Nitrolong 2.6mg Tablet 30'S

Introduction About NITROLONG 2.6MG TABLET

Nitrolong 2.6 mg Tablet is a sustained-release tablet formulated to support steady blood flow and oxygen delivery to the heart. It is commonly recommended for patients experiencing angina pectoris, a condition where the heart temporarily receives less oxygen due to narrowed or constricted blood vessels. By relaxing and widening blood vessels, Nitrolong helps maintain consistent circulation and reduces episodes of chest discomfort when used as part of a doctor-guided heart health plan. Its slow-release formulation ensures gradual absorption, offering long-lasting effects throughout the day. 

This medicine is ideal for adults who require ongoing support for heart circulation. Nitrolong is not recommended for children unless advised by a paediatrician. Elderly patients and those with kidney or liver conditions should use it with caution and under close medical supervision. The tablet should be taken exactly as prescribed, usually once or twice daily, and swallowed whole with water. Avoid crushing or chewing the tablet to maintain its sustained-release properties. Consistency in timing and adherence to the prescribed schedule helps maintain steady support for heart function.   

Precautions and safety considerations include monitoring for dizziness or lightheadedness, especially when standing up quickly. Avoid alcohol consumption, which may amplify side effects. Nitrolong should be used with caution in patients with low blood pressure, heart disease, or other vascular conditions. It is also advised to inform your doctor about all medications and supplements you are taking to prevent potential interactions. Patients should store the tablets in a cool, dry place and keep them out of reach of children.  

During pregnancy and breastfeeding, Nitrolong should be used only if recommended by a healthcare provider, with careful monitoring. Common side effects include headache, flushing, dizziness, and mild lightheadedness, which often subside as the body adjusts to the medication. Severe reactions such as fainting, unusually low blood pressure, or breathing difficulties require immediate medical attention. Following the prescribed dosage, lifestyle guidance, and routine check-ups can help patients use Nitrolong 2.6 mg safely and effectively as part of a comprehensive heart-support strategy.   

Uses Of NITROLONG 2.6MG TABLET

• It is used for management of angina pectoris due to coronary artery disease

Benefits of NITROLONG 2.6MG TABLET

Nitrolong 2.6 mg Tablet for Angina Pectoris

Nitrolong 2.6 mg Tablet contains nitroglycerin in a sustained-release form, formulated to support steady blood flow and oxygen delivery to the heart. For patients with angina pectoris a condition characterized by chest discomfort due to reduced oxygen supply to the heart muscles, Nitrolong helps by relaxing and widening blood vessels.     

The sustained-release formulation allows gradual absorption of the medicine, maintaining a stable effect throughout the day. This helps in reducing the frequency and intensity of chest discomfort episodes when used as part of a doctor-guided heart health plan.  

How NITROLONG 2.6MG TABLET Works

Mechanism of Action of Nitrolong 2.6 mg Tablet

Nitrolong 2.6 mg Tablet contains nitroglycerin, a compound that supports heart function by relaxing and widening blood vessels. When the tablet is absorbed into the body, it gradually releases nitroglycerin into the bloodstream. This leads to the production of nitric oxide, a natural molecule that signals the smooth muscles of blood vessels to relax. 

As the blood vessels widen, it allows improved blood flow and oxygen delivery to the heart muscles, which can help reduce the strain on the heart. The sustained-release formulation ensures a gradual and steady effect, maintaining stable support throughout the day rather than causing rapid changes in blood flow.

This action helps in supporting heart health and managing symptoms associated with conditions like angina pectoris. It is important to follow your doctor’s dosing instructions to maintain consistent effectiveness and avoid sudden drops in blood pressure.

How to use NITROLONG 2.6MG TABLET

How to Take Nitrolong 2.6 mg Tablet

• Take the tablet exactly as prescribed by your doctor.
• Swallow the tablet whole with a glass of water; do not crush, chew, or break it.
• Take the medicine at the same time each day to maintain steady blood levels.
• If you feel dizzy or lightheaded, sit or lie down before standing.
• Avoid sudden changes in posture immediately after taking the tablet.
• Do not adjust the dose or frequency without consulting your doctor.
• Store in a cool, dry place away from sunlight and moisture.

What if I forgot to take NITROLONG 2.6MG TABLET

• If you miss a dose, take it as soon as you remember unless it is almost time for your next scheduled dose.
  Do not take two doses at the same time to make up for a missed one, as this may increase the risk of side effects such as dizziness or low blood pressure.
• Maintain your regular dosing schedule to ensure steady effects of the medicine.
  Using reminders, alarms, or a medication chart can help prevent missed doses.
• If you are unsure about what to do after missing a dose, consult your doctor or pharmacist for guidance.

Overdose

If you or someone else has taken more than the recommended dose of Nitrolong 2.6 mg Tablet, contact your doctor immediately or go to the nearest hospital for assistance. Signs of overdose may include: nausea, low blood pressure, restlessness, dizziness or fainting, bluish discoloration of the skin, presence of methaemoglobin in the blood, difficulty in breathing, reduced oxygen levels in the body, slow heartbeat, or confusion. Seek prompt medical care to ensure proper management and safety.

Side Effects Of NITROLONG 2.6MG TABLET

Common side effects of Nitrolong 2.6mg tablet:

• throbbing headache
• spinning sensation
• fall in blood pressure when seated or standing up
• dizziness, drowsiness
• lack of energy

When to Seek Medical Attention?

Stop taking Nitrolong 2.6mg tablet and contact your doctor immediately if you experience any of the following side effects:

• worsening of angina symptoms, chest pain
• signs of hypoxaemia (low levels of oxygen in blood) (difficulty breathing, increased rate of breathing)
• signs of methemoglobinemia (breathing problems, tiredness, headache)
• difficulty breathing, bluish discolouration of the lips, fingers or toes (cyanosis)
• rapid or slowed heartbeat
• blindness in one eye
• cerebral ischaemia (impaired blood flow to brain) which may cause weakness in one leg or arm, or weakness in one entire side of the body
• difficulty speaking, slurred speech
• loss of coordination, loss of consciousness
• allergic skin reactions

How To Manage Side Effects

Dizziness Or Drowsiness

• Sit or Lie Down: If you feel dizzy, sit down, or lie down immediately to reduce falling. Keep your head still and close your eyes if needed.
• Hydrate: Dehydration can cause dizziness, so drink water or electrolyte-replenishing drinks like sports drinks.
• Avoid Sudden Movements: When standing or sitting, do so slowly to avoid triggering dizziness. Take your time when getting up.
• Eat Small, Regular Meals: Low blood sugar can cause dizziness, so eat small meals throughout the day and avoid skipping meals.
• Fresh Air: Sometimes dizziness can be alleviated by taking slow, deep breaths in a well-ventilated area. 

Warning & Precautions

Pregnancy

Use with Caution

Nitrolong 2.6 mg Tablet should be used carefully in pregnant women. Always consult your doctor before use to ensure safety for both mother and baby.    

Breastfeeding

Use with Caution

Caution is advised when taking Nitrolong 2.6 mg Tablet while breastfeeding. Speak to your healthcare provider before use. 

Driving and Using Machines

Use with Caution

Do not drive or operate machinery if you experience dizziness or lightheadedness after taking Nitrolong 2.6 mg Tablet.

Alcohol

Contraindicated

Avoid alcohol consumption while taking Nitrolong 2.6 mg Tablet, as it may amplify certain effects of the medicine.

Kidney

Use with Caution

Patients with severe kidney problems should use Nitrolong 2.6 mg Tablet cautiously. Consult your doctor before starting the medicine.

Liver

Use with Caution

Caution is advised for patients with severe liver disease. Always check with your healthcare provider before use.

Allergy

Contraindicated

Do not take Nitrolong 2.6 mg Tablet if you are allergic to nitroglycerin or any other component of the tablet.

Heart Disease

Consult your doctor

Nitrolong 2.6 mg Tablet is not recommended for patients with certain heart conditions, such as hypertrophic obstructive cardiomyopathy (thickened heart muscles). Caution is also advised in patients with a recent heart attack, heart valve narrowing, heart inflammation, heart failure, or fluid around the heart. Always consult your doctor before use.

Use In Pediatrics

Contraindicated

Nitrolong 2.6 mg Tablet is not recommended for children. Always consult a paediatrician before giving this medicine to a child.

Use In Geriatrics

Use with Caution

Elderly patients should use Nitrolong 2.6 mg Tablet with caution. Discuss with your doctor before use to ensure safe administration. 

Other Warnings for NITROLONG 2.6MG TABLET

Before using Nitrolong 2.6 mg Tablet, inform your doctor if you have:

• Underactive thyroid
• Low body temperature
• Malnutrition or digestive issues
• Severely low oxygen levels in the blood
• Low blood pressure or blood volume
• Conditions that reduce blood flow to the heart
• Cerebrovascular disease (affecting brain blood vessels)

Who should not take NITROLONG 2.6MG TABLET

Nitrolong 2.6 mg Tablet is generally not recommended if you have:

• Anaemia
• Raised pressure in the head (including injury-related)
• Brain bleeding or severe headaches behind the eyes
• High eye pressure

Safety Advice

• Avoid Sudden Position Changes: Standing up too quickly after taking Nitrolong 2.6 mg may cause dizziness or lightheadedness. Rise slowly from sitting or lying positions to prevent falls or fainting.
• Check Blood Pressure Regularly: If you have blood pressure concerns, monitor your levels as advised by your healthcare provider. Report unusual drops in blood pressure or persistent dizziness.
• Medicine Storage Tips: Keep tablets in the original blister pack to protect from moisture and light. Avoid storing in bathrooms or humid areas to maintain potency.
• Avoid Self-Medication: Do not combine Nitrolong 2.6 mg with other nitrate-containing products or heart medications without consulting your doctor. Inform your doctor about all supplements or herbal products you are taking.
• Travel Precautions: When traveling, carry the medicine in its original packaging and keep it easily accessible. If you are traveling across time zones, consult your doctor for proper dosing adjustments.
• Emergency Awareness:  Seek medical advice immediately if you experience severe dizziness, fainting, chest pain, or any unexpected reactions. Keep emergency contact information handy, especially if you have heart-related conditions.

Diet and Lifestyle Advice

• Balanced Nutrition: Include a variety of fruits, vegetables, whole grains, and lean proteins in your diet. Adequate nutrition supports overall heart function and helps the body respond consistently to medications like Nitrolong 2.6 mg.
• Hydration: Maintain sufficient fluid intake unless restricted by your doctor. Proper hydration can reduce the risk of dizziness or lightheadedness sometimes associated with Nitrolong.
• Moderate Physical Activity: Engage in light to moderate activities such as walking, stretching, or yoga, as advised by your doctor. Avoid sudden, strenuous exercise that may increase fatigue or dizziness.
• Avoid Alcohol and Smoking: Alcohol may amplify certain effects of Nitrolong 2.6 mg and is best avoided during use. Smoking may affect blood circulation and reduce the overall efficiency of heart-supporting medications.
• Stress Management: Practice stress-reducing techniques such as meditation, deep breathing exercises, or gentle hobbies. Managing stress can help support heart health and general well-being.
• Regular Medical Check-ups: Keep routine appointments with your healthcare provider to monitor your heart and overall health. Share updates about diet, lifestyle, and any symptoms you experience while taking Nitrolong.
• Consistent Routine: Take Nitrolong 2.6 mg at the same time each day as directed by your doctor. Pairing the medicine with a consistent daily routine, including meals and activity, may improve safety and comfort.
• Weight Management: Maintain a healthy body weight as advised by your doctor. Balanced nutrition and regular physical activity can support overall cardiovascular wellness.

1. Nitrolong 2.6 mg Tablet and regular nitroglycerin

2. Nitrolong 2.6 mg Tablet and Isosorbide Mononitrate

Interactions

Drug - Drug interaction

1. PDE5 Inhibitors (e.g., Sildenafil, Tadalafil, Vardenafil)

Interaction: Combining Nitrolong with PDE5 inhibitors may cause a significant drop in blood pressure, leading to dizziness, fainting, or lightheadedness.
Management: Avoid using Nitrolong 2.6 mg Tablet within at least 24–48 hours of PDE5 inhibitor use. Always consult your doctor before combining these medications.

2. Other Nitrates (e.g., Isosorbide Mononitrate, Nitromed)

Interaction: Using Nitrolong with other nitrate-containing medications may increase the risk of severe low blood pressure.
Management: Do not combine multiple nitrate products unless specifically advised by your doctor. Your healthcare provider may adjust the dose or recommend alternative medications.

3. Blood Pressure-Lowering Medications (e.g., Beta-blockers, Calcium Channel Blockers, ACE Inhibitors)

Interaction: Nitrolong may enhance the blood pressure-lowering effect of these medicines, increasing the risk of dizziness or fainting.
Management: Monitor blood pressure regularly and report unusual symptoms. Your doctor may adjust doses to maintain safe blood pressure levels.

4. Antihypertensive or Diuretic Combinations

Interaction: Combining Nitrolong with other heart or kidney medications may result in excessive blood pressure reduction or dehydration.
Management: Regular monitoring of blood pressure and kidney function is advised. Adjust doses only under medical supervision.

5. Medications Affecting Heart Rate (e.g., Digoxin, Antiarrhythmics)

Interaction: Nitrolong may interact with certain heart rhythm medications, potentially causing changes in heart rate or rhythm.
Management: Inform your doctor if you take heart medications. Your doctor may recommend monitoring or adjusting doses as needed.

Drug - Food interaction

1. Grapefruit and Grapefruit Juice

Interaction: Grapefruit can sometimes affect how certain medicines are metabolized in the liver. While Nitrolong is minimally affected, caution is advised when combined with other heart or blood pressure medications.
Management: Avoid excessive grapefruit intake unless your doctor confirms it is safe. Maintain a consistent diet to avoid fluctuations in medicine effectiveness.

2. High-Salt Foods

Interaction: High-salt diets may affect blood pressure and reduce the overall effectiveness of Nitrolong in supporting heart function.
Management: Limit salt intake as recommended by your doctor or dietitian. Opt for a balanced diet rich in fruits, vegetables, and whole grains.

3. Caffeine (Tea, Coffee, Energy Drinks)

Interaction: Excessive caffeine may increase heart rate and temporarily raise blood pressure, which could counteract some effects of Nitrolong.
Management: Moderate caffeine intake and monitor your body’s response. Discuss with your doctor if you consume caffeine regularly.

4. Herbal Supplements (e.g., Ginseng, St. John’s Wort)

Interaction: Certain herbal supplements may affect blood pressure or circulation, potentially altering Nitrolong’s effect.
Management: Inform your doctor about all herbal products. Avoid starting new supplements without professional guidance.

Synopsis

More Information

• Keep Nitrolong 2.6mg tablet out of reach in children
• Store Nitrolong 2.6mg tablet at room temperature below 25°C

FAQs About NITROLONG 2.6MG TABLET

References

1. KD. Tripathi. Antianginal and Other Anti-ischaemic Drugs. Essentials of medical pharmacology. Eighth edition. 2019. Page – 588, 589.

2. Panel Donald, P.PageN, Aubrey Carson Clarence, A.Buhr, Paul E.Flinn, Clyde E, Wells Margaret, T.Randall. Stability Study of Nitroglycerin Sublingual Tablets. Science Direct. January 2016. [Accessed on 14th October 2025]

3. T Winsor, H J Berger. Oral nitroglycerin as a prophylactic antianginal drug: clinical, physiologic, and statistical evidence of efficacy based on a three-phase experimental design. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. November 1975. [Accessed on 14th October 2025]

4. W Schneider, M Kaltenbach, B Stahl, W D Bussmann. Anti-anginal efficacy of oral nitroglycerin. A clinical double-blind study with dose-effect relationships. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. August 1984. [Accessed on 14th October 2025]

5. Kyle H. Kim, Connor C. Kerndt, Ghufran Adnan, Derek J. Schaller. Statpearls. Nitroglycerin. NIH National Library of Medicine, National center for biotechnology information. November 202. [Accessed on 14th October 2025]

6. Accord. Electronic Medicines Compendium (EMC); [Revised on October 2019] [Accessed on 14th October 2025]

7. Torrent Pharmaceuticals Ltd. Vasovin XL (Nitroglycerine). [Revised in February 2022]. [Accessed on 14th October 2025]

8. Leeford Healthcare. Caditril 6.4 (Nitroglycerine). [Accessed on 14th October 2025]

9. Leeford Healthcare. Caditril 2.6 (Nitroglycerine). [Accessed on 14th October 2025]

Useful Diagnostic Tests

• ECG (electrocardiogram)
• Kidney Function Tests
• Liver Function Tests

Author Details

Written By Dr. Karthikeyan Rajagopal - M.Pharm (Pharmacology)

Reviewed For Accuracy By Dr. Thamada Manikanta Praveen - MBBS, MD (General Medicine)

Last updated on 14 Oct 2025 | 01:35 PM(IST)