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Pharmacology CHF, Angina Pectoris and Myocardial Infarction 98b378e2

The drug effective for treatment as well as prophylaxis of angina pectoris is:

A
Isosorbide dinitrate
B
Pentaerythritol tetranitrate
C
Diltiazem
D
Dipyridamole
High-Yield Explanation
Isosorbide dinitrate Can be used sublingually at the time of attack (peak in 5-8 min) Orally for chronic prophylaxis. t 1/2 is 40 min, but sustained release formulation may afford protection for 6-10 hours. Nitrates are effective in classical as well as variant angina. Nitrates increase exercise tolerance and postpone ECG changes of ischemia.

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