Industrial exposure[edit]
Infrequent exposure to high doses of nitroglycerin can cause severe headaches known as "NG head" or "bang head". These headaches can be severe enough
to incapacitate some people; however, humans develop a tolerance to and dependence on nitroglycerin after long-term exposure. Withdrawal can (rarely)
be fatal;[27] withdrawal symptoms include chest pain and heart problems and if unacceptable may be treated with re-exposure to nitroglycerin or other
suitable organic nitrates.[28]
For workers in nitroglycerin (NTG) manufacturing facilities, the effects of withdrawal sometimes include a "Sunday Heart Attacks" in those
experiencing regular nitroglycerin exposure in the workplace, leading to the development of tolerance for the vasodilating effects. Over the weekend,
the workers lose the tolerance and, when they are re-exposed on Monday, the drastic vasodilation produces a fast heart rate, dizziness, and a
headache, this is referred to as "Monday Disease."[29][30]
People can be exposed to nitroglycerin in the workplace by breathing it in, skin absorption, swallowing it, or eye contact. The Occupational Safety
and Health Administration (OSHA) has set the legal limit (permissible exposure limit) for nitroglycerin exposure in the workplace as 0.2 ppm (2 mg/m3)
skin exposure over an 8-hour workday. The National Institute for Occupational Safety and Health (NIOSH) has set a recommended exposure limit (REL) of
0.1 mg/m3 skin exposure over an 8-hour workday. At levels of 75 mg/m3, nitroglycerin is immediately dangerous to life and health.[31]
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