Nitroderm TTS® [Patch]


Brand NameNITRODERM TTS® [patch]
ContentsGlyceryl trinitrate


What Nitroderm TTS is used for

Nitroderm TTS is an adhesive patch that delivers a medicine called nitroglycerin through the skin and into the bloodstream.

How to apply the patch

A leaflet in the cardboard carton contains pictures showing how to apply the patch properly.

Follow these steps to apply a patch to your skin.

  1. Choose an area of skin:
         * The best place is your chest but you may use any area except below your knees or elbows.
         * Choose an area of skin that has no sores, cuts or rashes.
         * If the skin is very hairy, you can clip the hair (do not shave it) so that the patch sticks well and won't be hard to remove.
         * Use a different area of skin each day. Wait several days before using the same area again.
  2. Make sure the skin is clean, cool, dry and free from creams, lotions or oils:
         * You may need to wash the area with soap and water and dry it completely.
         * If your skin is very oily, you can use methylated spirits to clean it, then dry it completely.
         * After a shower or bath, wait a few minutes before applying the patch to make sure your skin is completely cool and dry.
         * You may use body lotion or bath oil after the patch has been applied.
  3. Open the sachet that contains the patch:
         * Tear open the sachet at the notch and remove the patch.
         * Do not use scissors because you may accidentally cut the patch and the medicine may leak out.
         * Any air bubbles on the patch are not important.
  4. Remove the protective liner from the sticky side of the patch:
         * Pick up the patch with the tab upwards and the white liner facing you.
         * Firmly bend the tab forward with your thumb.
         * Use both thumbs to peel off the protective liner, starting at the tab. Do not touch the sticky surface of the patch.
         * Throw the liner away.
  5. Apply the patch to the skin as soon as you have removed the liner:
         * Press the sticky side of the patch to the area of skin you have chosen so that the tan coloured side is showing.
         * Press the patch firmly in place with the palm of your hand for 10 to 20 seconds. The patch needs the pressure and heat of your hand to stick well.
         * Check that the patch has stuck by running your finger around the edge. Do not try to lift the edge of the patch to see if it has stuck.


Nitroderm TTS 5 patches contain 25 mg nitroglycerin and have a contact surface of 10 square cm. that releases approximately 5 mg nitroglycerin in 24 hours.

Nitroderm TTS 10 patches contain 50 mg nitroglycerin and have a contact surface of 20 square cm. that releases approximately 10 mg nitroglycerin in 24 hours.

The patches also contain:

   * lactose
   * silica oil
   * silica aerogel
   * ethylene va copolymer
   * silicon medical adhesive


Do not use Nitroderm TTS if you have any of the following medical conditions:

   * severe anaemia
   * glaucoma or raised pressure in the eye from any cause
   * increased pressure in the head from any cause (stroke, tumour, head injury)
   * disease in the valves of your heart or inflammation of your heart

If you are not sure whether any of the above medical conditions apply to you, your doctor can advise you.

Do not use Nitroderm TTS if you are taking Viagra or Levitra, medicines used for impotence in men.
If you use Viagra or Levitra together with Nitroderm TTS, your blood pressure may fall to a dangerously low level.

Do not use Nitroderm TTS after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
In that case, return it to your pharmacist.

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  • Manufactured by: NOVARTIS LIMITED

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