Nitrolingual Pumpspray – Frequently Asked Questions
How many sprays can I use when I am having an angina attack?
At the onset of an attack, spray one or two metered sprays onto or under the tongue (after priming — see package insert). No more than three metered sprays are recommended within a 15-minute period.
Why is the liquid red?
Although it appears to be red, the liquid is actually clear. The plastic coating on the bottle is red for increased visibility.
Where is the best place to spray Nitrolingual Pumpspray?
Nitrolingual Pumpspray should be sprayed onto or under the tongue. It should not be sprayed on the teeth or on dentures, and it should not be inhaled.
Why shouldn’t Nitrolingual Pumpspray be shaken?
Nitrolingual Pumpspray is a solution and does not need to be shaken. Shaking the bottle can displace the liquid in the tube and cause the measuring chamber to measure the wrong amount of drug. This means you may not receive a full dose. (In that case, the exact amount of drug delivered cannot be determined.)
What is the ideal position for taking Nitrolingual Pumpspray?
It is recommended that you use Nitrolingual Pumpspray while sitting up for better administration of the dose, but it can also be taken while lying down. Nitrolingual Pumpspray can also be taken standing up if you know what effect to expect (you may experience dizziness).
Is it possible to experience a slight burning sensation when I use Nitrolingual Pumpspray?
You could experience a slight burning sensation due to the 20% alcohol content of the product. Some people do not experience any burning sensation.
If the bottle of Nitrolingual Pumpspray freezes, is it still useable?
Once the liquid is thawed, it can be used again. The bottle can be thawed by rolling it between your hands.
How long can I continue to use my bottle of Nitrolingual Pumpspray?
Nitrolingual Pumpspray retains full potency for 24 months from the date of manufacture (see bottom of bottle for expiration dates).
Is it normal to have a drop of liquid left on the nozzle after spraying?
Yes. The measuring chamber is designed to give you the proper dose, even though you may notice a drop of liquid left on the nozzle.
What happens if the bottle breaks?
Contact your pharmacist.
What is the difference between the 200-metered-spray and the 60-metered-spray bottles?
The only difference is the number of sprays. The 200-metered-spray bottle delivers 200 metered sprays, while the 60-metered-spray bottle delivers 60 metered sprays. Be sure to ask your doctor to prescribe both the 200-metered-spray bottle and its smaller, 60-metered-spray companion bottle. Once fluid falls below the level of the center tube, sprays will not be adequate and the container should be replaced.
May I use Nitrolingual Pumpspray to help prevent an angina attack?
Nitrolingual Pumpspray may be used 5-10 minutes prior to engaging in activities which might provoke an acute attack. Be sure to always have a bottle on hand and in a convenient location, such as your car or the gym. Follow your Health Care Providers’ recommendations regarding activities and exercise.
See the full prescribing information for Nitrolingual Pumpspray for further details and product warnings.
Contact Us for More Information
If you are a prescribing doctor or a patient with angina pectoris, contact Sciele Pharma, Inc. for more information about Nitrolingual Pumpspray.
Indications and Usage: Nitrolingual Pumpspray is indicated for acute relief of an attack or prophylaxis of angina pectoris due to coronary artery disease.
Important Safety Information: Nitrolingual Pumpspray should not be used while taking phosphodiesterase inhibitors which are used for the treatment of erectile dysfunction. Nitrolingual Pumpspray should be used with caution if patients have low systolic blood pressure, are undergoing diuretic therapy, or show hypersensitivity to this and other nitrates or nitrites. Headache is the most commonly reported side effect with nitroglycerin. Patients may also experience episodes of dizziness, weakness, and other related side effects.
Safety and effectiveness of nitroglycerin in pediatric patients have not been established.
Click here for Full Prescribing Information.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088