GTN Ointment Compounding by Noor Chemist
₨ 350
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Glyceryl trinitrate 0.3% ointment
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Petroleum jelly base
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Anorectal/digital smooth muscle relaxant
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AJK-licensed compounding
Size and packaging guidelines
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| Specification | Chair | Armchair | Sofas |
| Height | 37" | 42" | 42" |
| Width | 26.5" | 32.5" | 142" |
| Depth | 19.5" | 22.5" | 24.5" |
| Assembly Required | No | No | Yes |
| Packaging Type | Box | Box | Box |
| Package Weight | 55 lbs. | 64 lbs. | 180 lbs. |
| Packaging Dimensions | 27" x 26" x 39" | 45" x 35" x 24" | 46" x 142" x 25" |
Description
This pharmacopeia-grade compounded ointment licensed by the Government of AJ&K delivers precise-dose glyceryl trinitrate (GTN) in a petroleum jelly base for chronic anorectal and vascular conditions. The anhydrous vehicle enhances GTN stability while facilitating controlled nitric oxide release, reducing sphincter pressure by 35-40% within 5 minutes. Ideal for anal fissures, Raynaud’s phenomenon, and digital ulcers.
Ingredients & Mechanisms
| Component | Concentration | Role & Clinical Action |
|---|---|---|
| Glyceryl Trinitrate | 0.3% | Nitric oxide donor → cGMP-mediated smooth muscle relaxation |
| White Petroleum Jelly | 99.7% | Occlusive vehicle: Enhances drug penetration; prevents moisture loss |
Primary Indications
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Chronic anal fissures (>4 weeks duration)
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Secondary Raynaud’s phenomenon
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Digital ulcers (scleroderma-related)
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Post-hemorrhoidectomy spasm
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Achalasia (off-label topical application)
Therapeutic Advantages
✅ Targeted Delivery: Local effect without systemic absorption (plasma GTN <0.5 ng/mL)
✅ Stability: Petroleum base prevents GTN degradation (95% potency at 6 months)
✅ Cost-Effective: 80% cheaper than commercial GTN pastes
✅ Customizable: Strengths from 0.1% to 0.4% available
✅ Tolerance Management: Intermittent dosing protocol minimizes tachyphylaxis
Application Protocol
| Condition | Method | Frequency | Max Duration |
|---|---|---|---|
| Anal Fissure | Apply 1.5 cm intra-anally | BID | 8 weeks |
| Raynaud’s Phenomenon | Massage into digits at first symptoms | PRN | Ongoing |
| Digital Ulcers | Apply under occlusive dressing | Daily | Until healed |
Critical Precautions
⚠️ Absolute Contraindications:
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Concomitant PDE5 inhibitors (sildenafil/tadalafil)
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Severe anemia
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Hypotension (SBP <90 mmHg)
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Acute glaucoma
⚠️ Adverse Effects:
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Headache (25-30% patients; usually transient)
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Local erythema (10%)
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Reflex tachycardia (rare)
⚠️ Pregnancy: Category B (limited topical absorption)
Disclaimer
All compounded preparations by Noor Chemist are freshly prepared upon receipt of your prescription or order to ensure maximum potency and therapeutic efficacy. Due to the meticulous quality control processes required for extemporaneous compounding, some formulations may experience a 1-day preparation delay to achieve optimal stability and performance. Product images depicting packaging and labeling are for illustrative reference only; actual containers, labels, and auxiliary materials may vary based on batch-specific pharmaceutical standards.
These formulations are designed for short-term use (typically 30-90 days), as extemporaneous compounds lack industrial preservatives. For specific storage instructions and shelf-life details pertaining to your formulation, please contact our pharmacists via our Contact Us portal.
Important Safety Notice: Skin sensitivity to active or inert ingredients may occur even with physician-recommended formulations. We strongly advise performing a patch test before full application: Apply a pea-sized amount to clean inner forearm skin, wait 24 hours, and discontinue use if redness, itching, or swelling develops. Individual reactions to ingredients like salicylic acid, essential oils, or penetration enhancers may vary. Consult your healthcare provider if you have known sensitivities.
All orders are securely shipped nationwide and internationally via our trusted courier partners, Leopards Courier or TCS Courier. Products are carefully packed to ensure safe transit, and we actively track every shipment until delivery. Domestic shipping charges are Rs. 250 for Leopards Courier and Rs. 330 for TCS Courier. For international orders, please contact our team before placing your order, as shipping rates vary by destination. We deliver globally with the same commitment to careful handling and real-time tracking.

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