Amyl Nitrite

Table of contents

  • Brand Names
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Genes that may be involved
  • Substrate of
  • Drug Interactions
  • Nutrition/Nutraceutical Interactions
  • Dosage
  • Special Considerations

Brand Names

Europe

Czech Republic: Amyl Nitrite.

Drug combinations

Chemistry

Amyl Nitrite: C~5~H~11~NO~2~. Mw: 117.15. A mixture of nitrous acid, 2-methylbutyl ester, and nitrous acid, 3-methylbutyl ester. CAS-110-46-3; CAS-8017-89-8 (mixture).

Pharmacologic Category

Vasodilating Agents; Nitrates and Nitrites. Antidote. (ATC-Code: V03AB22).

Mechanism of action

Relaxes vascular smooth muscle. Decreases venous ratios and arterial blood pressure. Reduces left ventricular work. Decreases myocardial O~2~ consumption. In cyanide poisoning, amyl nitrite converts hemoglobin to methemoglobin that binds with cyanide to form cyanate hemoglobin.

Therapeutic use

Coronary vasodilator in angina pectoris. Adjunct in treatment of cyanide poisoning. Changes in intensity of heart murmurs. Recreational drug during intercourse.

Pregnancy and lactiation implications

Contraindicated during pregnancy. Not recommended during lactation.

Unlabeled use

Contraindications

Hypersensitivity to nitrates. Severe anemia. Head injury. Angle-closure glaucoma. Postural hypotension. Head trauma or cerebral hemorrhage. Pregnancy.

Warnings and precautions

Use with caution in coronary artery disease, in hypotension or in increased intracranial pressure.

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