Evidence supporting the use of: Potassium Nitrate
For the health condition: Chest Pain
Synopsis
Source of validity: Scientific
Rating (out of 5): 4
Potassium nitrate has a scientific basis for its use in the treatment of chest pain (angina pectoris), though its role has largely been supplanted by more effective and safer nitrates, such as nitroglycerin. The therapeutic effect comes from its nitrate component. Once ingested, nitrates are converted in the body to nitric oxide, a potent vasodilator. Nitric oxide relaxes the smooth muscle in blood vessel walls, leading to vasodilation and improved blood flow to the heart muscle, thereby alleviating chest pain caused by reduced oxygen delivery (ischemia).
Historically, potassium nitrate was used in the 19th and early 20th centuries as a remedy for angina pectoris. However, it was eventually replaced by more rapidly acting and controllable nitrates (e.g., nitroglycerin, isosorbide dinitrate). Clinical studies and pharmacological understanding confirm the theoretical basis for its use; however, potassium nitrate’s onset of action is slower and its side effect profile (including the risk of methemoglobinemia and gastric irritation) makes it less suitable than modern agents.
In modern medicine, potassium nitrate is rarely, if ever, used for chest pain, but its nitrate-mediated vasodilatory effect is well understood and scientifically validated. Its historical use was justified by the same mechanism that underlies current nitrate therapies. Thus, the evidence for the nitrate group in angina is strong, but for potassium nitrate specifically, it is mostly of historical interest.
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allspicebasil
betel
clove
turmeric
fish oil
garlic bulb
ginger
hawthorn
magnesium
pear
plantain
pomegranate
rhizome
rosemary
scrophularia root
sphaeranthus indicus
thyme
xanthium (cockleburs)
mugwort
alpinia galangal
inula racemosa
pistacia integerrima gall
commiphora
blackboard tree
caesalpinia crista
lingusticum wallichii
siler root
trichosanthes
zanthoxylum
menthol oil
paw paw
herbal blend (proprietary)
Ash
Avens
Ardisia
Anamu
Aconite
Ajuga
Adrenergic amines
Aerva lanata
American Liverleaf
Acetylsalicylic acid
Amor seco
Arani
Arisaema
Bidens pilosa
Balsam
Bishop's Weed
Bayleaf
Butea monosperma
Black galingale
Barleria
Bitter Grass
Bombax
Borassus Palm
Borassus aethiopum
Bassia scoparia
Borneol
Clerodendrum trichotomum
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Citron
Cajuput
Chinese Raisintree
Cowherb
Dianthus
Eupolyphaga sinensis
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Euphorbia
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Mallow
Poppy