Prescription Required 
Formulation : 
Description
Indications
Nitroglycerin spray is prescribed to alleviate episodes of angina (chest pain) in individuals with coronary artery disease. Additionally, it can be used preemptively before activities that might trigger angina, effectively preventing its onset. Nitroglycerin belongs to a class of drugs known as vasodilators. Its mechanism of action involves relaxing blood vessels, thereby reducing the heart’s workload and demand for oxygen.
Uses and Dosage
Before using this medication initially, prime the pump by spraying it into the air, away from yourself, others, or any open flame. The number of priming sprays required depends on your specific brand. If you haven’t used the medication for six weeks or longer, you’ll need to prime it again before use. Avoid shaking the container.
Sit down before administering the medication. Remove the plastic cover and hold the container upright with your finger on top of the grooved button. Open your mouth wide and bring the container as close to your mouth as possible. Press the button to spray the medication onto or under your tongue as directed by your doctor, typically 1 to 2 sprays. Close your mouth afterward. Ensure not to inhale or swallow the spray.
Refrain from eating, spitting, or rinsing your mouth for 5 to 10 minutes after spraying.
If you’re using this medication to prevent chest pain before physical activities, administer it 5 to 10 minutes before the activity.
For relieving chest pain once it occurs, use the medication as soon as possible. If your chest pain doesn’t improve or worsens 5 minutes after using the drug, seek emergency medical assistance (911). After calling emergency services, administer another spray. If you still experience chest pain five minutes after the second spray and the ambulance hasn’t arrived, administer a third spray. If your chest pain persists after 15 minutes and three doses of nitroglycerin, seek emergency medical help (911) if you haven’t already. Do not exceed three sprays during an attack unless instructed by your doctor.
Regularly check the medication level in the container to ensure you’re aware when you need to reorder.
Side Effects
Some side effects may occur that usually do not need medical attention:
- flushing
- fast or pounding heartbeat
Inform your healthcare provider immediately if you experience any serious side effects:
- rash, blistering, or peeling of the skin
- nausea
- vomiting
- weakness
- sweating
- pale skin
Caution
- Before using this medication, inform your doctor or pharmacist if you have any allergies, particularly to nitroglycerin, similar drugs like isosorbide mononitrate, or nitrites. Inactive ingredients in the product could also trigger allergic reactions or other complications.
- Disclose your medical history, especially if you have recently experienced head injury, anemia, low blood pressure, dehydration, or other heart issues such as a recent heart attack, to your doctor or pharmacist before using this medication.
- This drug may cause dizziness. Alcohol or marijuana can exacerbate this effect. Avoid driving, operating machinery, or engaging in tasks requiring alertness until you can do so safely.
- Older adults may be more susceptible to the side effects of this medication, particularly dizziness and lightheadedness, which could heighten the risk of falls.
- During pregnancy, use this medication only if absolutely necessary. Discuss the risks and benefits with your doctor.
- It is uncertain whether this medication passes into breast milk or if it could harm a nursing infant. Consult your doctor before breastfeeding.
Form and Strength
Nitrolingual Pumpspray is available in the following forms and strengths:
- Nitrolingual Pumpspray lingual spray:
- 0.4 mg
FAQ
How long does Nitrolingual spray last after you take it?
You can expect chest pain to ease a couple of minutes after you use Nitrolingual spray. The effects of each spray should last for about 15 minutes.
Does Nitrolingual spray lower blood pressure?
Yes, Nitrolingual spray can cause low blood pressure as a side effect. Your risk is higher if you’re an older adult, dehydrated, or are taking other medications that can lower blood pressure.
Resources
- https://www.goodrx.com/nitrolingual/what-is#faqs
- https://my.clevelandclinic.org/health/drugs/20309-nitroglycerin-spray
- https://www.rxlist.com/nitrolingual-pumpspray-drug.htm
- https://www.webmd.com/drugs/2/drug-3746/nitrolingual-translingual/details
- https://medlineplus.gov/druginfo/meds/a615006.html
- https://www.drugs.com/pro/nitroglycerin-lingual-spray.html
