Angiwell 2.6mg Tablet 30'S

Introduction About ANGIWELL 2.6MG TABLET

ANGIWELL 2.6MG TABLET contains Nitroglycerine that belongs to the group of
medicines called Vasodilators. It is used for management of angina pectoris due
to coronary artery disease.

Angina is a type of chest pain which is caused by reduced blood flow to the
heart as a result of coronary artery disease. Symptoms are feeling pressure,
squeezing, heaviness, tightness or pain in the chest or a heavy weight is lying
on the chest.

Along with ANGIWELL 2.6MG TABLET your doctor may advise you to make certain
lifestyle changes such as quitting alcohol and smoking, eating a healthy diet,
manage weight and to improve your sleep pattern.

ANGIWELL 2.6MG TABLET is not recommended for use in patients having heart
diseases (hypertrophic obstructive cardiomyopathy), anaemia, raised pressure in
head, raised pressure in the eye (glaucoma), or are taking medicines to manage
erectile dysfunction (sildenafil, vardenafil, tadalafil.

ANGIWELL 2.6MG TABLET should be used with caution in patients having liver or
kidney diseases, underactive thyroid gland, low body temperature,
malnourishment, abnormally low levels of oxygen in blood, very low blood
pressure, low blood volume, disease of the blood vessels supplying the brain, or
conditions that lower blood volume in the heart.

ANGIWELL 2.6MG TABLET should be used with caution in pregnant and breast-feeding
women. Take your doctor’s advice before taking the medicine. ANGIWELL 2.6MG
TABLET is not recommended for use in children. ANGIWELL 2.6MG TABLET should be
used with caution in elderly patients.

The most common side effects of taking ANGIWELL 2.6MG TABLET are throbbing
headache, spinning sensation, dizziness, drowsiness, lack of energy. Consult
your doctor if the symptoms worsen or doesn’t improve.

Uses Of ANGIWELL 2.6MG TABLET

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

How ANGIWELL 2.6MG TABLET Works

ANGIWELL 2.6MG TABLET causes relaxation of smooth muscles within blood vessels
which leads to relaxation and widening of blood vessels. This improves blood
supply to the heart muscles. As a result, it helps to relieve chest pain and
blood pressure.

How to use ANGIWELL 2.6MG TABLET

Always use ANGIWELL 2.6MG TABLET exactly as prescribed by your doctor.

For Tablet, Capsule: Swallow ANGIWELL 2.6MG TABLET with a glass of water. Do
not crush or chew the medicine.

For Sublingual Tablet: Place ANGIWELL 2.6MG TABLET inside your mouth, below
the tongue and allow it to dissolve completely. Do not swallow or chew the
medicine.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and severity of disease condition. Continue
to take ANGIWELL 2.6MG TABLET for the stipulated duration prescribed by your
doctor to achieve better results.

Side Effects Of ANGIWELL 2.6MG TABLET

Common

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

Uncommon

• fainting
• facial flushing
• nausea, vomiting
• localised burning sensation
• tongue blistering
• circulatory collapse

Rare

• restlessness
• heartburn
• bad breath, red, itchy, or flaky skin, skin rash

Stop taking ANGIWELL 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

Nausea:

Take this medicine with or after meals. Stick to simple meals while taking this
medicine. Avoid eating rich or spicy food. Do not consume any medication by
yourself. Take your doctor’s advice if nausea doesn’t improve or worsen.

Headache:

Try to take rest and do not involve yourself in exertive activities. Rest in a
quiet and dark room. Apply a pain-relieving balm on your forehead. Take your
doctor’s advice if headache doesn’t improve.

Vomiting:

Drink clear or ice-cold drinks. Eat bland, light foods and avoid fried, oily, or
sweet foods. Avoid carbonated drinks. Take your doctor’s advice if vomiting
doesn’t improve.

Dizziness:

Lie, or sit down immediately when you feel dizzy. If you're feeling severe
episode of spinning(vertigo), lie in a dark and quite place with eyes closed.
Try to avoid vehicle driving. Take your doctor’s advice if dizziness doesn’t
improve.

Drowsiness:

Take adequate sleep. Do not involve in rigorous activities. Do not interfere
with your sleep cycle. Talk to your doctor if the drowsiness doesn’t improve.

Warning & Precautions

!### Pregnancy

ANGIWELL 2.6MG TABLET should be used with caution in pregnant women. Consult
your doctor before taking ANGIWELL 2.6MG TABLET.

!### Breastfeeding

ANGIWELL 2.6MG TABLET should be used with caution in breastfeeding women.
Consult your doctor before taking ANGIWELL 2.6MG TABLET.

!### Driving and Using Machines

Do not drive or operate any machines if you feel dizzy after taking ANGIWELL
2.6MG TABLET.

!### Alcohol

Avoid consum
it may increase some effects of the medicine.

!### Kidney

ANGIWELL 2.6MG TABLET should be taken with caution in patients with severe
kidney disease. Consult your doctor before taking it.

!### Liver

ANGIWELL 2.6MG TABLET should be used with caution in patients with severe liver
disease. Consult your doctor before taking it.

!### Allergy

Do not take ANGIWELL 2.6MG TABLET if you are allergic to Nitroglycerine or any
other components of this medicine.

!### Heart Disease

ANGIWELL 2.6MG TABLET is not recommended for use in patients having heart
diseases such as hypertrophic obstructive cardiomyopathy (thickening of heart
muscles). ANGIWELL 2.6MG TABLET should be used with caution in patients having
other heart diseases such as have had a recent heart attack, narrowing of heart
valves, inflammation of heart, heart failure or fluid build-up around the heart.
Consult your doctor before taking ANGIWELL 2.6MG TABLET.

Others

ANGIWELL 2.6MG TABLET is not recommended for use if you:

• have anaemia
• have raised pressure in head (including that caused by an accident)
• bleeding on brain (pain in eyes, changes in vision, bad headache behind the eyes)
• raised pressure in the eye

Before taking ANGIWELL 2.6MG TABLET inform your doctor if you have:

• underactive thyroid gland
• low body temperature
• malnutrition (poor nutrition due to digestion problem or imbalanced diet)
• abnormally decreased levels of oxygen in the blood
• severely low blood pressure
• low blood volume
• conditions that lower the blood volume in the heart
• cerebrovascular diseases (diseases affecting the blood vessels supplying the brain)

Use in paediatrics:

ANGIWELL 2.6MG TABLET is not recommended for use in children. Ask for the advice
of your child’s doctor before giving it to your child.

Use in geriatrics:

ANGIWELL 2.6MG TABLET should be used with caution in elderly patients. Ask for
your doctor’s advice before taking the medicine.

Interactions

A. Drug-Drug interactions:

Before taking ANGIWELL 2.6MG TABLET, inform your doctor if you are taking any of
the following medicine:

• medicines for erectile dysfunction (male impotence) (Ex. sildenafil, vardenafil, tadalafil)
• medicines used to manage paracetamol overdose (Ex. n-acetylcysteine)
• medicines for migraine (Ex. ergotamine)
• other nitrates used to manage heart diseases (Ex. isosorbide dinitrate, isosorbide mononitrate, disopyramide), high blood pressure (Ex. ramipril, atorvastatin)
• medicines used for thinning your blood and manage blood clots (Ex. warfarin)
• medicines used to manage Parkinson’s disease (Ex. apomorphine)
• medicines used to manage stomach ulcers (Ex. propantheline)
• medicines used to manage anxiety and depression (Ex. amitriptyline, isocarboxazid)

Overdosage:

If you or anyone else uses too much of ANGIWELL 2.6MG TABLET, consult your
doctor immediately or visit the nearby hospital. Symptoms of overdosage of
ANGIWELL 2.6MG TABLET may include nausea, low blood pressure, restlessness,
fainting, blue coloration of the skin, methaemoglobin in the blood, breathing
difficulties, lack of oxygen in tissues, slow heartbeat or mental illness.

Synopsis

Drug	:	Nitroglycerin (Glyceryl trinitrate)
Pharmacological Category	:	Vasodilators
Therapeutic Indication	:	Angina pectoris
Dosage Forms	:	Tablet, Capsule, Sublingual Tablet, Injection, Patch, Spray

More Information

• Keep ANGIWELL 2.6MG TABLET out of reach in children
• Store ANGIWELL 2.6MG TABLET at room temperature below 25°C

FAQs About ANGIWELL 2.6MG TABLET

Q: Why is ANGIWELL 2.6MG TABLET prescribed?

A: ANGIWELL 2.6MG TABLET is used for management of angina pectoris due to
coronary artery disease. Angina is a type of chest pain which is caused by
reduced blood flow to the heart as a result of coronary artery disease. Symptoms
are feeling pressure, squeezing, heaviness, tightness or pain in the chest or a
heavy weight is lying on the chest.

Q: Can ANGIWELL 2.6MG TABLET be used in elderly patients?

A: ANGIWELL 2.6MG TABLET should be used with caution in elderly patients. Take
the medicines sat down to reduce possible low blood pressure or fainting. Your
doctor may change the dose to suit your condition. If you notice that ANGIWELL
2.6MG TABLET is not working as well at relieving pain as they have done, contact
your doctor.

Q: How to useANGIWELL 2.6MG TABLET?

A: Always use ANGIWELL 2.6MG TABLET exactly as prescribed by your doctor.

For Tablet, Capsule: Swallow ANGIWELL 2.6MG TABLET with a glass of water. Do
not crush or chew the medicine.

For Sublingual Tablet: Place ANGIWELL 2.6MG TABLET inside your mouth, below
the tongue and allow it to dissolve completely. Do not swallow or chew the
medicine.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and severity of disease condition. Continue
to take ANGIWELL 2.6MG TABLET for the stipulated duration prescribed by your
doctor to achieve better results.

Q: Can ANGIWELL 2.6MG TABLET cause headache?

A: Yes. ANGIWELL 2.6MG TABLET can cause throbbing headache. If it happens, try
to take rest and do not involve yourself in exertive activities. Rest in a quiet
and dark room. Apply a pain-relieving balm on your forehead. Do not consume any
medication without consulting a doctor. Take your doctor’s advice if headache
doesn’t improve.

Q:Is it safe to consume alcohol while being managed with ANGIWELL 2.6MG
TABLET?

A: You are advised not to drink alcohol with ANGIWELL 2.6MG TABLET, as some of
the effects of this medicine are increased such as dizziness. If you have a
habit of drinking alcohol, take your doctor’s advice before taking ANGIWELL
2.6MG TABLET.

Q: Can ANGIWELL 2.6MG TABLET affect my ability to drive?

A: As ANGIWELL 2.6MG TABLET can cause dizziness, you should make sure you are
not affected before driving or operating machinery, especially if taken with
alcohol. Do not drive or operate any machines if you feel dizzy after taking
ANGIWELL 2.6MG TABLET. You can resume doing your activities after you feel
normal again.

Useful Diagnostic Tests

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