How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication?
Brand names. To use the spray, follow these steps: Sit down if possible, and hold the container without shaking it. Remove the plastic cap. If you are using the container for the first time, hold the container upright so that it is pointed away from yourself and others, and press the button 10 times when using Nitromist or 5 times when using Nitrolingual pumpspray to prime the container. If you are not using the container for the first time but have not used it within 6 weeks, press the button 2 times to reprime the container when using Nitromist or 1 time when using Nitrolingual pumpspray.
If Nitrolingual has not been used in 3 months or longer, press the button up to 5 times to re-prime the container. Open your mouth. Hold the container upright, as close to your mouth as possible. Use your forefinger to press the button firmly. This will release a spray into your mouth. Do not inhale the spray. Close your mouth. Do not spit out the medication or rinse your mouth for 5 to 10 minutes.
Replace the plastic cap on the container. Check the level of liquid in the container from time to time to be sure that you will always have enough medication on hand. Hold the container upright while you are checking. If the liquid reaches the top or middle of the hole on the side of the container, you should order more medication.
If the liquid is at the bottom of the hole, the container will no longer dispense full doses of medication. Other uses for this medicine. What special precautions should I follow? Before using nitroglycerin, tell your doctor and pharmacist if you are allergic to nitroglycerin patches, tablets, ointment, or spray; any other medications; or any of the ingredients in nitroglycerin tablets or spray.
If you are driving, pull over and park the car. Taking nitroglycerin can lower your blood pressure, which could cause you to pass out if you are standing up.
For sudden episodes of angina, use nitroglycerin in a tablet or liquid spray form. Place the under-the-tongue sublingual tablet under your tongue. Leave it there until it dissolves. If you accidentally swallow the tablet, take another. The medicine won't work if it is swallowed. Place the between-cheek-and-gum buccal tablet between your cheek and gum.
Use the spray under your tongue or on top of your tongue. Push the spray canister button once. Close your mouth right away. Take one tablet or spray dose. If after 5 minutes your angina symptoms are not better or get worse, call or other emergency services immediately. After you call , continue to stay on the phone with the emergency operator.
He or she will give you further instructions. Regardless of what happens, you should let your doctor know that you had an episode of angina.
If this is unusual for you, if your angina episodes are occurring more frequently or lasting longer, or if you need more medicine to control them, tell your doctor. Are there side effects or interactions with other drugs that I should be aware of? How should I store nitroglycerin? Can nitroglycerin get old and lose potency? Acute coronary syndromes: American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 18 : S—S O'Gara PT, et al.
Circulation, 4 : e—e Credits Current as of: August 31, Top of the page Next Section: Related Information. It may also be used before physical activities such as exercise, sexual activity to help prevent chest pain. Nitroglycerin belongs to a class of drugs known as nitrates.
Angina occurs when the heart muscle is not getting enough blood. This drug works by relaxing and widening blood vessels so blood can flow more easily to the heart. Ask your doctor now for exact instructions on how to use your nitroglycerin and when to call for emergency medical help Read the Patient Information Leaflet available from your pharmacist.
Consult your doctor or pharmacist if you have any questions. Before using this medication for the first time, spray the pump into the air away from yourself, others, or open flame. This is known as priming the pump. The number of times you need to spray the pump to prime it depends on your brand.
If you have not used this medication for 6 weeks or more, you will need to prime it again before use. Do not shake the container. Sit down before using this medication. Remove the plastic cover. Hold the container upright with your finger on top of the grooved button. 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.
Use 1 to 2 sprays as directed by your doctor, then close your mouth. Do not inhale or swallow the spray. Avoid eating, spitting, or rinsing your mouth for 5 to 10 minutes after spraying. If you are using this medication to relieve chest pain once it occurs, use it as soon as possible. If your chest pain has not improved or if it has worsened 5 minutes after you use this drug, call emergency medical help After calling the emergency number, use another spray.
Five minutes after the second spray, if you still have chest pain and the ambulance has not arrived, use a third spray. If your chest pain is not gone after 15 minutes and 3 doses of nitroglycerin, call emergency medical help if you have not called already.
Do not use more than 3 sprays during an attack unless directed by your doctor. If you are using this medication to prevent chest pain before physical activities, use it 5 to 10 minutes before the activity. Periodically check the level of medication in the container so you know when you need to order more medication.
Headache, dizziness, lightheadedness, nausea, and flushing may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Headache is often a sign that this medication is working. Your doctor may recommend treating headaches with an over-the-counter pain reliever such as acetaminophen, aspirin. If the headaches continue or become severe, tell your doctor promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
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