Nitrolingual

Nitrolingual is given for the prevention and treatment for chest pain (angina pectoris). Nitrolingual helps improve oxygen supply by relaxing the walls of blood vessels, resulting in their dilation and reducing the workload of the heart. Main ingredient in Nitrolingual is Nitroglycerin. There are various types of Nitrolingual, sublingual, ointment, spray, sustained release capsules or tablets or patches. Depending on its type they are used to prevent an attack of angina, relieve or to reduce the frequency of such attacks.

Nitrolingual Side Effects


Nitrolingual side effects include dizziness, headache, light-headedness, worsened angina pain and flushing. Rare Nitrolingual side effects may include dry mouth, diarrhea, fainting, heart pounding, low blood pressure, nausea, vomiting, pallor, restlessness, severe allergic reactions, rash, sweating, vertigo, fatigue, and numbness.

Nitrolingual Side Effects Reporting


If you experience any Nitrolingual side effects not mentioned above you should report it to your primary health care provider or FDA 1-800-FDA-1088 in the United States, Health Canada 1-866-225-0709 in Canada, MHRA 020 3080 6000 in UK, or TGA 1800 020 653 in Australia.

NITROLINGUAL CAUTION



Inform your physician about any medical condition that you already have before using Nitrolingual. These conditions include previous or recent heart attack, stroke, kidney or liver problems, head injury, anemia, glaucoma, hyperthyroidism and low blood pressure.

Nitrolingual may cause severe low blood pressure, dizziness and fainting. Do not drive a car or operate machinery until you know how Nitrolingual affects you.

Avoid using Nitrolingual if you are allergic to nitrates or nitrites or to the adhesive in the patch.

Nitrolingual capsule should not be used if you have closed-angle glaucoma or postural hypotension.

Avoid using the Nitrolingual tablets if you are using drugs for erectile dysfunction (impotence).

Contact your physician right away if your vision becomes blurry or you experience dry mouth while taking Nitrolingual.

NITROLINGUAL INTERACTION



Nitrolingual may cause extreme low blood pressure when combined with high blood pressure medicines such as:
Beta-blocker
Calcium channel blockers
isosorbide dinitrate
isosorbide mononitrate
blood vessel dilators

Nitrolingual may also cause a severe drop in blood pressure when taken with the impotence drug such as sildenafil (Viagra) or similar drugs.

Aspirin and other NSAIDs may enhance the effects of Nitrolingual.

Alcohol may cause a sudden decrease in blood pressure when combined with Nitrolingual.

Inform your doctor if you are using any herbs that may increase or decrease blood pressure such as ginseng, hawthorn, saw palmetto etc.

NITROLINGUAL AND PREGNANCY


The effects of Nitrolingual on pregnancy have not been established. If you are, or planning to become pregnant, inform your physician before starting Nitrolingual. Nitrolingual does pass into breast milk. Nursing mothers should switch to bottle-feed while using Nitrolingual.

NITROLINGUAL DOSES



Sublingual or transmucosal tablets:
At the onset of the chest pain, dissolve 1 tablet under the tongue or between cheek and gum. Repeat after 5 minutes if the pain does not subsides. However, if pain continues even after 3 tablets, seek emergency medical help right away. Do not take more than 3 tablets in 15 minutes.

Sustained-Release Tablets and Capsules:
1 capsule 2-4 times daily. This type of Nitrolingual should not be used during an attack.

NITROLINGUAL OVERDOSE


Nitrolingual overdose symptoms may include low blood pressure, headache, bluish skin, dizziness, confusion, diarrhea, breathing difficulty, fainting, fever, flushed skin, loss of appetite, nausea, seizures, sweating, vertigo, visual disturbances, vomiting, paralysis, and coma. In case of Nitrolingual overdose seek emergency hospital help right away. If you miss a dose of Nitrolingual, take it as soon as you can. However, if it is just about time for your next dose, skip the one you forgot and go on with your regular schedule. Avoid taking a double dose.

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