Top Nitro 5mg Transdermal Patch is a patch that you stick on your skin. It used to treat and prevent heart-related chest pain (angina). The patch contains the medicine which is released from the patch and absorbed through the skin and into the blood vessels, so blood can flow more easily to the heart. Top Nitro 5mg Transdermal Patch should be taken in the dose and duration as advised by your doctor. Follow the instructions given by your doctor before using it carefully. Read the leaflet which comes with the medicine carefully to make sure you are getting it right. You can develop tolerance to this medicine over time, which means that the same dose becomes less effective. You have to stick to a really specific dosing schedule to prevent this from happening. The most common side effect of this medicine is nausea, vomiting, and headache. There are other, rarer side effects, some of them serious. Ask your doctor and read the leaflet which comes with the medicine to make sure you are keeping safe. Do not use Top Nitro 5mg Transdermal Patch if you are taking medicines to treat high blood pressure in your lungs (pulmonary hypertension), or erectile dysfunction; or if you have anemia or glaucoma (increased pressure inside the eye). Always tell your doctor what other health conditions you have and what other medicines you are taking. It is best not to drink alcohol with this medicine as it increases some of the side effects. If you are affected by dizziness, avoid driving. If you are pregnant, thinking about becoming pregnant, or breastfeeding, ask your doctor before taking this medicine.

• Decreased blood pressure
• Dizziness
• Headache
• Increased heart rate
• Lightheadedness
• Paresthesia (tingling or pricking sensation)

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• Q. Q. Does the effect of Top Nitro 5mg Transdermal Patch wear off after sometime??
  Ans: Yes, excessive use of Top Nitro 5mg Transdermal Patch may cause tolerance which means that Top Nitro 5mg Transdermal Patch may lose its effectiveness on you. Therefore, usually the doctors prescribe the smallest dose required for effective relief of acute angina attack. This helps maintain the effectiveness of Top Nitro 5mg Transdermal Patch. While using Top Nitro 5mg Transdermal Patch patches, it is best to take it off for 8 to 12 hours of every 24 hours. This will help maintain the effectiveness of Top Nitro 5mg Transdermal Patch.
• Q. Q. What effect does Top Nitro 5mg Transdermal Patch have on blood pressure??
  Ans: Top Nitro 5mg Transdermal Patch decreases the blood pressure by relaxing the blood vessels, but is not recommended for the treatment of high blood pressure. The drop in blood pressure may cause lightheadedness, especially when changing your position suddenly.
• Q. Q. What does too much Top Nitro 5mg Transdermal Patch do??
  Ans: Excess Top Nitro 5mg Transdermal Patch may result in low blood pressure, sweating, nausea, vomiting, headache, weak and fast pulse. It may also cause weakness, lightheadedness on standing and the patient might even faint. The patient will require emergency medical treatment in such a case.
• Q. Q. Can I stop using Top Nitro 5mg Transdermal Patch as I feel better now??
  Ans: Stopping Top Nitro 5mg Transdermal Patch suddenly may bring on attacks of angina, especially if you have been using it for several weeks or more. Talk to your doctor who will advise you to reduce the dose gradually over 4 to 6 weeks before you stop using it completely.
• Q. Q. Does Top Nitro 5mg Transdermal Patch stop heart attacks??
  Ans: Top Nitro 5mg Transdermal Patch is prescribed to prevent attacks of heart-related chest pain (angina) in patients with coronary artery disease. In this disease the blood vessels (coronary arteries) which supply blood to the heart become narrowed because of which the heart has to work harder to get enough oxygen. Top Nitro 5mg Transdermal Patch prevents angina by relaxing the blood vessels so that the heart does not have to work very hard. Also, relaxation of coronary arteries increases the oxygen supply to the heart.
• Q. Q. Can I take sildenafil if I am taking Top Nitro 5mg Transdermal Patch??
  Ans: No, you should not take Top Nitro 5mg Transdermal Patch if you have taken sildenafil. Taking these two medicines together may increase the risk of excessive fall in blood pressure, which is hazardous. Maintain a gap of at least 24 hours if you have to use Top Nitro 5mg Transdermal Patch after taking sildenafil.

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