Angina (an-JI-nuh or AN-juh-nuh) is chest pain or chest discomfort that occurs if an area of your heart muscle doesn't get enough oxygen-rich blood. Chest discomfort associated with angina feels like pressure or squeezing in your chest. (1)
The pain also can occur in your shoulders, arms, neck, jaw, or back.
Angina pain may even feel like indigestion. It’s important to remember that angina isn't a disease
Instead, it's a symptom of an underlying heart problem, usually coronary heart disease (CHD).
Coronary Heart Disease is the most common type of heart disease in adults, and occurs if a waxy substance called plaque builds up on the inner walls of the coronary arteries. These arteries carry oxygen-rich blood to your heart.
Stable angina is the most common type of angina. It occurs when the heart is working harder than usual. Stable angina has a regular pattern (how often the angina occurs, how severe the angina is, and what factors trigger it.) If you have stable angina, you may learn its pattern and predict when the pain will occur. The chest pain associated with stable angina usually goes away a few minutes after you rest or take angina medicine. Stable angina isn't the same thing as a heart attack, but it does suggest that a heart attack is more likely to happen in the future.
Unstable angina doesn't follow a pattern. It may occur more often and be more severe than stable angina.
Unstable angina also can occur with or without physical exertion, and rest or medicine may not relieve the pain. Unstable angina may be dangerous and require emergency treatment. This type of angina is a sign that a heart attack may happen soon.
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
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