Nitrolingual

 
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Angina

Nitrolingual Pump Spray is prescribed for the prevention of angina.

Nitrolingual Pump Spray is prescribed:
- To treat hypertensive emergencies;
- To treat congestive heart failure associated with myocardial infarction;
- To produce controlled hypotension during surgical procedures;

Nitrolingual Pump Spray is prescribed in the treatement of:
- Perioperative hypertension;
- Angina pectoris;

Without a Prescription

Nitrolingual is prescribed to prevent and treat angina pectoris.

Dosage

ADULTS AND OLDER ADULTS

Sustained-Release Capsules or Tablets

The smallest effective amount should be taken 2-3 times a day at 8-12-hour intervals.

Ointment Form

Your initial dose may be a daily total of 1 inch of ointment. Apply one-half inch on rising in the morning, and the remaining one-half inch 6 hours later.

Spray Form

Spray 1-2 pre-measured doses onto or under the tongue. You should not use more than 3 doses within a 15-minute period.

Patch Form

A patch is applied to the skin for 12-14 hours. After this time, the patch is removed.

Sublingual or Buccal Tablets

1 tablet should be dissolved under the tongue or inside the cheek. You may repeat the dose every 5 minutes until the pain is relieved.

Overdose

Symptoms of overdose may include:
- Vomiting;
- Visual disturbances;
- Vertigo;
- Syncope (especially in the upright posture);
- Sweating;
- Slow or fast pulse/heartbeat;
- Seizures;
- Rapid decrease in blood pressure;
- Paralysis;
- Palpitations;
- Palpitations (an abnormally rapid throbbing or fluttering of the heart);
- Nausea;
- Nausea and vomiting (possibly with colic and even bloody diarrhea);
- Loss of appetite;
- Irregular pulse;
- Increased pressure within the skull;
- Heart block and bradycardia;
- Headache confusion and moderate fever;
- Headache (persistent throbbing);
- Flushed skin;
- Fever;
- Fainting;
- Dizziness;
- Difficult and/or slow breathing;
- Diarrhea (may be bloody);
- Diaphoresis with the skin either flushed or cold and clammy;
- Death;
- Confusion;
- Coma;
- Colic;
- Clammy skin;
- Bluish skin;
- Air hunger and dyspnea later followed by reduced ventilatory effort;

Side Effects

Side effects may include:
- Worsened angina pain;
- Weakness;
- Vomiting;
- Sweating;
- Sore throat;
- Redness warmth or tingly sub dermal feeling;
- Red skin rash;
- Peeling;
- Pale skin;
- Nausea;
- Mild mouth tingling or burning;
- Light-headedness;
- Headache;
- Headache;
- Flushed skin (neck and face);
- Fever;
- Fast pounding or slow heart rate;
- Fainting;
- Dry mouth or blurred;
- Dizziness;
- Blistering;

Brand Names

Other synonyms:
- Willlong;
- Trinitroglycerin;
- Trinipatch;
- Tridil;
- Transdermal-NTG;
- Transderm Nitro;
- TNG;
- Suscard;
- Rectogesic;
- Perlinganit;
- Percutol;
- Nysconitrine;
- NTG;
- Nitrostat;
- Nitrospan;
- Nitrong parenteral;
- Nitronet;
- Nitrolingual;
- Nitrolingual Pump Spray;
- Nitrogray;
- Nitroglycerine;
- Nitrogard;
- Nitro-Dur;
- Nitrodom;
- Nitrodisc;
- Nitroderm TTS;
- Nitrocine;
- Nitrocap;
- Nitro Pohl;
- Nitro Mack;
- Nit-Ret;
- Nitrangin;
- Niglinar;
- NG;
- Natispray;
- Minitran;
- Maycor Nitrospray;
- Lycinate;
- Glyceryl trinitrate;
- Enetege;
- Discotrine;
- Diafusor;
- Deponit;
- Dauxona;
- Coro-Nitro;
- Cordiplast;
- Cellegesic;
- Buccard;
- Anginine;

Contraindications

Nitrolingual is contraindicated if you:
- Have severe anemia or if you recently had a heart attack;
- Have closed-angle glaucoma (pressure in the eye) or suffer from postural hypotension (dizziness upon standing up);
- Have any condition caused by increased fluid pressure in your head;
- Have a head injury;
- Are using the impotence drug sildenafil;
- Are allergic to it or to the adhesive in the patch;

Nitrolingual is contraindicated in patients:
- With allergic reactions to organic nitrates are extremely rare but they do occur;
- Who are allergic to Nitrolingual;
- Using Viagra because Viagra may amplify the vasodilatory effects of Nitrolingual resulting in severe hypotension;

Drug Reactions

Inform your pharmacist if you are taking any of the following medicines:
- Urinary or bladder drugs;
- Erectile dysfunction drugs;
- Calcium channel blockers;
- Bronchodilators;
- Blood pressure medicines;
- Beta-blockers;
- Aspirin;
- Antidepressants;
- Alteplase;
Without Prescription (2017)