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Overview

G3N 6.4 MG Tablet

Manufacturer: Emcure Pharmaceuticals Ltd
Medicine composition: Glyceryl Trinitrate
Prescription vs.OTC: Prescription by Doctor required

G3N 6.4 MG Tablet is a kind of nitrate that is mainly prescribed for chest pains such as angina. Also known as Nitroglycerin, it came into medical use in 1878. It is used to cure heart failure, high blood pressure, relief from chronic anal fissures and control of blood flow during the course of an operation. This is available as a tablet, spray, ointment and as an injection. G3N 6.4 MG Tablet helps to widen your blood vessels allowing the increasing flow of blood to your heart muscle.

Side effects of using G3N 6.4 MG Tablet include headaches, dizziness, low blood pressure, nausea, diarrhea, lightheadedness, irregular or fast heartbeat, stomach pain, restlessness, anxiety, sweating. Serious allergic reactions are trouble breathing, skin rashes or swelling. In case you develop any of the allergic reactions notify your health care provider.

Certain precautions that you should ensure before taking this medication include informing you doctor of the following conditions:

  • If you are pregnant or are planning to become pregnant.
  • If you are breastfeeding a baby.
  • If you have a case of low blood pressure.
  • If you have low levels of blood or low levels of oxygen.
  • If you have glaucoma.
  • If you are allergic to any medicine.
  • If you have had a recent heart attack.
  • If you have haemorrhoids.
  • If you have migraines or frequent headache problems.
  • If you have a liver or a kidney problem.

The dosage for G3N 6.4 MG Tablet depends on your gender, height, weight, medical history and overall health. The tablet or the spray is prescribed for short-term issues and has to be taken sublingually. Each tablet is about 500 micrograms of G3N 6.4 MG Tablet. The ointment should be applied within a gap of three to four hours. In case of extreme illness from taking this medicine inform your physician immediately. G3N 6.4 MG Tablet should be stored in a cool and dry place, out of the reach of children. It can be stored up to eight weeks after which it is recommended that you get a fresh batch.

Angina pectoris
This medicine is used for the prevention and treatment of chest pain caused due to reduced blood and oxygen flow to the heart. Angina may be stable (happens after exertion and is short lasting) or unstable (happens in an unpredicted manner and is more severe and long lasting)
Hypertension during surgeries
This medicine is used to control increased blood pressure while a major surgical procedure is performed on a patient.
Chronic anal fissures
This medicine is also used rectally to relieve pain caused due to anal fissures or tears on the wall of the rectum.
This medicine is not recommended for use if you have a known history of allergy to glyceryl trinitrate or any nitrate-containing medicines.
This medicine is not recommended for use if you have anemia or low levels of hemoglobin in the blood.
This medicine is not recommended for use if you have an eye condition called closed angle glaucoma.
Obstructive heart disease
This medicine is not recommended for use if you have a condition where the blood vessels in the heart have blockage due to swelling or narrowing.
Head trauma/ Increased intracranial pressure
This medicine is not recommended for use in patients having a severe head injury or the pressure in the brain is elevated.
Medicine for erectile dysfunction
This medicine is not recommended for use if you are taking medicines for the treatment of erectile dysfunction. One of the most commonly used medicines for this condition is viagra (sildenafil),
Heparin
This medicine is not recommended for use if you are being given Heparin for correcting any blood clotting disorder.
In addition to its intended effect, G3N 6.4 MG Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Difficulty in breathing Major Rare
Dizziness and fainting Major Less Common
Swelling of the eyes, ears, and inside of nose Major Less Common
Nausea and Vomiting Minor Less Common
Headache Minor Common
Coma Major Rare
Seizures Major Rare
Change in heart rate Major Rare
Excessive sweating Moderate Less Common
Flushing Moderate Less Common
Severe chest pain Major Less Common
Blurred vision Moderate Less Common
Pale and clammy skin Moderate Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 12 hours upon oral administration. This time duration is subject to variations depending on the route of administration.
What is the onset of action?
The effect of this medicine can be observed within an hour of oral administration. However, this time is subject to vary depending on the route of administration. The effect of this medicine can be observed within minutes of intravenous administration and takes about 30-60 when administered topically.
Are there any pregnancy warnings?
The use of this medicine by pregnant women is not recommended unless necessary and the benefits outweigh the risks involved with use. Consult your doctor before using this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
The use of this medicine is not recommended by breastfeeding women unless necessary. Consult your doctor before using this medicine.
Below is the list of medicines, which have the same composition, strength and form as G3N 6.4 MG Tablet, and hence can be used as its substitute.
Abbott Healthcare Pvt. Ltd
Intas Pharmaceuticals Ltd
Mankind Pharmaceuticals Ltd
Wockhardt Ltd
Missed Dose instructions
Contact your doctor immediately if you miss a scheduled dose of this medicine.
Overdose instructions
Contact your doctor immediately if an overdose with this medicine is suspected. Symptoms of an overdose may include headache, confusion, fever, change in the heart beat, nausea, vomiting etc.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Acute myocardial infarction Major
This medicine should be used with extreme caution in patients suffering from a heart attack or heart failure. The use should be preceded by suitable clinical examinations to ensure safe and effective use.
Anemia Major
This medicine should be used with caution in patients suffering from anemia as the risk of adverse effects are significantly high. Appropriate dose adjustment and safety monitoring must be done in such cases.
Hypotension Major
This medicine should be used with extreme caution in patients who have low blood pressure. The risk of further lowering of blood pressure and associated adverse effects are significantly high.
Interaction with Alcohol
Ethanol Minor
Avoid the use of alcohol while taking this medicine.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Amitriptyline Moderate
Use of this medicine along with amitriptyline may cause some serious side effects and hence should be used with caution. Contact your doctor if you experience a headache, dizziness, fainting or change in heart rate while using these medicines together.
Amlodipine Moderate
Report the use of amlodipine or any other medicine taken for lowering the blood pressure to the doctor. You may need a dose adjustment and more frequent monitoring of blood pressure levels while using these medicines together.
Prilocaine Major
Use of this medicine with prilocaine may cause severe adverse effects. Hence they should not be used together. Your doctor may determine the best course of treatment in such cases. Do not stop the use of any medicine without consulting your doctor.
Sildenafil Major
Use of this medicine with sildenafil or any other medicine used for erectile dysfunction is not recommended. The risk of rapid fall in blood pressure and associated complications are significantly high when these medicines are taken together.
Riociguat Major
Use of this medicine in combination with riociguat is not recommended as the risk of adverse effects are significantly high while using them together. Report any incidence of a rapid fall in blood pressure, fainting, flushing to the doctor immediately.
Dihydroergotamine Moderate
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring to safely use these medicines together.
Heparin Moderate
Report the use of either of the medicine to the doctor. You may need an adjusted dose of heparin and clinical monitoring to safely use these medicines together. Any sign and symptom indicative of a blood clot like chest pain, difficulty in breathing, sudden loss of vision, pain and swelling in the extremities should be reported to the doctor immediately.

Popular Questions & Answers

It's been two months with eczema still not cured. Have consulted a doctor he prescribed cetcip tablet tenovate gn cream and candiforce 200. Had this for two months regularly still it comes up again.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take brimstone 0 / 2 three times a day for two weeks. Revert back after two weeks with feedback.
1 person found this helpful

I have acne scars on my lower face. please suggest some good acne scar removal cream, now a days m using tenovate gn, is it safe? I have sensitive skin.

MD - Dermatology, Venereology & Leprosy, MBBS Bachelor of Medicine and Bachelor of Surgery
Dermatologist, Pune
I have acne scars on my lower face. please suggest some good acne scar removal cream, now a days m using tenovate gn,...
Do not use tenovate, lots of side effect .go for micronnedling + fractional co2 laser. Cream alone do not work ,they work with laser treatment.
1 person found this helpful

I m 18 years old and I had clear skin but after pox there r pimples cmg on my face which r nt normal ines it has pus filled in it there those poky poky ones I have tried everything but there nt gng and the ones which have gn habe left scars how to get rid of these scars.

MD - Homeopathy
Homeopath, Pune
I m 18 years old and I had clear skin but after pox there r pimples cmg on my face which r nt normal ines it has pus ...
Pimples can appear because of hormonal imbalance, aslo because of altered bowel habbits. Drink min 3-4 litres of water, avoid eating oily, spicy food.
1 person found this helpful

I have undergone CABG on 5-2-2016. How long I take medicines. Sill I am taking Clopitab 150, Aztor 40, Prolomet 50, K Cor 5, G3N 2.6, T RolesD, M strong. Pl explain?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
I have undergone CABG on 5-2-2016. How long I take medicines. Sill I am taking Clopitab 150, Aztor 40, Prolomet 50, K...
You will need to continue medications as per the advise of your cardiologist. Just having CABG doesn't mean blockages cannot recur or appear in new places, so medicines are important. Please follow the advise of your doctor.
1 person found this helpful

I'm suffering with acne (i assume its acne) and a lot of pus (white/yellowish discharge) formed near chin and left cheek area and that area got swollen along with pain, is there chemical/natural medication available to quickly remove all the pus and pain quickly? Just bought Tenovate GN to use. Thanks.

International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
I'm suffering with acne (i assume its acne) and a lot of pus (white/yellowish discharge) formed near chin and left ch...
Tak hepar sulp200 once day for 4 days sulp 12c lyco 12c phos 12c ant cud 12c all 3tims a day for 10 days sil 30 one dose day for 10 day saundary caream inform me progres.

Popular Health Tips

Chronic Nephritis - How To Cope With It?

DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
Chronic Nephritis - How To Cope With It?

Chronic nephritis is a type of Glomerulonephritis (GN). In this condition, irritation takes place in the Glomeruli, which are parts in your kidneys comprising tiny blood vessels. These knots of vessels filter your blood and remove excess fluids from the body. In case your glomeruli are harmed, your kidneys will quit working properly and you can suffer from kidney failure. It is a very serious illness that can be life threatening and requires immediate medical intervention.

The condition is also called nephritis. There can be both acute and chronic nephritis. The chronic type of GN can take several years to develop with almost no obvious symptoms. This can cause irreversible harm to your kidneys and also prompt complete kidney failure.

Causes and risks:
A hereditary condition can once in a while cause chronic nephritis. It happens in young men with poor vision and poor hearing. Persistent and untreated conditions may also bring about chronic nephritis. A history of cancer in the family may likewise put you at danger. Having acute nephritis may make you more prone to build up chronic nephritis later on. Being exposed to some hydrocarbon solvents may build the danger of chronic nephritis. Chronic nephritis does not generally have a clear-cut cause. About 25% of individuals with this condition have no history of kidney diseases.

Symptoms:
A few symptoms of chronic nephritis include:

  1. Blood or abundance protein in your urine
  2. Hypertension
  3. Swelling in lower legs
  4. Continuous urination during evenings
  5. Bubbly or frothy urine (from abundance protein)
  6. Stomach pain
  7. Continuous nosebleeds


Treatment:
Depending upon the symptoms of the problem, the treatment might be distinctive. Some of the ways it can be dealt with are:

  • Controlling hypertension, particularly if that is the hidden cause for the problem. Circulatory strain might be difficult to control when your kidneys are not working properly. If so, your specialist may prescribe pulse medicines, including angiotensin-changing over catalyst inhibitors. Some of these medicines include Captopril, Lisinopril and Perindopril.
  • Your specialist may likewise recommend angiotensin receptor blockers (ARBs). Some of these may include Losartan, Irbesartan and Valsartan.
  • Another technique to reduce immune-triggered aggravation is plasmapheresis. This procedure expels the liquid part of the blood (plasma) and replaces it with intravenous (IV) liquids or donated plasma (without any antibodies).

For chronic GN, you will have to decrease the level of protein, salt and potassium in your diet. Also, you should observe the amount of fluid you drink. Calcium supplements might be suggested and you may need to take diuretics to lessen swelling. Not surprisingly, check with your general physician or kidney specialist for rules about dietary restrictions or food. In case your condition worsens and causes kidney failure, you may need dialysis. This is a technique where a machine filters your blood. In the end, you may require a kidney transplant. If you wish to discuss about any specific problem, you can consult a Nephrologist.

2088 people found this helpful

Complications and Treatment of Endometriosis

MS, MBBS
Gynaecologist, Noida
Complications and Treatment of Endometriosis

An often painful condition usually involving the bowel, ovaries or the tissue lining the pelvis, endometriosis is characterized by the abnormal growth of the endometrial tissue beyond the premises of your uterus or your pelvic region. The endometrium, in fact, functions perfectly normal with each menstrual cycle, but because of it being displaced, it cannot exit the body and consequently gets trapped.

Besides causing severe pain and distress, endometriosis can also adversely affect fertility. When the ovaries get involved, certain cysts known as endometriomas tend to develop which often result in the formation of scar tissues and adhesions.

Complications associated with it

  1. Infertility: Impaired fertility is the most common kind of complication arising from endometriosis, with approximately one-third to one-half women having problems with pregnancy. During endometriosis, the fallopian tube gets obstructed, thereby restricting the union of the egg and sperm.
  2. Ovarian cancer: Women with endometriosis are more likely to suffer from ovarian cancer. Moreover, they are also more susceptible to acquiring endometriosis related adenocarcinoma, which is another variant of cancer, but a comparatively rarer phenomenon.

How best to treat it?

Depending upon how severe your symptoms are, endometriosis can be treated via the use of medications or through the advent of surgery.

  1. Pain medications: Certain medications, including pain relievers and anti-inflammatory drugs, are particularly useful in providing relief to painful menstrual cramps.
  2. Hormone therapy: Undergoing hormonal therapy can help ward off or reduce the pain of endometriosis, but it should be kept in mind that it is only a temporary fix and that symptoms might reoccur. Hormonal therapies include:
  3. Conservative surgery: This can either be done through laparoscopy or, in more extensive cases, through traditional abdominal surgery.
  4. Assisted reproductive techniques: These include in-vitro fertilization, and are sometimes more preferable over conservative surgery.
  5. Hysterectomy: This is usually done in more severe cases of endometriosis whereby ovaries are also removed with uterus and cervix
2905 people found this helpful

Management of Endometriosis

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Management of Endometriosis

When tissues that usually grow inside the uterus, start growing outside the organ, it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, extreme bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

  1. Age
  2. Severity of symptoms
  3. Severity of the disease
  4. Future plans for children

Depending on these the doctor might opt for any of the following treatments

  1. Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
  2. Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
    • Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
    • Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug. 
    • Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation. 
    • Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
  3. Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery. 
  4. Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
2687 people found this helpful

Endometriosis - 4 Reasons Behind it!

MRCOG, MD -gynaecology, obstretition, MBBS
Gynaecologist, Ghaziabad
Endometriosis - 4 Reasons Behind it!

The abnormal growth of the endometrium tissue outside the uterus is known as endometriosis. Ideally, the abnormal tissue is supposed to break down and exit the body. However, in this condition, the tissue is unable to pass out of the body. As a result, the surrounding tissue tends to get irritated and leads to the formation of scar tissues.

The various causes of endometriosis include:

  1. Immune system disorder: Complications in the immune system might render it incapable of destroying the endometrial tissue that grows outside the uterus.
  2. Surgical scar implantation: Certain surgeries such as a C-section may result in the attachment of endometrial cells to the incision area.
  3. Embryonic cell transport: These cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
  4. Retrograde menstruation: Instead of passing out of the body, under this condition, the blood flows back into the pelvic region via the fallopian tubes. When these cells attach themselves to the pelvic cavity, it causes endometriosis.

Symptoms
1. Pain during sexual intercourse
2. Pain during periods including pelvic pain, especially during periods, lower back pain and abdominal pain.
3. Excessive bleeding during periods
4. Fatigue
5. Constipation
6. Bloating

The major complication that results is fertility problems. Endometriosis may prevent the combination of the egg and the sperm and thus, impairs your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder also tends to increase the risk of ovarian cancer in some women.

How can it be treated?

Endometriosis is usually done using surgery or medications. 

  1. Medication: It usually involves painkillers.
  2. Hormone therapy: Some of the hormonal therapies include:
    1. Hormonal contraceptives
    2. Progestin therapy
    3. Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
  3. Conservative surgery: If a patient wants to become pregnant, surgery is done as much as possible without harming the uterus and ovaries. Suggested procedures include laparoscopy and traditional abdominal surgery.
  4. Assisted reproductive technologies: An example of this form of treatment is In Vitro Fertilization.
  5. Hysterectomy: Under severe circumstances, total hysterectomy is conducted in order to facilitate the removal of cervix and uterus. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.
2878 people found this helpful

Management of Endometriosis

FICMCH, Diploma In Laproscopic Surgery, Certified in Laparoscopy & Hysteroscopy, DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Gurgaon
Management of Endometriosis

When cells of tissues that are usually found lining the inside cavity of the uterus, start growing outside the organ, for eg over the ovaries/ fallopian tubes/ urinary bladder etc. it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, heavy bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

  1. Age
  2. Severity of symptoms
  3. Severity of the disease
  4. Future plans for children

Depending on these the doctor might opt for any of the following treatments

  1. Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
  2. Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
    • Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
    • Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug. 
    • Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation. 
    • Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
  3. Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery. 
  4. Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age. If you wish to discuss about any specific problem, you can consult a gynaecologist.
1 person found this helpful

Table of Content

About G3N 6.4 MG Tablet
When is G3N 6.4 MG Tablet prescribed?
What are the contraindications of G3N 6.4 MG Tablet?
What are the side effects of G3N 6.4 MG Tablet?
Key highlights of G3N 6.4 MG Tablet
What are the substitutes for G3N 6.4 MG Tablet?
What are the dosage instructions?
Where is the G3N 6.4 MG Tablet approved?
What are the interactions for G3N 6.4 MG Tablet?