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compositionComposition:GLYCERYL TRINITRATE-0.5MG
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Prescription Medicine
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MYONIT INSTA TABLET is indicated in preventing attacks of angina (chest pain) and treatment of angina due to coronary artery disease. This medicine is also used to manage acute angina attacks in emergency situations and sometimes in the treatment of heart failure or high blood pressure during surgery.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

GLYCERYL TRINITRATE-0.5MG

Manufacturer/Marketer :

Troikaa Pharmaceuticals Ltd

Consume Type :

Sublingual

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About MYONIT INSTA TABLET

MYONIT INSTA TABLET is a fast-acting sublingual medicine used to treat and prevent sudden attacks of chest pain, also known as angina. It works by relaxing your blood vessels, which helps blood flow more easily to your heart. Doctors typically prescribe it to provide quick relief during an active chest pain episode or right before activities that might trigger pain.

Since this is an 'as-needed' medicine, you do not take it on a daily schedule unless your doctor explicitly instructs you to do so. You must take it by placing it under your tongue, and it does not matter if you have eaten recently because it absorbs directly into your mouth's lining rather than your stomach. Adopting a heart-healthy diet, managing your stress levels, and getting regular gentle exercise as approved by your doctor can greatly support your cardiovascular health and improve your results.

While taking MYONIT INSTA TABLET, you may notice mild side effects like a temporary headache, flushing, or brief dizziness. These symptoms usually pass quickly, but you should seek immediate medical help if you experience serious issues like fainting, a dangerously slow heart rate, or severe, worsening chest pain.

Before using this medicine, talk to your doctor if you have a history of low blood pressure, severe anaemia, or recent head injuries. Do not take this medicine if you are currently using medications for erectile dysfunction, as this combination can cause a sudden and dangerously low drop in blood pressure.

This medicine can interact with other blood pressure drugs, alcohol, and tobacco, which can lead to severe dizziness or fainting by further widening your blood vessels. If you are pregnant, planning to become pregnant, breastfeeding, or are an elderly individual, it is important to consult your doctor to ensure this treatment is safe for your specific situation.

Uses of MYONIT INSTA TABLET

MYONIT INSTA TABLET is used to treat and prevent angina. The detailed uses of MYONIT INSTA TABLET are as follows:

  • Angina pectoris (chest pain): MYONIT INSTA TABLET is used for the immediate relief of acute chest pain attacks caused by reduced blood flow to the heart muscle.
  • Prevention of angina: It is taken just before performing physical activities, such as exercise or climbing stairs, that are known to trigger chest pain episodes.

Key Benefits

MYONIT INSTA TABLET helps provide rapid relief from chest pain caused by reduced blood flow to the heart. By improving circulation and reducing the heart's workload, it helps restore comfort quickly and supports better cardiovascular function during angina episodes.

  • Provides Fast Relief from Chest Pain: Because it is absorbed quickly into the bloodstream, MYONIT INSTA TABLET begins working within minutes to help relieve chest tightness, pressure, and discomfort associated with angina attacks.
  • Improves Blood Flow to the Heart: By widening blood vessels, MYONIT INSTA TABLET helps increase the supply of oxygen-rich blood to the heart muscle. This supports improved heart function and helps reduce symptoms caused by insufficient blood flow.
  • Reduces Strain on the Heart: By lowering the workload on the heart, MYONIT INSTA TABLET helps the cardiovascular system function more efficiently during episodes of chest pain. This can help prevent symptoms from worsening and promote safer recovery and comfort.
Side effects of Myonit Insta Tablet
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Get enough sleep. Maintain a regular sleep cycle.
  • Eat a healthy diet and exercise regularly.
  • Manage stress with yoga or meditation.
  • Limit alcohol and caffeine.
  • Avoid driving or operating machinery unless you are alert.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

Directions for Use

Always follow your doctor's exact instructions when taking this medication. Use the following step-by-step guide for safe use:

  • Sit down immediately before taking your dose. This medicine can make you dizzy or lightheaded, and sitting down helps prevent falls.
  • Place the tablet or spray the prescribed dose under your tongue or in the pouch of your cheek.
  • Do not swallow, chew, or crush the tablet. Let it dissolve completely in your mouth.
  • Avoid eating, drinking, or smoking while the medicine is dissolving.
  • If your chest pain does not go away or gets worse 5 minutes after taking your first dose, seek emergency medical attention immediately.

How MYONIT INSTA TABLET Works

MYONIT INSTA TABLET contains Glyceryl Trinitrate, which is a vasodilator in nature. It works by relaxing the blood vessels and decreasing the heart's demand for oxygen. As a result, it reduces heart workload and prevents attacks of angina.
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Alcohol

Unsafe

Concomitant use of nitrates and alcohol may cause hypotension. So, the intake of MYONIT INSTA TABLET should be avoided with MYONIT INSTA TABLET.

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Pregnancy

Consult your doctor

MYONIT INSTA TABLET is a pregnancy Category B medicine. It is not known whether MYONIT INSTA TABLET will affect pregnant women or fetus or not. Hence, the intake of MYONIT INSTA TABLET should be avoided if you are pregnant or planning to become pregnant, as it may harm the baby. Your doctor may give you if the benefits of MYONIT INSTA TABLET outweigh the risks.

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Breast Feeding

Consult your doctor

The safety of MYONIT INSTA TABLET is not known in breastfeeding women. So, MYONIT INSTA TABLET should not be taken while breastfeeding.

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Driving

Unsafe

MYONIT INSTA TABLET can affect alertness and coordination. So, operating machinery which requires concentration should be avoided.

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Liver

Caution

MYONIT INSTA TABLET to be taken with caution, especially if you have a history of liver diseases. The dose may have to be adjusted by your doctor.

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Kidney

Caution

MYONIT INSTA TABLET should be taken with caution, especially if you have a history of Kidney diseases. Your doctor may have to adjust the dose.

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Children

Unsafe

The safety and efficacy of MYONIT INSTA TABLET in children have not been established. MYONIT INSTA TABLET is not recommended in children unless given by a child specialist.

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Heart

Consult your doctor

There is limited information on the use of MYONIT INSTA TABLET in patients with heart disorders. Your doctor will weigh the benefits and any potential risks before prescribing MYONIT INSTA TABLET. Please consult your doctor.

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Geriatrics

Consult your doctor

Limited data is available regarding the use of MYONIT INSTA TABLET in elderly patients. If you have any concerns about the usage of MYONIT INSTA TABLET in geriatrics, please consult your doctor.

What if I have taken an overdose of MYONIT INSTA TABLET

If you suspect an overdose, seek immediate emergency medical attention or call a poison control centre. Symptoms of an overdose may include a severe throbbing headache, confusion, fever, a rapid or unusually slow pulse, cold sweat, breathing difficulties, and fainting.

Diet & Lifestyle Advise

  • Avoid sudden, strenuous physical exertion unless you have taken your preventative dose as directed by your doctor.
  • Sit down or rest immediately when you feel chest pain starting; physical rest helps the medicine work faster.
  • Limit your alcohol intake, as alcohol can interact with this medicine to cause a dangerous drop in blood pressure.
  • Eat a heart-healthy diet that is low in sodium, cholesterol, and saturated fats to support your overall cardiovascular health.
  • Quit smoking, because tobacco use constricts your blood vessels and worsens heart conditions.
health query

Have a query?

How Soon It Starts Working

The time required for MYONIT INSTA TABLET to start to work: MYONIT INSTA TABLET ideally shows its action within 1 to 3 minutes after administration. 

The time for which the effects of MYONIT INSTA TABLET last: The effect of MYONIT INSTA TABLET lasts for 30 minutes.

What if you forget to take MYONIT INSTA TABLET

Since MYONIT INSTA TABLET is primarily used on an 'as-needed' basis to treat sudden chest pain, missing a dose is generally not an issue. If your doctor has put you on a regular preventative schedule and you miss a dose, take it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed one entirely. Do not take a double dose to make up for a missed one.

Storage

•Store MYONIT INSTA TABLET sublingual tablets in their original amber glass bottle. •Keep the bottle tightly capped to protect the medicine from light and moisture.

Drug Warnings

  • Always sit or lie down before taking your dose to protect yourself from falling if you get dizzy.
  • Never swallow the tablet; it is designed to dissolve under your tongue and will not work if it goes into your stomach.
  • Check the expiration date on your bottle frequently, as sublingual tablets can quickly lose their strength once the bottle is opened.
  • Keep this medicine with you at all times so you can access it immediately during a sudden chest pain attack.
  • If you do not experience relief 5 minutes after your first dose, do not wait; call emergency services immediately before taking a second dose.

Drug-Drug Interactions

verifiedApollotooltip

Before using MYONIT INSTA TABLET, it is important to understand how it may interact with other medicines, foods, or existing health conditions.

Drug-Drug Interactions

  • Medicines for erectile dysfunction (e.g., sildenafil, tadalafil, vardenafil): Do not use MYONIT INSTA TABLET together with phosphodiesterase-5 (PDE-5) inhibitors. This combination can cause a sudden and potentially life-threatening drop in blood pressure.
  • Blood pressure medicines: Taking MYONIT INSTA TABLET with other antihypertensive medications may further lower blood pressure, increasing the risk of dizziness, lightheadedness, or fainting. Your doctor may need to monitor your treatment closely.
  • Antidepressants: Certain antidepressants may enhance the blood-pressure-lowering effects of MYONIT INSTA TABLET, which could increase the risk of dizziness or fainting.
  • Migraine medicines: Some migraine treatments may interact with MYONIT INSTA TABLET and affect blood pressure or circulation. Inform your doctor about all migraine medications you are currently taking.


Drug-Food Interactions

  • Alcohol: Avoid drinking alcohol while using MYONIT INSTA TABLET. Alcohol can increase the medicine's blood-pressure-lowering effects, leading to severe dizziness, lightheadedness, impaired alertness, or fainting.

Drug-Disease Interactions

  • Severe anaemia: Do not use MYONIT INSTA TABLET if you have severe anaemia, as the medicine may further reduce oxygen delivery to tissues and worsen your condition.

  • Increased intracranial pressure: This medicine is not recommended for individuals with increased pressure inside the skull, as it may aggravate the condition.
  • Narrow-angle glaucoma: Do not use MYONIT INSTA TABLET if you have narrow-angle glaucoma unless specifically advised by your doctor.
  • Recent heart attack: Inform your doctor if you have recently experienced a heart attack. Careful medical assessment is required before starting treatment.
  • Thyroid disorders: Patients with thyroid disease should use MYONIT INSTA TABLET cautiously, as underlying cardiovascular effects may influence treatment safety and response.
  • Low blood pressure (hypotension): Because MYONIT INSTA TABLET can lower blood pressure, it should be used with caution in patients who already have low blood pressure or a history of fainting episodes.
Glyceryl trinitrateVardenafil
Critical
Glyceryl trinitrateMethylergometrine
Critical

Drug-Drug Interactions

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Glyceryl trinitrateVardenafil
Critical
How does the drug interact with Myonit Insta Tablet:
Taking Vardenafil and Myonit Insta Tablet together can increase the risk or severity of low blood pressure.

How to manage the interaction:
Combining Vardenafil and Myonit Insta Tablet is generally avoided as it can lead to an interaction, but it can be taken if your doctor has advised it. However, if you experience symptoms like dizziness, lightheadedness, fainting, headache, flushing, heart palpitations, and priapism (prolonged and painful erection unrelated to sexual activity), consult your doctor immediately. Do not discontinue any medications without consulting your doctor.
Glyceryl trinitrateMethylergometrine
Critical
How does the drug interact with Myonit Insta Tablet:
Coadministration of Methylergometrine with Myonit Insta Tablet can increase the levels and side effects of Methylergometrine.

How to manage the interaction:
Taking Methylergometrine with Myonit Insta Tablet is generally avoided as it can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, headache, fainting, shortness of breath, or rapid heartbeat, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor. Do not discontinue any medications without first consulting your doctor.
Glyceryl trinitrateAvanafil
Critical
How does the drug interact with Myonit Insta Tablet:
Taking Avanafil and Myonit Insta Tablet together can increase the risk or severity of low blood pressure.

How to manage the interaction:
Combining Avanafil and Myonit Insta Tablet is generally avoided as it can lead to an interaction, it can be taken if your doctor has advised it. However, if you experience symptoms like dizziness, lightheadedness, fainting, headache, flushing, heart palpitations, and priapism (prolonged and painful erection unrelated to sexual activity), consult your doctor immediately. Do not discontinue any medications without consulting your doctor.
Glyceryl trinitrateSodium nitrite
Severe
How does the drug interact with Myonit Insta Tablet:
Coadministration of Sodium nitrite and Myonit Insta Tablet has the potential to induce methemoglobinemia (a rare condition where red blood cells are unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking Sodium nitrite and Myonit Insta Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, consult your doctor immediately if you experience symptoms such as grey discolouration of the skin, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion. Do not discontinue any medications without first consulting your doctor.
Glyceryl trinitrateMepivacaine
Severe
How does the drug interact with Myonit Insta Tablet:
Coadministration of Mepivacaine and Myonit Insta Tablet has the potential to induce methemoglobinemia (a rare condition where red blood cells are unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking Mepivacaine and Myonit Insta Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, consult your doctor immediately if you experience symptoms such as grey discolouration of the skin, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion. Do not discontinue any medications without consulting your doctor.
Glyceryl trinitrateLevobupivacaine
Severe
How does the drug interact with Myonit Insta Tablet:
Coadministration of Levobupivacaine and Myonit Insta Tablet can increase the risk of developing methemoglobinemia (a rare condition where red blood cells are unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking Levobupivacaine and Myonit Insta Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, consult your doctor immediately if you experience symptoms such as grey discolouration of the skin, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion. Do not discontinue any medications without consulting your doctor.
Glyceryl trinitrateBupivacaine
Severe
How does the drug interact with Myonit Insta Tablet:
Coadministration of bupivacaine and Myonit Insta Tablet can increase the risk and severity of developing methemoglobinemia, (Red blood cells are unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking bupivacaine and Myonit Insta Tablet together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience symptoms such as gray discoloration of the skin, abnormal blood coloration, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion, consult the doctor immediately. Do not discontinue any medications without consulting a doctor.
Glyceryl trinitrateProcaine
Severe
How does the drug interact with Myonit Insta Tablet:
Coadministration of Procaine and Myonit Insta Tablet has the potential to induce methemoglobinemia (a rare condition where red blood cells are unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking procaine and Myonit Insta Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience symptoms such as gray discoloration of the skin, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion, consult your doctor immediately. Do not discontinue any medications without first consulting your doctor.
Glyceryl trinitrateRopivacaine
Severe
How does the drug interact with Myonit Insta Tablet:
Coadministration of Ropivacaine and Myonit Insta Tablet has the potential to induce methemoglobinemia (a rare condition where red blood cells are unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking Ropivacaine and Myonit Insta Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience symptoms such as gray discoloration of the skin, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion, consult your doctor immediately. Do not discontinue any medications without first consulting your doctor.
Glyceryl trinitrateEtidocaine
Severe
How does the drug interact with Myonit Insta Tablet:
Coadministration of Etidocaine and Myonit Insta Tablet can increase the risk of developing methemoglobinemia (a rare condition where red blood cells are unable to carry oxygen effectively to the tissues).

How to manage the interaction:
Although taking Etidocaine and Myonit Insta Tablet together can possibly result in an interaction, it can be taken if your doctor has advised it. However, consult your doctor immediately if you experience symptoms such as grey discoloration of the skin, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion. Do not discontinue any medications without consulting your doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANTIANGINALS]

FAQs

MYONIT INSTA TABLET is used in preventing attacks of angina (chest pain) and treatment of angina due to coronary artery disease.
MYONIT INSTA TABLET is not advised in patients with severe anaemia, and one should tell their doctor if they have this condition.
A person who is already taking phosphodiesterase type 5 (PDE-5) inhibitors, such as avanafil, sildenafil, tadalafil, or vardenafil, should not consume MYONIT INSTA TABLET as it may cause serious side effects.
If you miss a dose of MYONIT INSTA TABLET, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, do not take a double dose to make up for a missed one.
It is suggested that you take MYONIT INSTA TABLET in the dose and duration advised by your doctor. If you take it in more than the recommended dose, it might cause unpleasant side effects. If you think your symptoms are not improving, please consult your doctor.
No, you must not swallow MYONIT INSTA TABLET. It is designed to dissolve completely under your tongue so it can absorb directly into your bloodstream. Swallowing it will make the medicine ineffective. Talk to your doctor if you have trouble taking it this way.
Headaches are a very common side effect because this medicine dilates blood vessels, including those in your head. This pain usually decreases as your body gets used to the medication. Talk to your doctor if your headaches are severe.
No, you must never take MYONIT INSTA TABLET if you are using medications for erectile dysfunction. This combination can cause an extremely dangerous and potentially life-threatening drop in blood pressure. Talk to your doctor about safer treatment options.
This medicine can cause sudden dizziness, lightheadedness, or fainting. You should not drive, ride a bicycle, or operate machinery until you know how this medicine affects you and you feel completely alert. Talk to your doctor if you have questions.
The safety of this medicine during pregnancy has not been fully established. It should only be used if your healthcare provider decides the benefits outweigh the risks. Talk to your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. U.S. Food and Drug Administration (FDA). 021134S008Lbl [FDA Prescribing Information]. Silver Spring, MD: FDA; 2024. [Accessed on 02 Jun. 2026]Check here
  2. National Health Service (NHS). Glyceryl Trinitrate Gtn - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  3. Glyceryl Trinitrate 5 mg/ml Sterile Concentrate — Summary of Product Characteristics (SmPC) – (emc) [Internet]. Medicines.org.uk. 2025 [Accessed on 26 Sep 2025]Check here
  4. Kim KH, Kerndt CC, Adnan G, et al. Nitroglycerin. [Updated 2023 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; [Accessed on 11 Mar 2025]Check here
  5. Elkayam U, Aronow WS. Glyceryl trinitrate (nitroglycerin) ointment and isosorbide dinitrate: a review of their pharmacological properties and therapeutic use. Drugs. 1982 Mar;23(3):165-94 [Accessed on 11 Mar 2025]Check here
  6. Torrent Pharmaceuticals Ltd. VASOVIN XL: Summary of Product Characteristics [Internet]. Feb 2022 [Accessed on 2025 Sep 26]Check here
  7. CDSCO [Internet]. Cdscoonline.gov.in. 2025 [Accessed on 22 April 2025]Check here

Country of origin

INDIA

Manufacturer/Marketer address

Troikaa Pharmaceuticals Ltd., Registered Office: , 'Commerce House - 1', Satya Marg, Bodakdev, Ahmedabad-380 054. Gujarat, India.
Other Info - MYO0069
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