Nitrates Lingual Aerosol (Systemic)

Brand Names : Nitrolingual, glyceryl trinitrate

Proper Use of This Medicine

Use nitroglycerin spray exactly as directed by your doctor . It will work only if used correctly.

This medicine usually comes with patient instructions. Read them carefully before you actually need to use it . Then, if you need the medicine quickly, you will know how to use it.

To use nitroglycerin lingual spray:

• Remove the plastic cover. Do not shake the container .
• Hold the container upright. With the container held close to your mouth, press the button to spray onto or under your tongue. Do not inhale the spray .
• Release the button and close your mouth. Avoid swallowing immediately after using the spray.

For patients using nitroglycerin oral spray to relieve the pain of an angina attack :

• When you begin to feel an attack of angina starting (chest pains or a tightness or squeezing in the chest), sit down. Then use 1 or 2 sprays as directed by your doctor . This medicine works best when you are standing or sitting. However, since you may become dizzy, lightheaded, or faint soon after using a spray, it is safer to sit rather than stand while the medicine is working. If you become dizzy or faint while sitting, take several deep breaths and bend forward with your head between your knees.
• Remain calm and you should feel better in a few minutes.
• This medicine usually gives relief in less than 5 minutes . However, if the pain is not relieved, use a second spray. If the pain continues for another 5 minutes, a third spray may be used. If you still have the chest pains after a total of 3 sprays in a 15-minute period, contact your doctor or go to a hospital emergency room immediately .

For patients using nitroglycerin oral spray to prevent an expected angina attack :

• You may prevent anginal chest pains for up to 1 hour by using a spray 5 to 10 minutes before expected emotional stress or physical exertion that in the past seemed to bring on an attack.

Dosing - The dose of nitroglycerin lingual spray will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of nitroglycerin lingual spray. If your dose is different, do not change it unless your doctor tells you to do so.

• For oral dosage form (lingual spray):
  • For chest pain:
    • Adults - One or two sprays on or under the tongue. The dose may be repeated every five minutes as needed. If the chest pain is not relieved after a total of three sprays in a fifteen-minute period, call your doctor or go to the emergency room right away.

Storage - To store this medicine

• Keep out of the reach of children.
• Store away from heat and direct light.
• Keep the medicine from freezing.
• Do not puncture, break, or burn the aerosol container, even after it is empty.
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.