Nitroglycerine
(Nitroglycerine)Nitroglycerine Overview
Nitroglycerine 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. Nitroglycerine works by relaxing and widening blood vessels so blood can flow more easily to the heart.
How to Use Nitroglycerine
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 available from your pharmacist. Consult your doctor or pharmacist if you have any questions. Before using Nitroglycerine for the first time, spray the pump into the air away from yourself, others, or open flame. This is known as priming the pump. The number of times you need to spray the pump to prime it depends on your brand. If you have not used Nitroglycerine for 6 weeks or more, you will need to prime it again before use. Do not shake the container. Sit down before using Nitroglycerine. Remove the plastic cover. Hold the container upright with your finger on top of the grooved button. Open your mouth, and bring the container as close to your mouth as possible. Press the button to spray the medication onto or under your tongue. Use 1 to 2 sprays as directed by your doctor, then close your mouth. Do not inhale or swallow the spray. Avoid eating, spitting, or rinsing your mouth for 5 to 10 minutes after spraying. If you are using Nitroglycerine to prevent chest pain before physical activities, use it 5 to 10 minutes before the activity. If you are using Nitroglycerine 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 Nitroglycerine, call emergency medical help (911). After calling the emergency number, use another spray. Five minutes after the second spray, if you still have chest pain and the ambulance has not arrived, use a third spray. 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 sprays during an attack unless directed by your doctor. Periodically check the level of medication in the container so you know when you need to order more medication.
Nitroglycerine Precautions
Before using Nitroglycerine, 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. Nitroglycerine may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Nitroglycerine, tell your doctor or pharmacist your medical history,recent head injury, anemia, low blood pressure, dehydration, other heart problems (such as recent heart attack). Nitroglycerine may make you dizzy. Alcohol or marijuana (cannabis) 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 (cannabis). 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 Nitroglycerine, especially dizziness and lightheadedness which could increase the risk of falls. During pregnancy, Nitroglycerine should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if Nitroglycerine passes into breast milk or if it may harm a nursing infant. Consult your doctor before breast-feeding.
Nitroglycerine Misdose
Not applicable.
Nitroglycerine 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.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, vericiguat. Nitroglycerine 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 Nitroglycerine.
Nitroglycerine Side Effects
Headache, dizziness, lightheadedness, nausea, and flushing may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Headache is often a sign that Nitroglycerine 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 Nitroglycerine has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using Nitroglycerine do not have serious side effects. Tell your doctor right away if you have any serious side effects,fainting, fast/irregular/pounding heartbeat. A very serious allergic reaction to Nitroglycerine is rare. However, get medical help right away if you notice any 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. 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.
Nitroglycerine Storage
Store at room temperature away from light, heat and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard Nitroglycerine when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
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