Indications
Nitrolingual Pumpspray is a prescription medication used to prevent or relieve chest pain caused by angina. The spray may also be used just before activities that may cause episodes of angina to prevent the angina from occurring.
Nitrolingual contains nitroglycerin and Nitroglycerin is in a class of medications called vasodilators. It works by relaxing the blood vessels, so the heart does not need to work as hard and therefore does not need as much oxygen.
Use and Dosage
Nitrolingual Pumpspray is administered as a sublingual spray, which means it is sprayed under the tongue for rapid absorption into the bloodstream.
To use Nitrolingual Pumpspray, prime the pump before first use by spraying it into the air away from any flames, yourself, or others. The number of sprays required to prime the pump differs depending on the brand. If you haven't used the medication for six weeks or longer, you must re-prime the pump before use. Do not shake the container.
To administer the medication, sit down and remove the plastic cover. Hold the container with your finger on the grooved button, keeping it upright. Open your mouth and bring the container as close to your mouth as possible. Press the button to spray the medication onto or under your tongue. Follow your doctor's directions and use 1 to 2 sprays. Close your mouth after spraying, and do not inhale or swallow the medication. Refrain from eating, spitting, or rinsing your mouth for 5 to 10 minutes following the administration of Nitrolingual Pumpspray.
If you want to prevent chest pain before physical activity, use Nitrolingual Pumpspray five to ten minutes before the activity.
If you experience chest pain, use Nitrolingual Pumpspray as soon as possible. If your chest pain persists or worsens five minutes after use, call emergency medical help (911) before using another spray. Five minutes after the second spray, if your chest pain persists and the ambulance has not arrived, use a third spray. If your chest pain remains unrelieved after 15 minutes and three doses of nitroglycerin, call emergency medical help (911) if you have not already done so. Do not use more than three sprays during an attack unless otherwise directed by your doctor.
Side Effects
Common Side Effects of Nitrolingual Pumpspray (Nitroglycerin):
- Feeling weak or dizzy
- Mild burning or tingling with the tablet in the mouth
- Redness
- Tingly feeling under the skin
- Warmth
Serious Side Effects of Nitrolingual Pumpspray (Nitroglycerin):
- Blurred vision
- Difficulty breathing
- Feeling like you might pass out
- Fever
- Headache with a severe blistering
- Hives
- Irregular heart rate
- Pale skin
- Peeling
- Rash or itching
- Red skin rash
- Sore throat
- Swelling of your face/lips/tongue/throat
- Tightness in the chest
Forms and Strength
Nitrolingual Pumpspray (Nitroglycerin) is available in the following forms and strength:
Nitrolingual Pumpspray: Pump Spray
- 0.4mg
Cautions
- Do not use Nitrolingual if you have severe anemia, cerebral hemorrhage, or a known allergy to nitroglycerin or other nitrates.
- Use caution when driving or operating heavy machinery as Nitrolingual can cause dizziness or fainting.
- Inform your healthcare professional if you have any history of low blood pressure or heart disease before using Nitrolingual Pumpspray.
- Nitrolingual can interact with certain medications such as sildenafil (Viagra) and tadalafil (Cialis), leading to potentially dangerous side effects.
- Do not use Nitrolingual if you have recently taken erectile dysfunction medications as this can also result in severe interactions.
- Nitroglycerin can cause flushing of the skin, which can be uncomfortable but is usually harmless. However, if this is severe or persistent, you should contact your healthcare professional.
- Patients with glaucoma should use Nitrolingual with caution as it can increase intraocular pressure.
- Nitroglycerin can increase the risk of orthostatic hypotension, which is a drop in blood pressure that occurs when standing up quickly from a lying or sitting position. This can cause dizziness or lightheadedness.
- Nitroglycerin should not be used during pregnancy unless it is clearly needed, as it can cross the placenta and affect the fetus. Discuss the risks and benefits of using Nitroglycerin during pregnancy with a healthcare professional.
Frequently Asked Questions (FAQ)
Is Nitrolingual Pumpspray safe to use during pregnancy?
The safety of Nitrolingual Pumpspray during pregnancy has not been established. It should only be used during pregnancy if it is clearly needed, and under the supervision of a doctor.
What should be done if an overdose of Nitrolingual Pumpspray occurs?
An overdose of Nitrolingual Pumpspray can cause severe headache, dizziness, and fast heart rate. If you suspect an overdose, you should seek emergency medical attention immediately.
Can Nitrolingual Pumpspray be used to prevent angina?
Nitrolingual Pumpspray is not meant to be used to prevent angina, it is only used to treat symptoms once they occur.
Resources
- https://www.rxlist.com/nitrolingual-pumpspray-drug.htm
- https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/018705s017lbl.pdf
- https://www.nps.org.au/assets/medicines/24e614d4-4c35-44ea-ac4e-a53300fec783.pdf
- https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/018705s019lbl.pdf
- https://www.drugs.com/cons/nitrolingual.html
- https://www.news-medical.net/drugs/Nitrolingual.aspx
- https://medlineplus.gov/druginfo/meds/a615006.html
- https://www.webmd.com/drugs/2/drug-3746/nitrolingual-translingual/details
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