Nitrolingual

Nitrolingual Pumpspray is a prescription medication used to treat or prevent episodes of angina (sudden chest pain). Nitrolingual Pumpspray belongs to a group of drugs called nitrates which work by relaxing (widening) blood vessels making it easier for the heart to pump blood.

This medication comes in an oral spray. It is usually sprayed onto or under the tongue at the onset of an attack. If needed, the dose can be repeated every 5 minutes. Seek emergency medical attention if the pain persists after 3 doses.

It can also be used when needed 5 to 10 minutes before activities that may cause attacks. 

Common side effects of Nitrolingual Pumpspray include headache, dizziness, and the sensation of tingling. 

Nitrolingual Pumpspray is a prescription medicine used to treat and prevent angina associated with coronary artery disease (CAD).

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

• Arbor Pharmaceuticals, Inc.

Nitrolingual Pumpspray may cause the following side effects:

• headache
• dizziness
• sensation of tingling
• drowsiness
• weakness
• fast heart rate
• nausea
• vomiting
• flushing

Tell your doctor if you are concerned about any side effects you experience. These are not all the possible side effects of Nitrolingual Pumpspray. For a complete list, ask your doctor or pharmacist.

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

• any medicines that are used to treat angina, heart failure, or an irregular heartbeat.
• any medicines that reduce blood pressure.
• any diuretics (water pills).
• medications to treat depression or psychiatric illness.
• ergotamine or similar drugs for migraine headaches.
• aspirin.
• the blood thinner medicine heparin.
• any medicines for erectile dysfunction.

Do not consume alcohol while using Nitrolingual Pumpspray, as this can lower your blood pressure.

This is not a complete list of Nitrolingual Pumpspray drug interactions. Ask your doctor or pharmacist for more information.

Do not use Nitrolingual Pumpspray if you:

• are allergic to organic nitrates.
• have had a very recent heart attack
• have severe anemia
• have increased pressure in the head
• have acute circulatory failure or shock
• take drugs for erectile dysfunction, like Viagra (sildenafil), Cialis (tadalafil), or Levitra (vardenafil), as this may lead to extreme lowering of your blood pressure.

Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of Nitrolingual Pumpspray, there are no specific foods that you must exclude from your diet when receiving this medication.

Before using Nitrolingual Pumpspray, tell your doctor if you are taking:

• any medicines that are used to treat angina, heart failure, or an irregular heartbeat.
• any medicines that reduce blood pressure.
• any diuretics (water pills).
• medications to treat depression or psychiatric illness.
• ergotamine or similar drugs for migraine headaches.
• aspirin.
• the blood thinner medicine heparin.
• any medicines for erectile dysfunction.

Tell your doctor if you are pregnant or plan to become pregnant or if you are breastfeeding.

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Nitrolingual Pumpspray falls into category C. No studies have been done in animals, and no well-controlled studies have been done in pregnant women. Nitrolingual Pumpspray should be given to a pregnant woman only if clearly needed.

Tell your doctor if you are breastfeeding. It is not known if the medication, in Nitrolingual Pumpspray, is excreted in human breast milk. Because many medications can cross into human milk and because of the possibility for serious adverse reactions in nursing infants with use of this medication, a choice should be made whether to stop nursing or stop the use of this medication. Your doctor and you will decide if the benefits outweigh the risk of using Nitrolingual Pumpspray.

Use Nitrolingual Pumpspray exactly as prescribed.

Nitrolingual Pumpspray comes as a spray. It is usually sprayed onto or under the tongue at the onset of an attack. If needed, the dose can be repeated every 5 minutes. Seek emergency medical attention if the pain persists after 3 doses.

Do up to three metered sprays within a 15-minute period. If chest pain persists, advise prompt medical attention.

It can also be used when needed 5 to 10 minutes before activities that may cause attacks. 

Do not inhale Nitrolingual Pumpspray.

Priming Nitrolingual Pumpspray:

Before you use Nitrolingual Pumpspray for the first time, you must prime it. To prime your Nitrolingual Pumpspray, follow the steps below:

• Remove the plastic cap from the container. 
• Hold the container upright and facing away from yourself and others. Press down on the top of the grooved button 5 times. 
• Your Nitrolingual Pumpspray is now primed. You are ready to give your first dose.
• If you do not use your Nitrolingual Pumpspray within 6 weeks, you will need to prime it again by pressing down on the top of the grooved button 1 time.
• If you do not use your Nitrolingual Pumpsray within 3 months, you will need to re-prime it by pressing down on the top of the grooved button up to 5 times.

• Hold your Nitrolingual Pumpspray container upright with your index finger on top of the grooved button.
• Open your mouth and bring the Nitrolingual Pumpspray container as close to your mouth as possible.
• Press down on the top of the grooved button firmly with your index finger to release the spray onto or under your tongue. The grooved button can help you make sure the canister is turned to the correct position if you are administering the spray in the dark.
• Release the grooved button and close your mouth right away. Avoid swallowing right after using Nitrolingual Pumpspray. Do not spit out Nitrolingual Pumpspray or rinse your mouth for 5 to 10 minutes after using Nitrolingual Pumpspray.
• If a second dose of Nitrolingual Pumpspray is needed, repeat Steps 3 through 6 above.
• Replace the plastic cap.

Take this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.

A dose of Nitrolingual Pumpspray may be either 1 or 2 sprays. Follow your healthcare provider's instructions about how many sprays you should use for each dose. Doses should be separated by approximately 5 minutes.

You should not use more than 3 sprays of Nitrolingual Pumpspray within 15 minutes.

It can also be used when needed 5 to 10 minutes before activities that may cause attacks. 

If you use too much of Nitrolingual Pumpspray, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

• Store Nitrolingual Pumpspray at room temperature 77°F (25°C); excursions permitted to 59-86°F (15-30°C).
• Do not forcefully open or burn the Nitrolingual Pumpspray container after use.
• Do not spray Nitrolingual Pumpspray toward flames.
• Keep Nitrolingual Pumpspray and all medicines out of the reach of children.