{"id":58579,"date":"2024-02-27T18:45:17","date_gmt":"2024-02-27T18:45:17","guid":{"rendered":"https:\/\/medsname.com\/nitroderm-tts\/"},"modified":"2026-05-01T10:49:14","modified_gmt":"2026-05-01T10:49:14","slug":"nitroderm-tts","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/nitroderm-tts\/","title":{"rendered":"Nitroderm TTS"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div 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;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Nitroderm TTS?<\/h3>\n<p style=\"margin:0;\"><strong>Nitroderm TTS<\/strong> este un sistem transdermal <strong>petec cu nitroglicerin\u0103<\/strong> utilizat pentru <em>pe termen lung<\/em> pentru angina pectoral\u0103 stabil\u0103 cronic\u0103. Se aplic\u0103 o dat\u0103 pe zi pe pielea curat\u0103 \u0219i f\u0103r\u0103 p\u0103r de pe piept sau bra\u021b. Este necesar un interval f\u0103r\u0103 petec de <strong>8\u201312 ore la fiecare 24 de ore<\/strong> pentru a preveni toleran\u021ba. Disponibil \u00een concentra\u021bii de 5, 10 \u0219i 15 mg\/24h. Nu este pentru crizele acute de angin\u0103.<\/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>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<p><strong>Nitroderm TTS<\/strong> este un <strong>petec transdermal cu nitroglicerin\u0103 (trinitrat de gliceril)<\/strong> care elibereaz\u0103 o doz\u0103 constant\u0103 \u0219i controlat\u0103 de medicament prin piele pe parcursul a 24 de ore. Fiecare petec con\u021bine 5 mg de nitroglicerin\u0103 \u0219i este utilizat pentru a <strong>preveni angina pectoral\u0103<\/strong> (durere toracic\u0103 cauzat\u0103 de reducerea fluxului sanguin c\u0103tre inim\u0103) la pacien\u021bii cu boal\u0103 coronarian\u0103 stabil\u0103. Nitroderm TTS este bioechivalent cu m\u0103rci interna\u021bionale de top precum <strong>Nitro-Dur<\/strong>, <strong>Deponit<\/strong>, \u0219i <strong>Transiderm-Nitro<\/strong>.<\/p>\n<p>Spre deosebire de comprimatele sublinguale sau spray-urile cu ac\u021biune rapid\u0103 \u2014 care sunt utilizate <em>\u00een timpul<\/em> unui atac acut de angin\u0103 \u2014 Nitroderm TTS este o <strong>terapie preventiv\u0103<\/strong>. Aplicat o dat\u0103 pe zi, plasturelul elibereaz\u0103 treptat nitroglicerin\u0103 \u00een s\u00e2nge pentru a dilata vasele sanguine coronare \u0219i sistemice, reduc\u00e2nd sarcina cardiac\u0103 \u0219i frecven\u021ba episoadelor de durere toracic\u0103.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Nitroderm TTS?<\/h2>\n<p>Nitroderm TTS este un <strong>sistem terapeutic transdermic (TTS)<\/strong> \u2014 un plasture medicamentos adeziv care elibereaz\u0103 principiul s\u0103u activ, <strong>trinitrat de gliceril (GTN) \/ nitroglicerin\u0103<\/strong>, \u00eentr-un ritm constant prin piele. Nitroglicerina este utilizat\u0103 ca medicament antianginal de peste 140 de ani \u0219i r\u0103m\u00e2ne piatra de temelie a managementului anginei pe plan mondial.<\/p>\n<p>Nitroderm TTS este cel mai frecvent prescris pentru:<\/p>\n<ul>\n<li><strong>Profilaxia pe termen lung a anginei pectorale stabile<\/strong> \u2014 prevenirea atacurilor de durere toracic\u0103 \u00een boala arterial\u0103 coronarian\u0103<\/li>\n<li><strong>Angin\u0103 instabil\u0103<\/strong> (sub supraveghere medical\u0103 \u00een spital, ca parte a terapiei combinate)<\/li>\n<li><strong>Insuficien\u021b\u0103 cardiac\u0103 cu angin\u0103<\/strong> \u2014 pentru reducerea at\u00e2t a post\u00eenc\u0103rc\u0103rii c\u00e2t \u0219i a pre\u00eenc\u0103rc\u0103rii<\/li>\n<li><strong>Fenomenul Raynaud<\/strong> (utilizare off-label pentru circula\u021bie)<\/li>\n<li><strong>Managementul fisurilor anale<\/strong> (formula\u021bii cu doze specifice joase \u2014 nu de obicei Nitroderm TTS)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Cum Func\u021bioneaz\u0103 Nitroderm TTS?<\/h2>\n<p>Nitroglicerina este un <strong>donator de oxid nitric<\/strong> \u2014 atunci c\u00e2nd este absorbit\u0103 de mu\u0219chiul neted vascular, este convertit\u0103 \u00een oxid nitric (NO), vasodilatatorul natural al organismului. Iat\u0103 cum se ob\u021bine efectul preventiv:<\/p>\n<ul>\n<li>Nitroglycerinul difuzeaz\u0103 din plasture prin piele \u00een circula\u021bia sanguin\u0103 \u00eentr-un ritm constant<\/li>\n<li>\u00cen mu\u0219chiul neted vascular, este convertit \u00een <strong>oxid nitric (NO)<\/strong><\/li>\n<li>NO activeaz\u0103 <strong>guanilat ciclaza<\/strong>, cresc\u00e2nd nivelurile intracelulare de GMP ciclic (cGMP)<\/li>\n<li>Niveluri ridicate de cGMP determin\u0103 <strong>vasodilata\u021bie<\/strong> \u2014 at\u00e2t venoas\u0103 c\u00e2t \u0219i arterial\u0103<\/li>\n<li><strong>Dilatare venoas\u0103<\/strong> reduce cantitatea de s\u00e2nge care revine la inim\u0103 (pre\u00eenc\u0103rcare), sc\u0103z\u00e2nd tensiunea peretelui cardiac<\/li>\n<li><strong>Dilatare a arterelor coronare<\/strong> \u00eembun\u0103t\u0103\u021be\u0219te aportul de oxigen la mu\u0219chiul cardiac<\/li>\n<li>\u00cempreun\u0103, aceste efecte <strong>reduc cerin\u021ba de oxigen a inimii<\/strong> \u0219i previne angina<\/li>\n<\/ul>\n<p>Un plasture de 5 mg\/24 h elibereaz\u0103 aproximativ 0,2 mg de nitroglicerin\u0103 pe or\u0103, asigur\u00e2nd niveluri plasmatice constante pe perioada purt\u0103rii.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Angin\u0103 pectoral\u0103 stabil\u0103<\/strong> \u2014 pentru a preveni durerea toracic\u0103 previzibil\u0103 legat\u0103 de efort<\/li>\n<li><strong>Angin\u0103 mixt\u0103<\/strong> \u2014 combinat cu GTN sublingual cu ac\u021biune rapid\u0103 pentru simptomele reziduale<\/li>\n<li><strong>Boal\u0103 coronarian\u0103<\/strong> cu episoade de angin\u0103<\/li>\n<li><strong>Insuficien\u021b\u0103 cardiac\u0103 congestiv\u0103<\/strong> \u2014 pentru a reduce pre\u00eenc\u0103rcarea \u0219i post\u00eenc\u0103rcarea<\/li>\n<li><strong>Terapie adjunctiv\u0103<\/strong> la pacien\u021bii care sunt deja sub tratament cu beta-blocante sau blocante ale canalelor de calciu \u0219i care \u00eenc\u0103 prezint\u0103 angin\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doza \u0219i programul de aplicare a plasturelor Nitroderm TTS<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indica\u021bie \/ Pacient<\/th>\n<th>Plastur ini\u021bial<\/th>\n<th>Interval uzual<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Angin\u0103 stabil\u0103 (pacient nou)<\/strong><\/td>\n<td>5 mg\/24 h<\/td>\n<td>5\u201315 mg\/24 h \u00een func\u021bie de r\u0103spuns<\/td>\n<\/tr>\n<tr>\n<td><strong>Angin\u0103 mai sever\u0103<\/strong><\/td>\n<td>10 mg\/24 h<\/td>\n<td>10\u201315 mg\/24 h<\/td>\n<\/tr>\n<tr>\n<td><strong>Insuficien\u021b\u0103 cardiac\u0103 (adjuvant)<\/strong><\/td>\n<td>5 mg\/24 h<\/td>\n<td>Ajustat sub \u00eendrumare cardiologic\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Piele fragil\u0103 la v\u00e2rstnici<\/strong><\/td>\n<td>5 mg\/24 h<\/td>\n<td>Rota\u021bi cu grij\u0103 locul aplic\u0103rii plasturului; monitoriza\u021bi hipotensiunea<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 class=\"wp-block-heading\">Intervalul f\u0103r\u0103 nitra\u021bi \u2014 de ce este important<\/h3>\n<p>O caracteristic\u0103 crucial\u0103 a terapiei transdermice cu nitroglicerin\u0103 este <strong>intervalul f\u0103r\u0103 nitra\u021bi<\/strong>. Organismul dezvolt\u0103 rapid <strong>toleran\u021b\u0103<\/strong> toleran\u021b\u0103 la nitra\u021bi atunci c\u00e2nd nivelurile sunt men\u021binute ridicate continuu, iar dup\u0103 c\u00e2teva zile efectul antianginal scade. Pentru a evita acest lucru:<\/p>\n<ul>\n<li>Purta\u021bi Nitroderm TTS timp de <strong>10\u201314 ore pe zi<\/strong> (de obicei \u00een timpul zilei, c\u00e2nd angina este mai probabil\u0103)<\/li>\n<li>Scoate\u021bi plasturele noaptea pentru cel pu\u021bin <strong>10\u201312 ore<\/strong> perioad\u0103 f\u0103r\u0103 nitra\u021bi<\/li>\n<li>Dac\u0103 angina dvs. apare \u00een mod tipic noaptea sau \u00een repaus, medicul dumneavoastr\u0103 poate inversa programul \u2014 purta\u021bi plasturele peste noapte \u0219i scoate\u021bi-l \u00een timpul zilei<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\">Cum se aplic\u0103 Nitroderm TTS<\/h3>\n<ul>\n<li><strong>Alege\u021bi o zon\u0103 curat\u0103, uscat\u0103, f\u0103r\u0103 p\u0103r<\/strong> \u2014 pieptul superior, bra\u021bul superior sau coapsa exterioar\u0103<\/li>\n<li>Evita\u021bi cutele pielii, cicatricile, t\u0103ieturile, zonele iritate sau zonele care vor fi supuse frec\u0103rii intense<\/li>\n<li><strong>Nu aplica\u021bi<\/strong> pe partea inferioar\u0103 a piciorului sau sub cot \u2014 absorb\u021bia este mai slab\u0103 din aceste zone<\/li>\n<li>Deschide\u021bi punga, \u00eendep\u0103rta\u021bi stratul protector \u0219i ap\u0103sa\u021bi ferm plasturele pe piele timp de 10 secunde<\/li>\n<li><strong>Schimba\u021bi locul de aplicare \u00een fiecare zi<\/strong> \u2014 nu aplica\u021bi \u00een acela\u0219i loc \u00een decurs de 7 zile; acest lucru previne sensibilizarea pielii<\/li>\n<li>\u00cen general, este \u00een regul\u0103 s\u0103 faci du\u0219 sau baie cu plasturele aplicat \u2014 evit\u0103 b\u0103ile foarte fierbin\u021bi, saunele sau solariile, care pot accelera eliberarea substan\u021bei active<\/li>\n<li>C\u00e2nd \u00eendep\u0103rtezi plasturele, <strong>\u00eendoaie-l cu partea lipicioas\u0103 spre interior<\/strong> \u0219i arunc\u0103-l \u00eentr-un loc inaccesibil copiilor sau animalelor de companie \u2014 substan\u021ba rezidual\u0103 dintr-un plastur folosit poate fi d\u0103un\u0103toare dac\u0103 este mestecat\u0103<\/li>\n<li>Spal\u0103 pielea u\u0219or dup\u0103 \u00eendep\u0103rtare; reziduurile de adeziv pot fi de obicei \u00eendep\u0103rtate cu s\u0103pun bl\u00e2nd<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Efecte Secundare ale Nitroderm TTS<\/h2>\n<table>\n<thead>\n<tr>\n<th>Severitate<\/th>\n<th>Efect Secundar<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Foarte frecvente (\u22651 din 10)<\/strong><\/td>\n<td>Dureri de cap (\u00een special \u00een primele zile), ro\u0219ea\u021b\u0103 facial\u0103, u\u0219oar\u0103 ro\u0219ea\u021b\u0103 la locul aplic\u0103rii plasturelui<\/td>\n<\/tr>\n<tr>\n<td><strong>Frecvente (\u22651 din 100)<\/strong><\/td>\n<td>Ameteal\u0103, hipotensiune ortostatic\u0103, senza\u021bie de le\u0219in la sculare, grea\u021b\u0103, tahicardie<\/td>\n<\/tr>\n<tr>\n<td><strong>Pu\u021bin frecvente<\/strong><\/td>\n<td>Dermit\u0103 de contact local\u0103, reac\u021bie cutanat\u0103 alergic\u0103, arsur\u0103 u\u0219oar\u0103 sau m\u00e2nc\u0103rime la locul aplic\u0103rii<\/td>\n<\/tr>\n<tr>\n<td><strong>Rare<\/strong><\/td>\n<td>Hipotensiune sever\u0103, sincop\u0103, angin\u0103 pectoral\u0103 paradoxal\u0103, metahemoglobinemie (la doze excesive)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Numele <strong>durere de cap<\/strong> pe care mul\u021bi pacien\u021bi o experimenteaz\u0103 la \u00eenceputul terapiei se nume\u0219te \u201cdurere de cap nitrat\u0103\u201d \u0219i de obicei se ameliorizeaz\u0103 \u00een c\u00e2teva zile, pe m\u0103sur\u0103 ce organismul se adapteaz\u0103. Paracetamolul poate ajuta; dac\u0103 durerea de cap este sever\u0103 sau persistent\u0103, vorbe\u0219te cu medicul t\u0103u despre ajustarea dozei.<\/p>\n<h2 class=\"wp-block-heading\">Avertismente \u0219i precau\u021bii<\/h2>\n<ul>\n<li><strong>Nitroderm TTS NU este pentru tratarea atacurilor acute de angin\u0103 pectoral\u0103.<\/strong> Dac\u0103 apar dureri bruste \u00een piept, folose\u0219te o tablet\u0103 sau spray sublingual de nitroglicerin\u0103 cu ac\u021biune rapid\u0103. Sun\u0103 la serviciile de urgen\u021b\u0103 dac\u0103 durerea \u00een piept persist\u0103 mai mult de 10\u201315 minute sau este mai sever\u0103 dec\u00e2t de obicei<\/li>\n<li><strong>Nu combina\u021bi cu inhibitori de PDE5<\/strong> (sildenafil, tadalafil, vardenafil, avanafil) \u2014 acest lucru poate provoca hipotensiune sever\u0103 care pune via\u021ba \u00een pericol. A\u0219tepta\u021bi cel pu\u021bin 24 de ore dup\u0103 ultima doz\u0103 de sildenafil\/vardenafil \u0219i 48 de ore dup\u0103 tadalafil \u00eenainte de a aplica un plasture GTN<\/li>\n<li><strong>Contraindica\u021bii cardiovasculare:<\/strong> anemie sever\u0103, cardiomiopatie hipertrofic\u0103 obstructiv\u0103, stenoz\u0103 aortic\u0103 sever\u0103, tamponad\u0103 cardiac\u0103, pericardit\u0103 constrictiv\u0103<\/li>\n<li><strong>Alcool<\/strong> intensific\u0103 efectul hipotensiv \u2014 limita\u021bi consumul<\/li>\n<li><strong>Sta\u021bi \u00een picioare pentru perioade lungi<\/strong> dup\u0103 aplicarea plasturului poate provoca ame\u021beli sau le\u0219in; trece\u021bi \u00een pozi\u021bie \u0219ez\u00e2nd\u0103 sau culcat\u0103 dac\u0103 sim\u021bi\u021bi ameteli<\/li>\n<li><strong>Evita\u021bi defibrilarea prin plasture<\/strong> \u2014 desc\u0103rcarea electric\u0103 prin folie poate provoca arsuri. \u00cendep\u0103rta\u021bi plasturele \u00eenainte de defibrilare sau cardioversiune<\/li>\n<li><strong>Scanare RMN:<\/strong> \u00eendep\u0103rta\u021bi plasturele \u00eenainte de RMN, deoarece con\u021bine un strat metalic<\/li>\n<li>Sarcina \u0219i al\u0103ptarea: utiliza\u021bi numai dac\u0103 este clar necesar \u0219i sub supraveghere specializat\u0103<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la nitra\u021bi sau la orice component\u0103 a plasturelui<\/li>\n<li>Utilizarea concomitent\u0103 cu inhibitorii PDE5 sau riociguat<\/li>\n<li>Hipotenziune sever\u0103 sau hipovolemie<\/li>\n<li>Presiune intracranian\u0103 crescut\u0103 (de ex., dup\u0103 traumatism cranian sau hemoragie cerebral\u0103)<\/li>\n<li>Stenoaz\u0103 aortic\u0103 sau mitral\u0103 sever\u0103, tamponad\u0103 cardiac\u0103, cardiomiopatie obstructiv\u0103 hipertrofic\u0103<\/li>\n<li>Glaucom cu unghi \u00eenchis (contraindica\u021bie relativ\u0103)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<table>\n<thead>\n<tr>\n<th>Medicament \/ Clas\u0103<\/th>\n<th>Interac\u021biune<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Sildenafil, tadalafil, vardenafil (inhibitori PDE5)<\/strong><\/td>\n<td><strong>Contraindica\u021bie absolut\u0103<\/strong> \u2014 risc de hipotenziune sever\u0103, poten\u021bial fatal\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Riociguat (Adempas)<\/strong><\/td>\n<td>Contraindicate \u2014 risc de hipotensiune sever\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Alte antihpertensive (inhibitori ACE, beta-blocante, blocante ale canalelor de calciu, diuretice)<\/strong><\/td>\n<td>Efect hipotensiv aditiv \u2014 adesea inten\u021bionat, dar monitoriza\u021bi TA<\/td>\n<\/tr>\n<tr>\n<td><strong>Antidepresive triciclice<\/strong><\/td>\n<td>Hipotenziune accentuat\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Alcool<\/strong><\/td>\n<td>Hipotensiune ortostatic\u0103 accentuat\u0103<\/td>\n<\/tr>\n<tr>\n<td><strong>Heparin<\/strong><\/td>\n<td>GTN poate reduce efectul anticoagulant al heparinei \u2014 monitoriza\u021bi aPTT<\/td>\n<\/tr>\n<tr>\n<td><strong>Aspirin<\/strong><\/td>\n<td>Poate cre\u0219te nivelurile plasmatice de GTN<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Ce s\u0103 face\u021bi dac\u0103 plasturele cade<\/h2>\n<ul>\n<li>Dac\u0103 plasturele cade \u0219i \u00eenc\u0103 arat\u0103 intact, reaplica\u021bi-l pe o zon\u0103 curat\u0103 \u0219i uscat\u0103 a pielii din apropiere<\/li>\n<li>Dac\u0103 plasturele este deteriorat sau adezivul este compromis, aplica\u021bi un plasture nou<\/li>\n<li>Nu dubla\u021bi \u2014 utiliza\u021bi un singur plasture la un moment dat, cu excep\u021bia cazului \u00een care vi se prescrie \u00een mod specific doze mai mari<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Depozitare \u0219i Manipulare<\/h2>\n<ul>\n<li>P\u0103stra\u021bi la o temperatur\u0103 sub 25 \u00b0C \u00eentr-un loc uscat, \u00een ambalajul original sigilat<\/li>\n<li>Nu refrigera\u021bi \u0219i nu congela\u021bi<\/li>\n<li>P\u0103stra\u021bi departe de copii \u0219i animale de companie \u2014 plasturelele folosite \u00eenc\u0103 con\u021bin medicament rezidual \u0219i ar trebui eliminate \u00een siguran\u021b\u0103<\/li>\n<li>Nu se utilizeaz\u0103 dup\u0103 data de expirare tip\u0103rit\u0103<\/li>\n<li>Deschide\u021bi ambalajul doar c\u00e2nd sunte\u021bi gata s\u0103 aplica\u021bi plasturele<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Produse similare pe MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/gtn-spray\/\" rel=\"noopener\">Spray GTN<\/a> \u2014 nitroglicerin\u0103 cu ac\u021biune rapid\u0103 pentru atacurile acute de angin\u0103<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/heart-blood-pressure\/\" rel=\"noopener\">Medicamente pentru inim\u0103 \u0219i tensiune arterial\u0103<\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">Pot s\u0103 port Nitroderm TTS 24 de ore pe zi?<\/h3>\n<p>Nu. Purtarea continu\u0103 duce la <strong>toleran\u021b\u0103 la nitra\u021bi<\/strong>, unde plasturele \u00ee\u0219i pierde efectul antianginal \u00een c\u00e2teva zile. Un interval f\u0103r\u0103 nitra\u021bi de 10\u201312 ore pe zi este esen\u021bial.<\/p>\n<h3 class=\"wp-block-heading\">Pot folosi Nitroderm TTS \u00een timpul unui atac de angin\u0103?<\/h3>\n<p>Nu. Plasturele elibereaz\u0103 medicamentul lent \u0219i nu poate opri un atac deja \u00een curs. Durerea acut\u0103 \u00een piept ar trebui tratat\u0103 cu <strong>comprimate sublinguale de GTN sau un spray de GTN<\/strong>. Dac\u0103 durerea nu se amelioraz\u0103 \u00een 10\u201315 minute, contacta\u021bi serviciile de urgen\u021b\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot \u00eenota sau face du\u0219 cu plasturele aplicat?<\/h3>\n<p>Da \u2014 plasturele este rezistent la ap\u0103. Evita\u021bi frecarea direct\u0103 a zonei. B\u0103ile foarte fierbin\u021bi, saunele \u0219i paturile de bronzat trebuie evitate deoarece c\u0103ldura accelereaz\u0103 eliberarea medicamentului \u0219i poate provoca hipotensiune.<\/p>\n<h3 class=\"wp-block-heading\">Unde ar trebui s\u0103 aplic plasturele?<\/h3>\n<p>Zona superioar\u0103 a pieptului, bra\u021bul superior sau partea exterioar\u0103 a coapsei sunt cele mai potrivite. Evita\u021bi cutele pielii, p\u0103rul, cicatricile, t\u0103ieturile, pielea ars\u0103 de soare sau zonele unde hainele freac\u0103. <strong>Schimba\u021bi locul de aplicare \u00een fiecare zi<\/strong> \u2014 nu reutiliza\u021bi acela\u0219i loc \u00een decurs de 7 zile.<\/p>\n<h3 class=\"wp-block-heading\">Ce trebuie s\u0103 fac dac\u0103 am dureri de cap din cauza plasturelui?<\/h3>\n<p>Durerile de cap provocate de nitra\u021bi sunt foarte frecvente \u00een primele zile \u0219i de obicei se amelior\u0103 pe m\u0103sur\u0103 ce organismul se adapteaz\u0103. Paracetamolul poate ajuta. Dac\u0103 sunt severe sau persistente, consulta\u021bi medicul pentru ajustarea dozei.<\/p>\n<h3 class=\"wp-block-heading\">Pot folosi Nitroderm TTS cu Viagra sau Cialis?<\/h3>\n<p><strong>Nu \u2014 acest lucru este extrem de periculos.<\/strong> Inhibitorii PDE5 (sildenafil, tadalafil, vardenafil, avanafil) combina\u021bi cu nitra\u021bi pot provoca hipotensiune sever\u0103, care poate pune via\u021ba \u00een pericol. Nu utiliza\u021bi niciodat\u0103 cele dou\u0103 \u00eempreun\u0103. Dac\u0103 lua\u021bi sildenafil\/vardenafil, a\u0219tepta\u021bi cel pu\u021bin 24 de ore; pentru tadalafil a\u0219tepta\u021bi cel pu\u021bin 48 de ore \u00eenainte de a aplica un plasture cu GTN.<\/p>\n<h3 class=\"wp-block-heading\">Pot \u00eentrerupe brusc tratamentul cu Nitroderm TTS?<\/h3>\n<p>Nu. \u00centreruperea brusc\u0103 poate provoca angin\u0103 de revenire. Medicul va reduce treptat doza dac\u0103 terapia trebuie \u00eentrerupt\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Nitroderm TTS este acela\u0219i lucru cu Nitro-Dur sau Deponit?<\/h3>\n<p>Toate trei con\u021bin nitroglicerin\u0103 \u00een acela\u0219i format transdermal \u0219i la doze comparabile. Nitroderm TTS este marca interna\u021bional\u0103 Novartis \u0219i este bioechivalent cu celelalte.<\/p>\n<h3 class=\"wp-block-heading\">Pot efectua proceduri medicale electrice cu plasturele aplicat?<\/h3>\n<p>Nu. \u00cendep\u0103rta\u021bi plasturele \u00eenainte de defibrilare, cardioversiune, RMN sau diatermie \u2014 stratul metalic poate provoca arsuri sau artefacte de imagine.<\/p>\n<h3 class=\"wp-block-heading\">Ce ar trebui s\u0103 fac dac\u0103 uit s\u0103 aplic un plasture?<\/h3>\n<p>Aplica\u021bi plasturele uitat de \u00eendat\u0103 ce v\u0103 aminti\u021bi, apoi reveni\u021bi la programul obi\u0219nuit a doua zi. Nu aplica\u021bi dou\u0103 plasture pentru a \u201crecupera\u201d.<\/p>\n<p><!-- medsbase-faq-h3-converted --><\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/glimda\/\">Glimda<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/healmaryl\/\">Healmaryl<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/chymoral-forte\/\">Chymoral Forte<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/modvigil\/\">Modvigil<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/methylene-blue-injection\/\">Injectie de Methylene Blue<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Trateaz\u0103 durerea toracic\u0103<br \/>\n\u2705 Dilateaz\u0103 vasele de s\u00e2nge<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te fluxul sanguin<br \/>\n\u2705 Trateaz\u0103 angina pectoral\u0103<br \/>\n\u2705 Alinare de durat\u0103<\/p>\n<p>Nitroderm TTS con\u021bine nitroglicerin\u0103.<\/p>","protected":false},"featured_media":58580,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3260],"product_tag":[4521,4522],"class_list":{"0":"post-58579","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-nitroderm-tts","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\/ro\/wp-json\/wp\/v2\/product\/58579","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=58579"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/58580"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=58579"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=58579"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=58579"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=58579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}