NITROGLYCERIN OINTMENT - TRANSDERMAL

NITROGLYCERIN OINTMENT - TRANSDERMAL

PHONETIC PRONUNCIATION: (NYE-troe-GLIS-er-in)

COMMON BRAND NAME(S): Nitro-Bid

GENERIC NAME(S): nitroglycerin

Uses

USES: Nitroglycerin ointment is used to prevent chest pain (angina) in people with a certain heart condition (coronary artery disease). This medication 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. This medication will not relieve chest pain once it occurs. It is also not intended to be used just before physical activities (such as exercise, sexual activity) to prevent chest pain. Other medications may be needed in these situations. Consult your doctor for more details.


How to use NITROGLYCERIN OINTMENT - TRANSDERMAL

HOW TO USE: Read the Patient Information Leaflet available from your pharmacist. Consult your doctor or pharmacist if you have any questions. Apply this medication as directed by your doctor. Avoid touching the ointment with your fingers. Carefully squeeze out your dose onto a paper dose-measuring applicator. These applicators are supplied with the medication. Place the paper applicator with the ointment side down onto a dry, hairless area of skin, usually on the chest. Do not rub the ointment into the skin. Using the paper, lightly spread the ointment to cover an area of a size directed by your doctor. Tape the paper applicator into place and cover with plastic wrap to avoid staining your clothing. Wash your hands after applying and removing the medication. Remember to use a different area for each application. It is important to apply this medication at the same times each day. Do not change the dosing times unless directed by your doctor. The dosage is based on your medical condition and response to treatment. Remove the medication daily as directed by your doctor. Use this medication regularly to get the most benefit from it. Do not stop using this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased. Although unlikely, when this medication is used for a long time, it may not work as well and may require different dosing. Tell your doctor if this medication stops working well (for example, you have worsening chest pain or it occurs more often).

Side Effects

SIDE EFFECTS: 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. Many people using this medication do not have serious side effects. Tell your doctor right away if these unlikely but serious side effects occur: fainting, fast/irregular/pounding heartbeat. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

PRECAUTIONS: Before using this medication, tell your doctor or pharmacist if you are allergic to it; or to similar drugs (such as isosorbide mononitrate); or to nitrites; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: recent head injury, anemia, low blood pressure, loss of too much body water (dehydration), other heart problems (such as recent heart attack). This drug may make you dizzy. Alcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults may be more sensitive to the side effects of this medication, especially dizziness and lightheadedness which could increase the risk of falls. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if this medication passes into breast milk or if it may harm a nursing infant. Consult your doctor before breast-feeding.

Interactions

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: drugs used to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, tadalafil), certain drugs to treat migraine headaches (ergot alkaloids such as ergotamine), riociguat. This medication may interfere with certain laboratory tests (including blood cholesterol levels), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

Overdose

OVERDOSE: This medicine may be harmful if swallowed. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: slow heartbeat, vision changes, severe nausea/vomiting, sweating, cold/clammy skin, bluish fingers/toes/lips.

Images

NITRO-BID 2% OINTMENT

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pale yellow
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NITRO-BID 2% OINTMENT

color
pale yellow
shape
imprint
NITRO-BID 2% OINTMENT

color
pale yellow
shape
imprint

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Faq for NITROGLYCERIN OINTMENT - TRANSDERMAL

Nitroglycerin ointment is a medication that is used to relieve and prevent chest pain (angina) caused by coronary artery disease. It works by relaxing and widening the blood vessels, improving blood flow to the heart.

Nitroglycerin ointment is applied directly to the skin. It should be applied to a clean, dry area of the body (usually the chest or upper arm) and rubbing it in until it disappears. Avoid applying near open wounds or irritated skin. Follow the instructions provided by your doctor or pharmacist.

Typically, nitroglycerin ointment is applied two to three times a day, with at least a 10-12 hour interval between each application. Your doctor will determine the specific dosing schedule based on your condition.

Common side effects may include headache, dizziness, lightheadedness, flushing, or a burning sensation at the application site. These side effects are usually temporary. However, if you experience severe side effects such as fainting, rapid heartbeat, or a rash, seek immediate medical attention.

Exercise and physical activity can be beneficial for individuals with angina. However, it is advisable to consult with your doctor before starting or changing your exercise routine. They will provide guidance on appropriate levels of activity while using nitroglycerin ointment.

Certain medications, such as erectile dysfunction drugs like Viagra, Cialis, or Levitra, as well as other nitrate medications, can interact with nitroglycerin and cause a dangerous drop in blood pressure. It is crucial to inform your doctor about all the medications you are taking to avoid potential interactions.

If you accidentally apply too much nitroglycerin ointment or experience severe symptoms such as dizziness, confusion, or difficulty breathing, seek emergency medical assistance immediately.

Nitroglycerin ointment should only be used during pregnancy or breastfeeding if specifically prescribed by a doctor. It is important to discuss the potential risks and benefits with your healthcare provider before using this medication.

Nitroglycerin ointment usually starts working within 15-30 minutes after application. However, the specific onset and duration of action may vary between individuals.



Disclaimer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.