NITROGLYCERIN - SUBLINGUAL

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NITROGLYCERIN - SUBLINGUAL

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

COMMON BRAND NAME(S): Nitrostat

GENERIC NAME(S): nitroglycerin

Uses

USES: This medication is used to relieve chest pain (angina) in people that have a certain heart condition (coronary artery disease). It may also be used before physical activities (such as exercise, sexual activity) to help prevent chest pain. Nitroglycerin 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.


How to use NITROGLYCERIN - SUBLINGUAL

HOW TO USE: Ask your doctor now for exact instructions on how to use your nitroglycerin and when to call for emergency medical help (911). Read the Patient Information Leaflet if available from your pharmacist before you start using nitroglycerin and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Sit down before using this medication. Place 1 tablet under the tongue and allow it to dissolve as directed by your doctor. Do not chew or swallow the tablet. The dosage is based on your medical condition and response to treatment. If you are using this medication to prevent chest pain before physical activities, use it 5 to 10 minutes before the activity. If you are using this medication to relieve chest pain once it occurs, use it as soon as possible. If your chest pain has not improved or if it has worsened 5 minutes after you use this drug, call emergency medical help (911). After calling the emergency number, use another dose. Five minutes after the second dose, if you still have chest pain and the ambulance has not arrived, use a third dose. If your chest pain is not gone after 15 minutes and 3 doses of nitroglycerin, call emergency medical help (911) if you have not called already. Do not use more than 3 doses during an attack unless directed by your doctor.

Side Effects

SIDE EFFECTS: Headache, dizziness, lightheadedness, nausea, flushing, and burning/tingling under the tongue 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: 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.

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Faq for NITROGLYCERIN - SUBLINGUAL

Nitroglycerin sublingual is a medication that is placed under the tongue to relieve chest pain or angina. It belongs to a class of drugs called nitrates, which work by relaxing and widening blood vessels, allowing more oxygen and blood flow to the heart.

Place one nitroglycerin tablet under your tongue and let it dissolve completely. Do not swallow or chew the tablet. You may feel a tingling sensation under your tongue as the medication is absorbed. If the chest pain persists after 5 minutes, you can take a second tablet. However, if the pain still does not subside after a total of three tablets, seek immediate medical attention.

Nitroglycerin sublingual usually starts working within 1 to 3 minutes after placing the tablet under the tongue. It provides rapid relief from angina symptoms, such as chest pain or tightness.

The effects of nitroglycerin sublingual typically last for about 30 minutes to 1 hour. It is important not to exceed the recommended dosage and frequency specified by your doctor.

Common side effects of nitroglycerin sublingual may include headache, dizziness, lightheadedness, flushing, or a burning sensation under the tongue. These side effects are usually mild and temporary. However, if you experience severe side effects like a rapid or irregular heartbeat, fainting, or a severe headache, seek immediate medical attention.

No, nitroglycerin sublingual is not used for preventing angina attacks. It is primarily used to relieve acute symptoms and provide immediate relief when an angina attack occurs. Your doctor may prescribe other medications for long-term prevention of angina attacks.

Nitroglycerin sublingual may cause dizziness or lightheadedness, which can impair your ability to drive or operate machinery. It is advisable to wait until you know how this medication affects you before engaging in activities that require alertness.

It is generally not recommended to consume alcohol while taking nitroglycerin. Alcohol may increase the side effects of nitroglycerin, such as dizziness and lightheadedness.

Nitroglycerin sublingual can interact with certain medications, including erectile dysfunction drugs like sildenafil (Viagra) and tadalafil (Cialis), blood pressure medications, and other nitrates or nitrites. It is important to inform your healthcare provider about all the medications you are taking to avoid potential drug interactions.

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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.