Nitrolingual Pump Spray 400mcg 200 Dose

Nitrolingual Sublingual Pump Spray 

**For the treatment and prophylaxis of angina pectoris and the treatment of variant angina diagnosed by your Doctor.**

Nitrolingual is a sublingual spray used under the tongue. The active ingredient is called glyceryl trinitrate or GTN for short. GTN is one of a group of medicines called ‘nitrates’ which relax the muscles around the blood vessels and make it easier for the heart to do its work. Nitrolingual helps stop the pain of angina (pain in the chest, arms or neck especially during physical exertion). You can also use the medicine immediately before doing things which you know will cause you angina pain.

Directions:

Before using a new bottle of Nitrolingual, spray the first puff into the air to get the pump working properly. You must also do this if you have not used the pump for a week or more. Get used to the feel of the grooved button in case you need to use the pump in the dark.

• Rest or sit quietly, as you may feel faint or dizzy otherwise, particularly if you are elderly.
• Hold the bottle upright with your finger on the button. You don’t need to shake the bottle.
• Open your mouth and put the bottle next to your chin (see picture).
• Press the button firmly so that the puff of medicine goes under your tongue (see picture). Close your mouth.
• Do not breathe in while you are taking the puff of medicine

At the onset of an attack, or to prevent an imminent attack:

• Sit down.
• Hold the canister upright and near your mouth.
• Hold your breath.
• Aim the spray under your tongue.
• Press down the button firmly, once only.
• Close your mouth immediately.
• Do not inhale the spray.

The usual dose is one or two sprays. No more than three doses are recommended at any one time. After using Nitrolingual, rest for a while. When you stand up, rise slowly, as you may feel faint.

Warnings

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and bottle after ‘EXP’. The expiry date refers to the last day of that month.

Do not store Nitrolingual® above 25 °C.

Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Do not use Nitrolingual and talk to your doctor:

• If you are allergic to glyceryl trinitrate or any of the other ingredients of this medicine.
• If you have severe low blood pressure.
• If you have shock caused by low blood pressure.
• If you have severe anaemia.
• If you have constrictive pericarditis (a heart condition).
• If you have an extremely low heart rate.
• If you have glucose-6-phosphate-dehydrogenase deficiency (an inherited enzyme deficiency, mainly affecting men).
• If you have a brain trauma or cerebral haemorrhage (brain or head injury, including bleeding).
• If you have narrowing of the heart valves or arteries or angina caused by a disease of the heart muscle.
• If you have circulatory collapse (a failure of blood circulation).
• If you have toxic pulmonary oedema (lung swelling/ fluid)
• If you have cardiogenic shock (a serious heart condition caused by very low blood pressure, which may result in the following symptoms: dizziness and lightheadedness, fast pulse rate, white skin, sweating, restlessness or loss of consciousness).
• If you are taking any medication used to treat male erectile dysfunction (impotence).

Talk to your doctor before using Nitrolingual if any of the following apply to you, even if it affected you in the past:

• Fluid around the heart (pericardial tamponade).
• Low filling pressures (e.g. acute myocardial infarction).
• Problems controlling your blood pressure.
• Any disease that increases pressure on the brain.
• Glaucoma (a condition in which the pressure in the eye may be high).
• Liver or kidney problems.
• An underactive thyroid gland.

Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained over the counter, particularly:

• Medicines treating blood pressure or heart problems, such as vasodilators, antihypertensives, betablockers and calcium channel blockers.
• Tricyclic anti-depressants or neuroleptics, used to treat mental health conditions.
• Diuretics (water tablets to increase amount of urine produced).
• Dihydroergotamine, used to treat migraine headaches.
• Blood thinners used to prevent blood clots. Your doctor will need to monitor you more closely.
• Organic nitrates (other acute angina treatments)

Ingredients:

Each spray of Nitrolingual Pumpspray 200 Dose contains: 400 Micrograms Glyceryl Trinitrate.

The bottle of 200 doses contains Ethanol (20%), Coconut oil, Medium-Chain Partial Glycerides, Peppermint Oil.