043e\u043d\u043e\u043d\u0438\u0442\u0440\u0430\u0442 (ISMN)<\/strong> over oral sustained-release nitroglycerin because ISMN has 100% oral bioavailability (no first-pass metabolism) and more predictable pharmacokinetics. Angispan-TR still has a role when:<\/p>\n<ul>\n<li>The patient has a stable response and tolerates it well<\/li>\n<li>Twice-daily dosing is preferred to ISMN&#8217;s &ldquo;7&nbsp;a.m.&nbsp;+ 3&nbsp;p.m.&rdquo; asymmetric schedule<\/li>\n<li>Local availability or cost favours nitroglycerin SR<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">\u041f\u043e\u0440\u044a\u0447\u043a\u0430 \u0438 \u0434\u043e\u0441\u0442\u0430\u0432\u043a\u0430<\/h2>\n<p>MedsBase \u043f\u0440\u0435\u0434\u043b\u0430\u0433\u0430 \u0441\u0432\u0435\u0442\u043e\u0432\u043d\u0430 \u0434\u043e\u0441\u0442\u0430\u0432\u043a\u0430 \u043d\u0430 \u0432\u0441\u044f\u043a\u0430 \u043f\u043e\u0440\u044a\u0447\u043a\u0430. \u041f\u043e\u0440\u044a\u0447\u043a\u0438\u0442\u0435 \u0441\u0435 \u0438\u0437\u043f\u0440\u0430\u0449\u0430\u0442 \u0432 \u0434\u0438\u0441\u043a\u0440\u0435\u0442\u043d\u0438 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0438 \u0438 \u043f\u0440\u0438\u0441\u0442\u0438\u0433\u0430\u0442 \u0432 \u043e\u0440\u0438\u0433\u0438\u043d\u0430\u043b\u043d\u0438 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u0442\u0435\u043b\u043d\u0438 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0438. \u041f\u0435\u043f\u0442\u0438\u0434\u0438\u0442\u0435 \u0438 \u043f\u043e\u0432\u0435\u0447\u0435\u0442\u043e \u043a\u0430\u0440\u0434\u0438\u043e\u0432\u0430\u0441\u043a\u0443\u043b\u0430\u0440\u043d\u0438 \u0433\u0435\u043d\u0435\u0440\u0438\u0447\u043d\u0438 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430 \u0441\u0430 \u043d\u0430\u043b\u0438\u0447\u043d\u0438 \u0432 \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u0438 \u0434\u043e\u0437\u0438; \u0430\u043a\u043e \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0438\u0442\u0430\u043d\u0430\u0442\u0430 \u043e\u0442 \u0432\u0430\u0441 \u043e\u043f\u0430\u043a\u043e\u0432\u043a\u0430 \u0435 \u0438\u0437\u0447\u0435\u0440\u043f\u0430\u043d\u0430, \u0441\u0432\u044a\u0440\u0436\u0435\u0442\u0435 \u0441\u0435 \u0441 \u043f\u043e\u0434\u0434\u0440\u044a\u0436\u043a\u0430\u0442\u0430 \u0437\u0430 \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f \u0437\u0430 \u043e\u0447\u0430\u043a\u0432\u0430\u043d\u043e \u0432\u0440\u0435\u043c\u0435 \u0437\u0430 \u0434\u043e\u0441\u0442\u0430\u0432\u043a\u0430.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:20px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>\u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0430 \u0434\u0435\u043a\u043b\u0430\u0440\u0430\u0446\u0438\u044f.<\/strong> \u0418\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f\u0442\u0430 \u043d\u0430 \u0442\u0430\u0437\u0438 \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430 \u0435 \u0441\u0430\u043c\u043e \u0437\u0430 \u043e\u0431\u0449\u043e\u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u0442\u0435\u043b\u043d\u0438 \u0446\u0435\u043b\u0438. \u0422\u044f \u043d\u0435 \u0437\u0430\u043c\u0435\u0441\u0442\u0432\u0430 \u0441\u044a\u0432\u0435\u0442\u0430 \u043d\u0430 \u0432\u0430\u0448\u0438\u044f \u043b\u0435\u043a\u0430\u0440 \u0438\u043b\u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u043b\u043e\u0433. \u041d\u0438\u0442\u0440\u0430\u0442\u0438\u0442\u0435 \u0441\u0430 \u043c\u043e\u0449\u043d\u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0432\u0430\u0441\u043a\u0443\u043b\u0430\u0440\u043d\u0438 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430 \u0441 \u0438\u0437\u0432\u0435\u0441\u0442\u043d\u0438 \u0441\u0435\u0440\u0438\u043e\u0437\u043d\u0438 \u0432\u0437\u0430\u0438\u043c\u043e\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u044f. \u041a\u043e\u043d\u0441\u0443\u043b\u0442\u0438\u0440\u0430\u0439\u0442\u0435 \u0441\u0435 \u0441 \u043a\u0432\u0430\u043b\u0438\u0444\u0438\u0446\u0438\u0440\u0430\u043d \u0437\u0434\u0440\u0430\u0432\u0435\u043d \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442 \u043f\u0440\u0435\u0434\u0438 \u0434\u0430 \u0437\u0430\u043f\u043e\u0447\u043d\u0435\u0442\u0435, \u0441\u043f\u0440\u0435\u0442\u0435 \u0438\u043b\u0438 \u043f\u0440\u043e\u043c\u0435\u043d\u0438\u0442\u0435 \u0442\u0435\u0440\u0430\u043f\u0438\u044f\u0442\u0430, \u0438 \u043f\u043e\u0442\u044a\u0440\u0441\u0435\u0442\u0435 \u043d\u0435\u0437\u0430\u0431\u0430\u0432\u043d\u0430 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0430 \u043f\u043e\u043c\u043e\u0449, \u0430\u043a\u043e \u0431\u043e\u043b\u043a\u0430\u0442\u0430 \u0432 \u0433\u044a\u0440\u0434\u0438\u0442\u0435 \u0435 \u043d\u043e\u0432\u0430, \u043f\u043e-\u0441\u0438\u043b\u043d\u0430 \u0438\u043b\u0438 \u043f\u0440\u043e\u0434\u044a\u043b\u0436\u0430\u0432\u0430 \u043f\u043e\u0432\u0435\u0447\u0435 \u043e\u0442 10\u201315 \u043c\u0438\u043d\u0443\u0442\u0438.<\/p>\n<\/div>\n<h2 id=\"faqs\">\u0427\u0435\u0441\u0442\u043e \u0437\u0430\u0434\u0430\u0432\u0430\u043d\u0438 \u0432\u044a\u043f\u0440\u043e\u0441\u0438<\/h2>\n<h3 class=\"wp-block-heading\">Can I use Angispan-TR to stop an angina attack?<\/h3>\n<p>No. Angispan-TR has an onset of 30&ndash;60 minutes &mdash; too slow for an acute episode. Use sublingual nitroglycerin or sublingual isosorbide dinitrate (Sorbitrate) 5 mg for rescue.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Angispan-TR with sildenafil, tadalafil or vardenafil?<\/h3>\n<p>No &mdash; this combination is absolutely contraindicated. PDE5 inhibitors potentiate the blood-pressure drop from nitrates and can be fatal. Allow 24 hours after sildenafil\/vardenafil and 48 hours after tadalafil before any nitrate dose.<\/p>\n<h3 class=\"wp-block-heading\">Why do I get headaches on Angispan-TR?<\/h3>\n<p>Nitrate headache is caused by cerebral vasodilation and is extremely common in the first week. Most patients find it fades on its own after 7&ndash;14 days. Paracetamol is safe. Persistent severe headache is a reason to reduce dose or switch to ISMN.<\/p>\n<h3 class=\"wp-block-heading\">Why do I need an 8-hour nitrate-free interval?<\/h3>\n<p>Without a nitrate-free interval, your body develops tolerance within 48&ndash;72 hours and the medication stops controlling angina. The overnight break restores drug efficacy the following day.<\/p>\n<h3 class=\"wp-block-heading\">What happens if I open or chew the capsule?<\/h3>\n<p>The entire 6.5 mg is released at once. This causes a large, rapid drop in blood pressure, severe headache, and loss of the prolonged effect. Always swallow the capsule whole.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Angispan-TR with my beta-blocker and calcium channel blocker?<\/h3>\n<p>Yes, this is standard triple anti-anginal therapy. All three classes reduce ischaemia through different mechanisms. Monitor for dizziness and low blood pressure, especially in the first two weeks.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol while taking Angispan-TR?<\/h3>\n<p>Light alcohol with food is usually tolerated, but alcohol is a vasodilator and can worsen hypotension and dizziness. Avoid heavy drinking.<\/p>\n<h3 class=\"wp-block-heading\">Is Angispan-TR safe long-term?<\/h3>\n<p>Yes, provided the nitrate-free interval is respected. Many patients take sustained-release nitroglycerin for years. Annual review with your cardiologist is recommended.<\/p>\n<h3 class=\"wp-block-heading\">Can I stop Angispan-TR suddenly if I feel better?<\/h3>\n<p>No &mdash; abrupt withdrawal of a long-acting nitrate can cause rebound coronary vasospasm and worsening angina. Any taper must be medically supervised.<\/p>\n<h3 class=\"wp-block-heading\">What if I miss a dose of Angispan-TR?<\/h3>\n<p>Take it as soon as you remember, unless your next dose is due within 3 hours &mdash; then skip the missed one. Never double up.<\/p>\n<h3 class=\"wp-block-heading\">Can I drive while on Angispan-TR?<\/h3>\n<p>Once stable and headache-free, yes. Avoid driving during the first week, after any dose change, or if you feel dizzy.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">\u0421\u0432\u044a\u0440\u0437\u0430\u043d\u0438 \u0430\u043b\u0442\u0435\u0440\u043d\u0430\u0442\u0438\u0432\u0438<\/h3>\n<p>\u0414\u0440\u0443\u0433\u0438 \u043f\u0440\u043e\u0434\u0443\u043a\u0442\u0438 \u0432 <strong>\u0425\u0440\u043e\u043d\u0438\u0447\u043d\u0438 \u0437\u0430\u0431\u043e\u043b\u044f\u0432\u0430\u043d\u0438\u044f<\/strong> \u043a\u043e\u0438\u0442\u043e \u043a\u043b\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0441\u044a\u0449\u043e \u0440\u0430\u0437\u0433\u043b\u0435\u0436\u0434\u0430\u0442:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/bg\/losar\/\">Losar<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/bg\/ciclohale\/\">\u0426\u0438\u043a\u043b\u043e\u0445\u0430\u043b\u0435<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/bg\/barinat\/\">\u0411\u0430\u0440\u0438\u043d\u0430\u0442<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/bg\/tenof-em\/\">Tenof EM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/bg\/cytotam\/\">\u0426\u0438\u0442\u043e\u0442\u0430\u043c<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Relieves chest pain<br \/>\n\u2705 Dilates blood vessels<br \/>\n\u2705 Treats angina attacks<br \/>\n\u2705 \u041f\u043e\u0434\u043e\u0431\u0440\u044f\u0432\u0430 \u043a\u0440\u044a\u0432\u043e\u043e\u0431\u0440\u0430\u0449\u0435\u043d\u0438\u0435\u0442\u043e<br \/>\n\u2705 Prevents heart pain<\/p>\n<p>Angispan-TR contains Nitroglycerin.<\/p>","protected":false},"featured_media":59487,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260],"product_tag":[4704,4522],"class_list":{"0":"post-59486","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-heart-blood-pressure","9":"product_tag-angispan-tr","10":"product_tag-nitroglycerin","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product\/59486","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/comments?post=59486"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/media\/59487"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/media?parent=59486"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product_brand?post=59486"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product_cat?post=59486"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/bg\/wp-json\/wp\/v2\/product_tag?post=59486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}