A resource for nurses.

Brought to you by 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. See below for full Important Safety Information about the product.

When you spend time with patients, your goal is to make sure they have all the relevant information they need for the medication they have just been prescribed.  

Use the following helpful tips to cover important information about Nitrolingual Pumpspray with your angina patients. You can also CLICK HERE to download a printable version.

Helpful Tips for Patients.

  • Patients taking certain drugs for erectile dysfunction (phosphodiesterase inhibitors) should NOT take this product.
  • Before using Nitrolingual Pumpspray for the first time, the pump must be sprayed five times into the air (this is known as priming).
    • If the product has not been used for 6 weeks, a prime of one spray is necessary.
  • Nitrolingual Pumpspray should be administered while the patient is in the sitting position.
  • Spray onto or under the tongue. Do not inhale the spray.
  • During angina, one or two sprays should be administered. If pain persists, a third spray can be used. If pain continues, prompt medical attention is recommended.
    • No more than three sprays within a 15-minute period are recommended.
  • Do not rinse out mouth for 5 - 10 minutes after administration.
  • Nitrolingual Pumpspray can be used as a preventive measure 5 - 10 minutes before an activity that would normally provoke angina.
  • Patients may require the use of Nitrolingual Pumpspray at night, therefore should familiarize themselves with the positioning of the spray opening for effective administration in the dark.
  • Patients should know the main triggers of angina.
    • 4 E's
      • Exercise
      • Emotional stress
      • Eating a large meal
      • Exposure to cold weather