Since each kind of angina has different symptoms, and may need different treatment, it's important to know what kind of angina you have.
Consists of episodes of chest pain that are usually predictable and triggered by exertion (such as heavy lifting), or mental or emotional stress. Generally, the chest discomfort is relieved with rest, angina medications like nitroglycerin, or both.
Doesn't follow a pattern, is very serious, and requires emergency treatment. It usually happens when at rest. The chest discomfort may be more severe and may last longer than typical angina. This may be the person's first episode of angina.
For acute treatment for angina pain, short-acting nitrates are most commonly prescribed. Nitrates like nitroglycerin lingual spray or sublingual tablets work by expanding (or dilating) blood vessels. This allows improved blood flow to the heart, which then gets the oxygen it needs.
In the past, short-acting nitroglycerin for angina treatment was only available in tablets. Today, Nitrolingual Pumpspray is also available. If you are taking Nitrolingual Pumpspray, it's important to keep it with you at all times.
If you are taking Nitrolingual Pumpspray 5 to 10 minutes before an activity that might provoke an angina attack you may have increased exercise duration and an increase in time-to-onset of angina. If you are experiencing an angina attack Nitrolingual Pumpspray can provide effective relief. It is recommended to take Nitrolingual Pumpspray while in a sitting position.
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.