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Indications

High Alert


Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: dyspnea, hypotension, palpitations

EENT: blurred vision, tinnitus

F and E: acidosis

GI: abdominal pain, nausea, vomiting

Local: phlebitis at IV site

Neuro: dizziness, headache, restlessness

Misc: CYANIDE TOXICITY, thiocyanate toxicity

Interactions

Drug-drug:

Availability

(Generic available)

Route/Dosage

US Brand Names

Nipride RTU, Nitropress

Action

  • Produces peripheral vasodilation by a direct action on venous and arteriolar smooth muscle.
Therapeutic effects:
  • Rapid lowering of BP.
  • Decreased cardiac preload and afterload.

Classifications

Therapeutic Classification: antihypertensives

Pharmacologic Classification: vasodilators

Pharmacokinetics

Absorption: IV administration results in complete bioavailability.

Distribution: Unknown.

Metabolism/Excretion: Rapidly metabolized in RBCs and tissues to cyanide and subsequently by the liver to thiocyanate.

Half-Life: 2 min.

Canadian Brand Names

Nipride

Time/Action Profile

(hypotensive effect)

ROUTEONSETPEAKDURATION
IVimmediaterapid1–10 min



Patient/Family Teaching

Pronunciation

nye-troe-PRUSS-ide