Percutol Glyceryl Trinitrate 2% Ointment
Percutol Ointment is used to prevent angina pectoris, the chest pain caused by not enough blood getting to the heart. It contains the active ingredient glyceryl trinitrate, a vasodilator that widens blood vessels to allow blood to flow through more easily. This means that the heart gets more blood and also does not need to work so hard to keep the blood flowing.
Always take Percutol Ointment exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.Adults and the elderly:
- The usual dose is 1 to 2 inches squeezed from the tube. This dose may be repeated every 3 to 4 hours as needed
- Half an inch of ointment should be applied on the first day, increasing by half an inch per day until headache occurs
- This dose is then reduced by half an inch.
- If several applications per day are needed, the dose may be reduced
- The ointment may be measured and applied using the paper 'Applirules' enclosed in the carton
- After squeezing the required length of ointment onto the 'Applirule' it should be pressed on to the chest, thigh, or arm until the ointment is spread in a thin layer under the paper
- The ointment should not be rubbed in
- The 'Applirule' may be kept in place with surgical tape
- Active Ingredient: Glyceryl trinitrate 2%.
- Other Ingredients: Lanolin, purified water, white petroleum and lactose.
- Do not use Percutol Ointment while pregnant or while breastfeeding unless your doctor tells you to.
- Percutol Ointment may cause dizziness. If this happens you should not drive or use machines.
- You should wait until the effects of the treatment are known before driving or using any machines.
- Percutol Ointment contains lanolin. Lanolin may cause local skin reactions (e.g. contact dermatitis)
- Are allergic (hypersensitive) to glyceryl trinitrate, other nitrates (similar drugs) or any of the other ingredients of Percutol Ointment.
- Are taking medicines for failure to achieve an erection such as Viagra (sildenafil), Levitra (vardenafil), Cialis (tadalafil) or Caverject (alprostadil).
- Have severe anaemia (a low red blood cell count).
- Have ever had a serious head injury or have raised intra cranial pressure (an increased pressure in the skull).
- If you have cerebrovascular disease (previous stroke or transient ischaemic attack - TIA).
- If you have toxic pulmonary oedema (increased pressure in blood vessels supplying blood to the lungs).
- Have problems with any of your heart valves.
- Suffer from inflammation of the heart lining.
- Suffer from increased fluid around the heart.
- Suffer from a heart condition called hypertrophic obstructive cardiomyopathy.
- Have low blood pressure or low blood volume.
- Have an acute angina attack.
- If you have Glaucoma, check with your doctor that it is safe to use.
- If you have recently had alcohol (effect of Percutol Ointment may be increased).
- When standing up suddenly, as you may get dizzy (especially if you are elderly).
- If you suffer from hypoxaemia (insufficient oxygen in your blood).
- If you have an underactive thyroid gland.
- If you suffer from malnutrition.
- If you have hypothermia (a very low body temperature).
- If you have any diseases of the lungs, liver or kidneys.
- If you have recently had a heart attack or you suffer from heart failure.
- Medicines used to treat erectile problems such as Viagra (sildenafil), Levitra (vardenafil), Cialis (tadalafil) or Caverject (alprostadil).
- Medicines used to treat angina, heart failure or an irregular heart beat.
- Alpha blockers (a type of medicine used to treat high blood pressure and also to relieve the symptoms of an enlarged prostate).
- Other medicines used to treat high blood pressure such as beta blockers, ACE inhibitors, calcium channel blockers, angiotensin 2 receptor antagonists, clonidine, or other vasodilators (medicines that relax the blood vessels, e.g. hydralazine, moxonidine, sodium nitroprusside, diazoxide).
- Muscle relaxants (baclofen, tizanidine).
- Medicines used for diseases affecting the brain and central nervous system including anxiety and depression, migraine, epilepsy and Parkinson's disease.
- Aldesleukin (a medicine used for certain cancers).
- Moxisylyte (a medicine used for Reynaud's disease).
- Diuretics (water tablets).
- Medicines used to treat pain and inflammation (e.g. aspirin, non-steroidal anti-inflammatory drugs, corticosteroids).
- Certain hormones used in hormone replacement therapy and for contraception ('The Pill').