Ethylene Glycol Dinitrate (EGDN) Nitroglycerin (NG) Method No.: 43 Matrix: Air OSHA PEL: EGDN And/Or NG
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Comparison of the Antiischaemic and Antianginal Effects of Nicorandil and Amlodipine in Patients with Symptomatic Stable Angina Pectoris: the SWAN Study
Journal of Clinical and Basic Cardiology An Independent International Scientific Journal Journal of Clinical and Basic Cardiology 1999; 2 (2), 213-217 Comparison of the antiischaemic and antianginal effects of nicorandil and amlodipine in patients with symptomatic stable angina pectoris: the SWAN study The SWAN Study Group Homepage: www.kup.at/jcbc Online Data Base Search for Authors and Keywords Indexed in Chemical Abstracts EMBASE/Excerpta Medica Krause & Pachernegg GmbH · VERLAG für MEDIZIN und WIRTSCHAFT · A-3003 Gablitz/Austria ORIGINAL PAPERS, CLINICAL The SWAN study J Clin Basic Cardiol 1999; 2: 213 Comparison of the antiischaemic and antianginal effects of nicorandil and amlodipine in patients with symptomatic stable angina pectoris: the SWAN study The SWAN Study Group1 This multicentre, double-blind, randomised study compared the antiischaemic and antianginal effects of nicorandil and amlodipine in patients with symptomatic stable angina pectoris. Nicorandil is a new coronary and balanced peripheral vasodilating agent that operates through two mechanisms of action: activation of ATP-dependent K-channels and stimulation of guanylate cyclase. A total of 121 patients with symptomatic stable angina pectoris were randomised to receive nicorandil 10 mg twice daily (bd) or amlodipine 5 mg once daily (od) for 8 weeks (optional dosage increase after 2-4 weeks to 20 mg bd and 10 mg od, respec- tively). Symptom-limited exercise tolerance tests were performed at baseline, and after 2 and 8 weeks treatment, respectively. In addition, the number of anginal attacks, nitroglycerin (NTG) usage, blood pressure (BP), heart rate (HR) and adverse events were recorded, and a subjective assessment of quality of life performed. -
Nitroglycerin Sublingual Tablets, USP)
NDA 021134/S-004 Page 4 Nitrostat® (Nitroglycerin Sublingual Tablets, USP) DESCRIPTION Nitrostat is a stabilized sublingual compressed nitroglycerin tablet that contains 0.3 mg , 0.4 mg , or 0.6 mg nitroglycerin; as well as lactose monohydrate, NF; glyceryl monostearate, NF; pregelatinized starch, NF; calcium stearate, NF powder; and silicon dioxide, colloidal, NF. Nitroglycerin, an organic nitrate, is a vasodilating agent. The chemical name for nitroglycerin is 1, 2, 3 propanetriol trinitrate and the chemical structure is: NO2 O O N O CH2CHCH2 O NO 2 2 C3H5N309 Molecular weight: 227.09 CLINICAL PHARMACOLOGY The principal pharmacological action of nitroglycerin is relaxation of vascular smooth muscle. Although venous effects predominate, nitroglycerin produces, in a dose-related manner, dilation of both arterial and venous beds. Dilation of postcapillary vessels, including large veins, promotes peripheral pooling of blood, decreases venous return to the heart, and reduces left ventricular end-diastolic pressure (preload). Nitroglycerin also produces arteriolar relaxation, thereby reducing peripheral vascular resistance and arterial pressure (afterload), and dilates large epicardial coronary arteries; however, the extent to which this latter effect contributes to the relief of exertional angina is unclear. Therapeutic doses of nitroglycerin may reduce systolic, diastolic, and mean arterial blood pressure. Effective coronary perfusion pressure is usually maintained, but can be compromised if blood pressure falls excessively, or increased heart rate decreases diastolic filling time. Elevated central venous and pulmonary capillary wedge pressures, and pulmonary and systemic vascular resistance are also reduced by nitroglycerin therapy. Heart rate is usually slightly increased, presumably due to a compensatory response to the fall in blood pressure. -
1 SAFETY DATA SHEET Product Name: Nitroglycerin in 5% Dextrose
SAFETY DATA SHEET Product Name: Nitroglycerin in 5% Dextrose Injection 1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Manufacturer Name And Hospira, Inc. Address 275 North Field Drive Lake Forest, Illinois 60045 USA Emergency Telephone CHEMTREC: North America: 800-424-9300; International 1-703-527-3887; Australia - 61-290372994; UK - 44-870-8200418 Hospira, Inc., Non-Emergency 224 212-2000 Product Name Nitroglycerin in Dextrose Injection Synonyms 1,2,3-propanetriol trinitrate 2. HAZARD(S) IDENTIFICATION Emergency Overview Nitroglycerin in Dextrose Injection is a solution containing nitroglycerin, an organic nitrate vasodilator. Clinically, this material is indicated for treatment of peri-operative hypertension; for control of congestive heart failure in the setting of acute myocardial infarction; for treatment of angina pectoris. In the workplace, this material should be considered potentially irritating to the eyes and respiratory tract and a potent drug. Based on clinical use, possible target organs include the cardiovascular system and blood. U.S. OSHA GHS Classification Physical Hazards Hazard Class Hazard Category Not Classified Not Classified Health Hazards Hazard Class Hazard Category Not Classified Not Classified Label Element(s) Pictogram NA Signal Word NA Hazard Statement(s) NA Precautionary Statement(s) Prevention Do not breathe vapor or spray. Wash hands thoroughly after handling. Response Get medical attention if you feel unwell. IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. If eye irritation persists, get medical attention. 1 Product Name: Nitroglycerin in 5% Dextrose Injection 3. COMPOSITION/INFORMATION ON INGREDIENTS Active Ingredient Name Nitroglycerin Chemical Formula C3H5N3O9 Component Approximate Percent by Weight CAS Number RTECS Number Nitroglycerin ≤ 0.04 55-63-0 QX2100000 Non-hazardous ingredients include Water for Injection and dextrose. -
NITROGYLCERIN and ETHYLENE GLYCOL DINITRATE Criteria for a Recommended Standard OCCUPATIONAL EXPOSURE to NITROGLYCERIN and ETHYLENE GLYCOL DINITRATE
CRITERIA FOR A RECOMMENDED STANDARD OCCUPATIONAL EXPOSURE TO NITROGYLCERIN and ETHYLENE GLYCOL DINITRATE criteria for a recommended standard OCCUPATIONAL EXPOSURE TO NITROGLYCERIN and ETHYLENE GLYCOL DINITRATE U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Public Health Service Center for Disease Control National Institute for Occupational Safety and Health June 1978 For »ale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402 DISCLAIMER Mention of company name or products does not constitute endorsement by the National Institute for Occupational Safety and Health. DHEW (NIOSH) Publication No. 78-167 PREFACE The Occupational Safety and Health Act of 1970 emphasizes the need for standards to protect the health and provide for the safety of workers occupationally exposed to an ever-increasing number of potential hazards. The National Institute for Occupational Safety and Health (NIOSH) evaluates all available research data and criteria and recommends standards for occupational exposure. The Secretary of Labor will weigh these recommendations along with other considerations, such as feasibility and means of implementation, in promulgating regulatory standards. NIOSH will periodically review the recommended standards to ensure continuing protection of workers and will make successive reports as new research and epidemiologic studies are completed and as sampling and analytical methods are developed. The contributions to this document on nitroglycerin (NG) and ethylene glycol dinitrate (EGDN) by NIOSH staff, other Federal agencies or departments, the review consultants, the reviewers selected by the American Industrial Hygiene Association, and by Robert B. O ’Connor, M.D., NIOSH consultant in occupational medicine, are gratefully acknowledged. The views and conclusions expressed in this document, together with the recommendations for a standard, are those of NIOSH. -
Sustained Formation of Nitroglycerin-Derived Nitric Oxide
Supplemental material to this article can be found at: http://molpharm.aspetjournals.org/content/suppl/2018/01/22/mol.117.110783.DC1 1521-0111/93/4/335–343$35.00 https://doi.org/10.1124/mol.117.110783 MOLECULAR PHARMACOLOGY Mol Pharmacol 93:335–343, April 2018 Copyright ª 2018 The Author(s). This is an open access article distributed under the CC BY Attribution 4.0 International license. Sustained Formation of Nitroglycerin-Derived Nitric Oxide by Aldehyde Dehydrogenase-2 in Vascular Smooth Muscle without Added Reductants: Implications for the Development of Nitrate Tolerance s Marissa Opelt, Gerald Wölkart, Emrah Eroglu, Markus Waldeck-Weiermair, Roland Malli, Wolfgang F. Graier, Alexander Kollau, John T. Fassett, Astrid Schrammel, Bernd Mayer, and Antonius C. F. Gorren Downloaded from Institute of Pharmaceutical Sciences, Department of Pharmacology and Toxicology, Karl-Franzens University (M.O., G.W., A.K., J.T.F., A.S., B.M., A.C.F.G.), and Institute of Molecular Biology and Biochemistry, Center of Molecular Medicine, Medical University Graz (E.E., M.W.-W., R.M., W.F.G.), Graz, Austria Received October 4, 2017; accepted January 18, 2018 molpharm.aspetjournals.org ABSTRACT According to current views, oxidation of aldehyde dehydrogenase-2 ALDH2, thiol-refractive inactivation was observed, particularly under (ALDH2) during glyceryltrinitrate (GTN) biotransformation is essen- high-turnover conditions. Organ bath experiments with rat aortas tially involved in vascular nitrate tolerance and explains the de- showed that relaxation by GTN lasted longer than that caused by the pendence of this reaction on added thiols. Using a novel fluorescent NO donor diethylamine/NONOate, in line with the long-lasting intracellular nitric oxide (NO) probe expressed in vascular smooth nanomolar NO generation from GTN observed in VSMCs. -
Ncomms6401.Pdf
ARTICLE Received 6 Nov 2013 | Accepted 29 Sep 2014 | Published 11 Nov 2014 DOI: 10.1038/ncomms6401 S-nitrosothiols regulate nitric oxide production and storage in plants through the nitrogen assimilation pathway Lucas Frungillo1, Michael J. Skelly2, Gary J. Loake2, Steven H. Spoel2 & Ione Salgado1 Nitrogen assimilation plays a vital role in plant metabolism. Assimilation of nitrate, the primary source of nitrogen in soil, is linked to the generation of the redox signal nitric oxide (NO). An important mechanism by which NO regulates plant development and stress responses is through S-nitrosylation, that is, covalent attachment of NO to cysteine residues to form S-nitrosothiols (SNO). Despite the importance of nitrogen assimilation and NO signalling, it remains largely unknown how these pathways are interconnected. Here we show that SNO signalling suppresses both nitrate uptake and reduction by transporters and reductases, respectively, to fine tune nitrate homeostasis. Moreover, NO derived from nitrate assimilation suppresses the redox enzyme S-nitrosoglutathione Reductase 1 (GSNOR1) by S-nitrosylation, preventing scavenging of S-nitrosoglutathione, a major cellular bio-reservoir of NO. Hence, our data demonstrates that (S)NO controls its own generation and scavenging by modulating nitrate assimilation and GSNOR1 activity. 1 Departamento de Biologia Vegetal, Instituto de Biologia, Universidade Estadual de Campinas, CP 6109, Campinas-SP 13083-970, Brazil. 2 Institute of Molecular Plant Sciences, School of Biological Sciences, University of Edinburgh, Edinburgh EH9 3BF, UK. Correspondence and requests for materials should be addressed to I.S. (email: [email protected]) or to S.H.S. (email: [email protected]). NATURE COMMUNICATIONS | 5:5401 | DOI: 10.1038/ncomms6401 | www.nature.com/naturecommunications 1 & 2014 Macmillan Publishers Limited. -
DHS Health Effects of Nitrate in Drinking Water
Health Effects of Nitrate in Drinking Water Sarah Yang, Ph.D. Groundwater Toxicologist February 26, 2020 High levels of nitrate can affect everyone’s health. 2 Nitrate is one of the most common contaminants in Wisconsin's groundwater. 3 Our major source of nitrate depends on age. 4 When we eat or drink nitrate, it goes through our body to our small intestine. 5 Most nitrate is absorbed in our blood. 6 While most nitrate in our blood leaves our body when we urinate, about 25% goes into our saliva. 7 Intestines Blood Stomach In saliva, most nitrate goes back through the intestines, but some is turned into nitrite and moves to the stomach. 8 In the stomach, nitrite can move into the blood or be turned into other substances. Blood Beneficial substances Harmful substances 9 Nitrite in the blood can affect the body’s ability to transport oxygen. Nitrite Fe2+ Fe3+ Hemoglobin Methemoglobin 10 1 Normal High levels of 3 Skin discoloration methemoglobin 10 Weakness, excess heart rate 20 Headache, dizziness, fatigue, can cause nausea health problems. 70 Death (very rare) % methemoglobin in the blood 11 Adapted from Shihana, F. et al (2010) High levels of nitrate can cause blue baby syndrome (methemoglobenemia) in infants. 12 Infants are at a greater risk for blue baby syndrome because of their size and how their bodies work. 13 The drinking water standard for nitrate is 10 mg/L. 14 Level of nitrate-nitrogen in formula (mg/L) ≤ 10 00 11–20 5 21–50 36 51–100 81 > 100 92 Cases of blue baby syndrome 15 The United States uses a different measure of nitrate than other countries. -
Metabolomics-Driven Elucidation of Cellular Nitrate Tolerance Reveals Ascorbic Acid Prevents Nitroglycerin-Induced Inactivation of Xanthine Oxidase
fphar-09-01085 September 21, 2018 Time: 16:31 # 1 ORIGINAL RESEARCH published: 25 September 2018 doi: 10.3389/fphar.2018.01085 Metabolomics-Driven Elucidation of Cellular Nitrate Tolerance Reveals Ascorbic Acid Prevents Nitroglycerin-Induced Inactivation of Xanthine Oxidase Elizabeth Rose Axton1,2,3, Eleonso Cristobal1,2, Jaewoo Choi1, Cristobal L. Miranda1,2 and Jan Frederik Stevens1,2* 1 The Linus Pauling Institute, Oregon State University, Corvallis, OR, United States, 2 Department of Pharmaceutical Sciences, Oregon State University, Corvallis, OR, United States, 3 Department of Environmental and Molecular Toxicology, Oregon State University, Corvallis, OR, United States Glyceryl trinitrate (GTN) has found widespread use for the treatment of angina pectoris, a pathological condition manifested by chest pain resulting from insufficient blood supply Edited by: to the heart. Metabolic conversion of GTN, a nitric oxide (NO) pro-drug, into NO induces Pedro D’Orléans-Juste, vasodilation and improves blood flow. Patients develop tolerance to GTN after several Université de Sherbrooke, Canada weeks of continuous use, limiting the potential for long-term therapy. The mechanistic Reviewed by: Carlos F. Sánchez-Ferrer, cause of nitrate tolerance is relatively unknown. We developed a cell culture model 15 Universidad Autonoma de Madrid, of nitrate tolerance that utilizes stable isotopes to measure metabolism of N3-GTN Spain into 15N-nitrite. We performed global metabolomics to identify the mechanism of GTN- InKyeom Kim, Kyungpook National University, induced nitrate tolerance and to elucidate the protective role of vitamin C (ascorbic acid). South Korea Metabolomics analyses revealed that GTN impaired purine metabolism and depleted *Correspondence: intracellular ATP and GTP. GTN inactivated xanthine oxidase (XO), an enzyme that Jan Frederik Stevens [email protected] is critical for the metabolic bioactivation of GTN into NO. -
WD DWGB-3-9 Nitrate and Nitrite in Drinking Water
DWGB-3-9 2020 Nitrate and Nitrite in Drinking Water INTRODUCTION AND OCCURRENCE Excessive nitrate or nitrite in drinking water is an acute health concern for infants through 6 months of age and for women during pregnancy. Nitrate is a component in fertilizers, and both nitrate and nitrite are found in sewage and sanitary wastes from humans and animals. Shallow and dug overburden wells are the most vulnerable to this contamination, though bedrock wells are also vulnerable from nitrate spikes derived from blasting explosives during construction activities. The presence of elevated nitrite suggests that the contamination source is very recent and/or nearby since nitrite oxidizes quickly to nitrate in the environment. If either nitrate or nitrite are elevated, testing for bacteria is also very important. HEALTH STANDARDS The federal and state maximum contaminant levels (MCLs) are 10 milligrams per liter (mg/L) for Nitrate and 1.0 mg/L for Nitrite. Excessive levels of nitrate or nitrite in drinking water can cause serious illness and even death in infants less than six months of age, due to nitrate reduction to nitrite within the body, which interferes with the oxygen-carrying capacity of blood. Symptoms include shortness of breath and blueness of the skin, called methemoglobinemia or Blue Baby Syndrome. This is an acute disease in which symptoms can develop rapidly in infants even with short-term exposure. Expert medical assistance should be sought immediately if these symptoms occur. TESTING Obtain water sample bottles by contacting an accredited laboratory from the list provided at des.nh.gov, web search for “NHDES Private Wells.” NHDES recommends testing for the “Standard Analysis” suite of parameters which includes nitrate/nitrite, bacteria and other important water quality parameters. -
Nitrate in Drinking Water
What are the health risks of consuming Nitrate water with high concentrations of nitrate? Nitrate levels greater than 10 ppm exceed state and federal standards for nitrate in public drinking water supplies. No infant or any female who is or may become pregnant In should consume any water that exceeds this standard (either by drinking or by eating foods prepared with the water such as soups, juices, and coffee). Additionally, the Drinking Wisconsin Department of Health Services recommends that all people avoid long-term consumption of water that has a nitrate level greater than 10 ppm. Water In infants under 6 months of age ingestion How does nitrate enter groundwater? of nitrate can reduce the blood’s ability to carry oxygen. In severe cases it can In nature, water usually contains less than 1 cause a condition that doctors call milligram of nitrate-nitrogen per liter and is not methemoglobinemia. The condition is also This brochure explains how nitrate can enter considered a health concern. Significantly higher called “blue baby syndrome” because the drinking water supplies, the health effects of nitrate concentrations can indicate that the infant’s skin appears blue-gray or lavender in nitrate exposure, when to test a private well, drinking water has been contaminated and color. This skin color change is caused by a and things you can do to reduce the nitrate may pose a serious health concern. Common lack of oxygen in the blood. level in your drinking water. The brochure also sources of nitrate include nitrogen fertilizers, All infants less than 6 months of age are at risk of nitrate provides sources of information and assistance manure, septic systems and sewage treatment toxicity, but premature babies and babies with other that may be useful to private well owners. -
Original Article Acute Effects of Intracoronary Nicorandil and Nitroglycerin in Patients with Coronary Slow Flow
Int J Clin Exp Med 2016;9(6):11852-11858 www.ijcem.com /ISSN:1940-5901/IJCEM0022210 Original Article Acute effects of intracoronary nicorandil and nitroglycerin in patients with coronary slow flow Quanfang Zhang1, Zebo Xiu2, Wei Wang3, Zuoyuan Chen1, Zehua Dong4, Rongsun Zhang5 Departments of 1Cardiology, 3Pharmacy, 4ICU, 5Traditional Chinese Medicine, The Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong, China; 2Department of Cardiology, Liaocheng People’s Hospital and Lia- ocheng Clinical School of Taishan Medical College, Liaocheng 252000, Shangdong Province, China Received December 18, 2015; Accepted March 5, 2016; Epub June 15, 2016; Published June 30, 2016 Abstract: Objective: This study aimed to assess the acute effects of intracoronary nicorandil and nitroglycerin in pa- tients with coronary slow flow (CSF). Methods: Totally, 60 patients with CSF were enrolled in this retrospective study and divided into nicorandil group (n = 30) and nitroglycerin group (n = 30). Coronary angiography was administered to intracoronary nitroglycerin or nicorandil 30 seconds later. The coronary blood flow of patients was evaluated by thrombolysis in myocardial infarction (TIMI) frame count (TFC) method. Heart rate, systolic and diastolic blood pressures, and TFCs in left anterior descending artery (LAD), left circumflex artery (LCX), and right coronary artery (RCA) were recorded before and after administration with nicorandil or nitroglycerin. Results: After nitroglycerin administration, systolic and diastolic blood pressures decreased, heart rates significantly increased (P < 0.001). However, systolic and diastolic blood pressures, heart rate had no significant changes after the application of in- tracoronary nicorandil. In addition, after administration with nicorandil or nitroglycerin, TFCs in LAD, LCX, and RCA were significantly decreased (P < 0.001) compared with before administration; however, TFCs recovered to the normal level in the nicorandil group but not nitroglycerin group. -
Characterization and Analysis of Tetranitrate Esters Jimmie C
Characterization and Analysis of Tetranitrate Esters Jimmie C. Oxley; James, L. Smith; Joseph E. Brady, IV; Austin C. Brown University of Rhode Island, Chemistry Dept; Kingston, RI 02881 Abstract Thermal behaviors, vapor pressures, densities, and drop weight impact results, as well as analytical protocols, are reported for three tetranitrate esters: erythritol tetranitrate (ETN), 1,4‐ dinitrato‐2,3‐dinitro‐2,3bis(nitratomethylene) butane (DNTN), and pentaerythritol tetranitrate (PETN). ETN and DNTN both melt below 100oC and have ambient vapor pressures comparable to TNT. While LC/MS was shown to be a viable technique for analysis of all three tetranitrate esters, only ETN was successfully analyzed by GC/MS. Performance of these nitrate esters as evaluated in lab using the small-scale explosivity device (SSED) suggested RDX >> DNTN > PETN > ETN. Detonation velocities were calculated using Cheetah 6.0. Since the starting material is now widely available, it is likely that law enforcement will find ETN in future improvised explosive devices. This paper with its analytical schemes should prove useful in identification of this homemade explosive. Keywords: erythritol tetranitrate, ETN, 1,4‐dinitrato‐2,3‐dinitro‐2,3bis(nitratomethylene) butane, DNTN, pentaerythritol tetranitrate, PETN, vapor pressure, densities, drop weight impact, thermal behavior, HPLC‐HRMS 1. Introduction In recent years there has been growth in use of so-called “homemade” explosives (HME). Preparation of HME can require little synthetic expertise. It can be as simple as mixing oxidizers and fuels as opposed to the preparation and isolation of discrete compounds. When specific characteristics are required terrorists do engage in more complex synthetic procedures.