{"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\/da\/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> er en <strong>nitroglycerin (glyceryl trinitrate) 6.5&nbsp;mg time-release capsule<\/strong>, used for daily <em>profylakse<\/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>ikke<\/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>Hvad du f\u00e5r med MedsBase:<\/strong> WHO-GMP certificeret producent \u00b7 Diskret emballage \u00b7 Verdensomsp\u00e6ndende forsendelse \u00b7 1.400+ verificerede <a href=\"https:\/\/medsbase.com\/da\/reviews\/\">kundeanmeldelser<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er d\u00e6kket af vores <a href=\"https:\/\/medsbase.com\/da\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis din pakke ikke ankommer inden for 20 hverdage, sender vi en erstatning.<\/p>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p>Vores generiske medicin kommer fra WHO-GMP certificerede producenter og sendes verdensomsp\u00e6ndende i diskret, neutral emballage \u2014 ingen medicinnavn p\u00e5 pakkens ydre. Kortbetalinger h\u00e5ndteres af en reguleret processor (kontoudtogsbeskrivelser inkluderer en reguleret betalingsprocessor \u2014 aldrig \u201cMedsBase\u201d eller medicinnavn). Crypto og SEPA bankoverf\u00f8rsel accepteres ogs\u00e5. Hver ordre er d\u00e6kket af vores Reshipment Assurance Policy.<\/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>Variant (Prinzmetal) angina<\/strong> &mdash; coronary artery spasm<\/li>\n<li><strong>Heart failure with ischaemic component<\/strong> &mdash; preload reduction<\/li>\n<\/ul>\n<p>Det er <em>ikke<\/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\">Hvordan virker nitrater?<\/h2>\n<p>Alle nitratmedicin har den samme grundl\u00e6ggende virkem\u00e5de. N\u00e5r de er optaget, omdannes de enzymatisk til <strong>nitric oxide (NO)<\/strong> inde i vaskul\u00e6re glatmuskelceller. NO aktiverer guanylatcyklase, hvilket \u00f8ger intracellul\u00e6rt cGMP og afslapper blodkarrenes glatte muskulatur. De kliniske effekter er:<\/p>\n<ul>\n<li><strong>Ven\u00f8s udvidelse<\/strong> (dominerende ved lave doser) \u2014 reducerer ven\u00f8s retur til hjertet, hvilket s\u00e6nker <em>forbelastning<\/em>. Det er s\u00e5dan, nitrater reducerer hjertets oxygenbehov.<\/li>\n<li><strong>Arteriel udvidelse<\/strong> (h\u00f8jere doser) \u2014 reducerer systemisk vaskul\u00e6r modstand og <em>efterbelastning<\/em>, hvilket yderligere reducerer hjertets arbejdsbyrde.<\/li>\n<li><strong>Udvidelse af kranskaren<\/strong> \u2014 forbedrer blodgennemstr\u00f8mningen til isk\u00e6miske omr\u00e5der af hjertemusklen, is\u00e6r ved koronar spasme.<\/li>\n<\/ul>\n<p>Den samlede effekt er mindre brystsmerter, f\u00e6rre anginaepisoder og forbedret fysisk udholdenhed hos patienter med stabil koronar hjertesygdom.<\/p>\n<h2 class=\"wp-block-heading\">Nitrattolerance \u2014 den kritiske doseringsregel<\/h2>\n<p>Nitrattolerance er det absolut vigtigste koncept for enhver patient, der tager nitrat. Hvis nitrat gives d\u00f8gnet rundt \u2014 med konstante blodniveauer i 24 timer i d\u00f8gnet \u2014 aftager den anti-angin\u00f8se effekt inden for 48 til 72 timer. Dette er et veldokumenteret, reproducerbart farmakologisk f\u00e6nomen, ikke en indbildt effekt.<\/p>\n<p>L\u00f8sningen er enkel og ikke til diskussion: hver 24-timers cyklus skal indeholde en <strong>nitratfri periode p\u00e5 mindst 8\u201312 timer<\/strong>, normalt om natten. De standardstrategier er:<\/p>\n<ul>\n<li>Asymmetrisk to gange daglig dosering (f.eks. kl. 7 om morgenen og kl. 15, intet efter det indtil n\u00e6ste morgen)<\/li>\n<li>Engangs daglige depotformuleringer designet til at levere et lavt bundniveau<\/li>\n<li>Fjernelse af et transdermalt plaster efter 12\u201314 timers p\u00e5f\u00f8ring<\/li>\n<\/ul>\n<p>G\u00f8r <em>ikke<\/em> tag ikke ekstra doser \u201cved sengetid\u201d eller om natten, medmindre din l\u00e6ge udtrykkeligt har ordineret d\u00f8gnbehandling af en specifik \u00e5rsag.<\/p>\n<h2 class=\"wp-block-heading\">Angispan-TR Dosing<\/h2>\n<p>Til kronisk stabil angina hos voksne:<\/p>\n<ul>\n<li><strong>S\u00e6dvanlig dosis:<\/strong> One capsule (6.5 mg) twice daily &mdash; morning and early afternoon<\/li>\n<li><strong>Tidspunkt:<\/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>Der er \u00e9n absolut kontraindikation, som alle patienter skal forst\u00e5 f\u00f8r den f\u00f8rste dosis:<\/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>Kombiner aldrig nitrat med en PDE5-h\u00e6mmer.<\/strong> Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) og avanafil (Stendra) forst\u00e6rker nitraters vasodilaterende effekt og kan for\u00e5rsage livstruende hypotoni, kollaps, slagtilf\u00e6lde eller myokardieinfarkt. Vent mindst <strong>24 timer efter sildenafil\/vardenafil<\/strong> og <strong>48 timer efter tadalafil<\/strong> f\u00f8r du tager en nitratdosis. Dette g\u00e6lder for alle former \u2014 orale, sublinguale, transdermale og spray.<\/p>\n<\/div>\n<p>Andre vigtige kontraindikationer:<\/p>\n<ul>\n<li>Alvorlig hypotoni eller hypovol\u00e6mi (systolisk blodtryk &lt; 90 mmHg)<\/li>\n<li>Alvorlig an\u00e6mi (nitrater kan forv\u00e6rre iltudleveringen til v\u00e6v)<\/li>\n<li>Hypertrofisk obstruktiv kardiomyopati (HOCM) \u2014 nitrater kan forv\u00e6rre udstr\u00f8mningshindring<\/li>\n<li>Alvorlig aortastenose \u2014 risiko for syncope<\/li>\n<li>Forh\u00f8jet intrakranielt tryk eller nylig hovedtraume<\/li>\n<li>H\u00f8jre ventrikelinfarkt \u2014 preload er afg\u00f8rende, nitrater reducerer det<\/li>\n<li>Konstriktiv perikarditis eller kardial tamponade<\/li>\n<li>Kendt overf\u00f8lsomhed over for organiske nitrater<\/li>\n<li>Samtidig brug af opl\u00f8selige guanylatcyklase-stimulatorer (riociguat)<\/li>\n<\/ul>\n<p>Brug med forsigtighed under graviditet (kategori C) og dr\u00f8ft med en specialist. Under amning er lejlighedsvis brug generelt accepteret, men rutinem\u00e6ssig terapi b\u00f8r gennemg\u00e5s med en kardiolog.<\/p>\n<h2 class=\"wp-block-heading\">Common Side Effects of Angispan-TR<\/h2>\n<p>De fleste bivirkninger af nitrater er direkte udvidelser af deres vasodilatoriske virkning og har tendens til at aftage i de f\u00f8rste 1\u20132 uger af behandlingen.<\/p>\n<p><strong>Meget almindelige (&gt;10% af patienterne):<\/strong><\/p>\n<ul>\n<li><strong>Hovedpine<\/strong> \u2014 bankende, frontal hovedpine, ofte v\u00e6rst i de f\u00f8rste par dage. Paracetamol er sikkert. Hovedpine forsvinder normalt inden for 7\u201314 dage, efterh\u00e5nden som kroppen tilpasser sig; det er <em>ikke<\/em> et tegn p\u00e5 overdosering.<\/li>\n<li>Svimmelhed eller f\u00f8lelse af at v\u00e6re let i hovedet, is\u00e6r ved oprejst stilling<\/li>\n<li>Ansigets r\u00f8dme<\/li>\n<\/ul>\n<p><strong>Almindelige (1\u201310%):<\/strong><\/p>\n<ul>\n<li>Postural hypotension<\/li>\n<li>Refleks takykardi (hurtig hjerterytme)<\/li>\n<li>Kvalme, lejlighedsvise opkastninger<\/li>\n<li>Hududsl\u00e6t (mere almindeligt med transdermal plaster)<\/li>\n<\/ul>\n<p><strong>Sj\u00e6ldne men vigtige:<\/strong><\/p>\n<ul>\n<li>Synkope (besvimelse) \u2014 typisk ved f\u00f8rste dosis, n\u00e5r man rejser sig, eller efter alkohol<\/li>\n<li>Paradoks forv\u00e6rring af angina \u2014 sj\u00e6lden; s\u00f8g akut vurdering<\/li>\n<li>Methemoglobin\u00e6mi \u2014 meget sj\u00e6ldent ved vedvarende h\u00f8j-dosis terapi<\/li>\n<\/ul>\n<p>Stop medicinen og kontakt din l\u00e6ge omg\u00e5ende, hvis du udvikler kraftig eller vedvarende hovedpine, der ikke aftager, besvimelsesanfald, bl\u00e6redannende udsl\u00e6t eller bl\u00e5ligt farvede l\u00e6ber og hud.<\/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>isosorbide mononitrate (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\">Bestilling &amp; Levering<\/h2>\n<p>MedsBase tilbyder verdensomsp\u00e6ndende forsendelse p\u00e5 hver ordre. Ordre sendes i diskret emballage og ankommer i originale fabrikantpakker. Peptider og de fleste kardiovaskul\u00e6re generika er p\u00e5 lager i flere styrker; hvis din foretrukne pakkest\u00f8rrelse ikke er p\u00e5 lager, kan du kontakte kundeservice for en ETA.<\/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>Medicinsk ansvarsfraskrivelse.<\/strong> Oplysningerne p\u00e5 denne side er kun til generel uddannelse. Det er ikke en erstatning for r\u00e5dgivning fra din egen l\u00e6ge eller kardiolog. Nitrater er potentielle kardiovaskul\u00e6re l\u00e6gemidler med kendte alvorlige interaktioner. Tal med en kvalificeret sundhedsfaglig professionel f\u00f8r du starter, stopper eller \u00e6ndrer terapi, og s\u00f8g \u00f8jeblikkelig l\u00e6gehj\u00e6lp, hvis brystsmerter er nye, mere alvorlige eller varer l\u00e6ngere end 10\u201315 minutter.<\/p>\n<\/div>\n<h2 id=\"faqs\">Ofte stillede sp\u00f8rgsm\u00e5l<\/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\">Relaterede alternativer<\/h3>\n<p>Andre produkter inden for <strong>Kroniske tilstande<\/strong> som kunder ogs\u00e5 ser:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/da\/losar\/\">Losar<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/ciclohale\/\">Ciclohale<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/barinat\/\">Barinat<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/tenof-em\/\">Tenof EM<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/cytotam\/\">Cytotam<\/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 Forbedrer blodgennemstr\u00f8mning<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\/da\/wp-json\/wp\/v2\/product\/59486","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/comments?post=59486"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media\/59487"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media?parent=59486"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_brand?post=59486"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_cat?post=59486"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_tag?post=59486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}