Angina Pectoris is a symptom of Coronary Artery Disease. The symptoms of angina – or an angina attack – are felt when the heart muscle doesn't get as much blood or oxygen as it needs.
The symptoms of angina – or an angina attack – are felt when the heart muscle doesn't get as much blood or oxygen as it needs, usually because the arteries have become narrowed or blocked.
When this happens, it can cause an uncomfortable pressure, fullness, squeezing, or pain in the center of the chest. Discomfort also may be felt in the neck, jaw, shoulder, back, or arm.
Sometimes an angina attack can be accompanied by shortness of breath, nausea, dizziness, or tiredness. Some people may break into a cold sweat, or feel their heart pounding during an angina attack. The discomfort usually develops gradually, without a sudden sharp pain.
Angina can happen several times a day, or only once in a while. It is important to know what pattern of angina is typical for you.
Stable angina is usually a symptom of coronary artery disease, which is almost always caused by narrowing of the arteries.
This narrowing is also called atherosclerosis [ath-uh-roh-skluh-roh-sis] and it develops when cholesterol and other materials are deposited in the wall of an artery, forming plaques. As the plaques get bigger, they start to block the artery.
With time, calcium starts to build up too. This can take many years.
People with Coronary Artery Disease (CAD) may experience angina pain as a symptom. CAD is most common among older adults. In the United States, 1 out of 6 people age 65 and over will develop CAD each year. Both men and women can get angina, although men usually develop it about 10 years earlier than women. According to the American Heart Association, over 10 million people in the United States suffer from angina pectoris and there are over 500,000 new cases of angina each year.
Certain behaviors, circumstances, or disorders—called risk factors—can increase the likelihood of CAD. Some risk factors can be prevented, some are out of our control.
If you feel you may be at risk, or have experienced chest pain, discuss your symptoms with your healthcare professional. He or she will be able to advise you.
Nitrolingual® Pumpspray is indicated for acute relief of an attack or prophylaxis of angina pectoris due to coronary artery disease.
Nitrolingual® Pumpspray should not be used if you are allergic to nitroglycerin or if you are using medications for erectile dysfunction such as avanafil, sildenafil, vardenafil, or tadalafil. Using Nitrolingual® Pumpspray with these products may cause low blood pressure (hypotension), fainting, or heart attack.
Nitrolingual® Pumpspray should not be used if you have anemia.
Nitrolingual® Pumpspray should not be used in patients with increased intracranial pressure. Talk to your doctor if you had a cerebral hemorrhage or traumatic brain injury before taking Nitrolingual® Pumpspray.
You might develop a tolerance to this drug or to other nitrates and nitrites. Only the smallest number of doses required for effective relief of the acute angina attack should be used.
You should use nitroglycerin with caution in the early days after a heart attack and it may aggravate the angina caused by a condition known as hypertrophic cardiomyopathy. Increased hypotension, mainly when standing upright, may occur even with small doses of nitroglycerin and may result in slow heart beat and increased angina. It should be used with caution if you are dehydrated due to drug therapy or if you have low blood pressure.
Headache is the most reported side effect and may be severe and persistent. Other side effects that have been reported are dizziness, numbness and tingling of the skin, drowsiness, nausea, increased heart rate.
Talk to your healthcare provider to see if Nitrolingual® is right for you.
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 FREE
For full prescribing information, click the link below.