A note on use of 'Nitropaste' in cerebral vasospasm

Nitropaste is a very safe and simple adjuvant treatment to reduce some degree of intracranial vasospasm resulting from subarachnoid hemorrhage (SAH). Each inch of Nitropaste contains 15 mg of nitroglycerin. For adults, 2–5 inches  of Nitropaste is recommended depending on patient's BMI, alike treatment of angina pectoris. It takes about 30 minutes for paste to show effects. It has shown documented mild to moderate improvement of vasospasm by angiography in all patients.



Reference:

Walter S. Lesley, Al Lazo, John C. Chaloupka and John B. Weigele - AJNR 2003 24: 1234-1236