Can Su Xiao Jiu Xin Wan replace nitroglycerin?
Quick-acting Cardiotonic Pills cannot replace nitroglycerin. Although both medications can be used during angina pectoris attacks, they differ in active ingredients, onset speed, and appropriate clinical scenarios. Nitroglycerin acts more rapidly and is the first-line drug for acute angina attacks. If chest pain persists without relief and is accompanied by profuse sweating, immediate medical attention is required.

Nitroglycerin belongs to the nitrate class of drugs and rapidly dilates coronary arteries, making it ideal for quickly relieving symptoms during acute angina attacks. Some individuals may experience adverse effects such as hypotension or throbbing headache; thus, nitroglycerin is contraindicated in certain populations. Quick-acting Cardiotonic Pills are a traditional Chinese patent medicine that promotes qi circulation and invigorates blood to improve coronary perfusion, but their onset of action is slower than that of nitroglycerin.
In the case of acute angina, nitroglycerin is the preferred initial treatment. Patients who are intolerant to nitroglycerin may use Quick-acting Cardiotonic Pills as an alternative. Patients with coronary artery disease must adhere to long-term medication regimens to stabilize atherosclerotic plaques and reduce the frequency of angina episodes. During acute chest pain, medications must not be substituted arbitrarily, as this may delay appropriate treatment.
Carry emergency medications at all times, regularly check expiration dates, maintain emotional stability, limit intake of high-fat and high-salt foods, and ensure adequate rest to lower the risk of angina attacks.