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Risk Factors:

Pregnancy Risk cannot be ruled out. Lactation: Caution advised or effect undetermined. Contraindications: Cardiogenic shock left ventricular failure with low pressures hypotension hypovolaemia pulmonary oedema.

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Indications:

Prophylaxis and treatment of angina.

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Adverse Effects:

Headache (especially on initiation usually transitory); cutaneous vasodilation with flushing; nausea vomiting dizziness GI upset tachycardia weakness also
reported; rarely oral ulceration myalgia and rash; at high dosage reduction in blood pressure and/or increase in heart rate; angioedema hepatic dysfunction and
anal ulceration also reported.

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Don’t Use:

Precautions: Hypovolaemia; low systolic blood pressure; acute pulmonary oedema; acute myocardial infarction with acute left ventricular failure and low filling
pressures. GGPD deficiency risk of GI and eye ulceration.