MISSED DOSE: If you miss a dose, apply it as soon as you remember. It also relaxes and widens blood vessels in your heart (coronary arteries), which increases the flow of blood to your heart muscle. Do not freeze. ChildrenUse and dose must be determined by your doctor. Here at the agency, we understand that there are concerns about getting rid of drugs by flushing them. Contraindicated (1)ergotamine decreases effects of nitroglycerin IV by pharmacodynamic antagonism. This information does not assure that this product is safe, effective, or appropriate for you. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location one that is up and away and out of their sight and reach. This content does not have an English version. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. If this happens, use an artificial saliva product or chew gum to increase the amount of saliva in your mouth so that the tablet will dissolve. Don't swallow or chew the tablet. These are longer-acting nitrates, as the medicine in these preparations works for a longer period of time. Then we need to provide information to consumers on how to dispose of certain unused medicines, and explain the agencys recommendations for medicine disposal. A meta-analysis found topical nitroglycerin to be superior . ChildrenUse and dose must be determined by your doctor. Monitor blood pressure. Im very happy to see that this disposal option is once again available to consumers. Consult your doctor before breast-feeding. Comment: Acetylcysteine may enhance vasodilatory effects of nitroglycerin. Some conditions may become worse when the drug is suddenly stopped. Contraindicated (1)nitroglycerin IV, riociguat. Minitran, Nitro-dur, Nitrolingual, Nitromist, Nitro-bid, Important information about all medicines, Notes on Nitroglycerin for angina (Minitran, Nitro-dur, Nitrolingual, Nitromist, Nitro-bid), https://patient.info/medicine/nitroglycerin-for-angina-minitran-nitro-dur-nitrolingual-nitromist-nitro-bid, FDA Label, Nitrolingual nitroglycerin spray, FDA Label, Nitrostat nitroglycerin tablet, FDA Label, Nitro-Dur nitroglycerin patch, FDA Label, Nitro-Bid nitroglycerin ointment, Glyceryl trinitrate for angina (GTN, Deponit, Glytrin, Minitran, Nitrolingual, Transiderm-Nitro), Minitran; Nitro-Dur; Nitrolingual; Nitromist; Nitro-Bid, Spray, sublingual tablets (for under the tongue), melt-in-the-mouth tablets or films, ointment, patches and capsules, This is usually a sign the medicine is working and should soon pass, Do not drive and do not use tools or machines while affected, If troublesome, speak with your physician, Skin flushing; skin reactions (if using patches. Do not eat, drink, smoke, or use chewing tobacco while a tablet is dissolving. Dated November 2022. Many people using this medication do not have serious side effects.Tell your doctor right away if you have any serious side effects, including: fainting, fast/irregular/pounding heartbeat.A very serious allergic reaction to this drug is rare. Lower BP, increased HR, occasional paradoxical bradycardia, Metabolism: Mainly in liver, extrahepatic sites (vascular wall, RBC), Metabolites: 1,3-glyceryl dinitrate, 1,2-glyceryl dinitrate, and glyceryl mononitrate (inactive), Additive: aminophylline, dobutamine, dopamine, furosemide, lidocaine, verapamil, Y-site: amiodarone, diltiazem, dobutamine, dopamine, famotidine, lidocaine, pancuronium, ranitidine, sodium nitroprusside, streptokinase, tacrolimus, vecuronium, Solution: 50 mg in 250 mL (200 mcg/mL) D5W or NS, Only use glass IV bottles and administration sets, COMMON BRAND NAME(S): Nitro-Dur, Transderm-Nitro. If it is not been used within 3 months, prime it up to 5 sprays. Coadministration of nitrates or nitric oxide donors is contraindicated due to risk of hypotension. 1 tablet may be used every 5 minutes as needed, for up to 15 minutes. If the pain continues for 15 minutes despite using the spray twice then call 911 straightaway. other information we have about you. Nitroglycerin works in two ways. Nitroglycerin sprays contain flammable ingredients. AHFS Patient Medication Information. If you are a Mayo Clinic patient, this could View the formulary and any restrictions for each plan. It is usual to apply the patches to your chest or upper arm but this may vary depending upon which brand of patches you have been given. Either increases effects of the other by pharmacodynamic synergism. Do not use more than 3 sprays in a 15-minute period. Do not drive yourself to the hospital. However, because the revised mixture and derived-from rules are less stringent than the existing federal requirements, states which are authorized for the base RCRA program are not required to adopt them [40 CFR 271.1(i)]. Most Individual plans may vary Mayo Clinic does not endorse companies or products. Do not double doses. nitroglycerin IV, benazepril. Do not drive yourself and call 911, if necessary. Either increases effects of the other by additive vasodilation. Contraindicated (1)dihydroergotamine intranasal decreases effects of nitroglycerin IV by pharmacodynamic antagonism. Contraindicated. If you become dizzy or faint while sitting, take several deep breaths and bend forward with your head between your knees. Nitroglycerin for angina (Minitran, Nitro-dur, Nitrolingual, Nitromist Talk to your doctor if you are using marijuana (cannabis).Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).If you are going to have an MRI test, tell testing personnel that you are using this patch. This should soon pass. Drug information provided by: Merative, Micromedex. If the headaches continue or become severe, tell your doctor promptly.To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. and formulary information changes. Ask your pharmacist any questions you have about refilling your prescription. You may administer 1 or 2 sprays of Nitroglycerin oral spray at the onset of chest pain. Do not spit out the spray or rinse your mouth for at least 5 to 10 minutes. Since this clarification, best management practices dictate that nitroglycerin be handled as non-hazardous pharmaceutical waste and sent to a medical waste incinerator or municipal incinerator for treatment. Do not inhale or breathe in the spray. You will find a full list in the manufacturer's information leaflet supplied with your medicine. Contraindicated (1)dihydroergotamine decreases effects of nitroglycerin IV by pharmacodynamic antagonism. restrictions. Squeeze 1-2 inches of ointment on to the measure (your physician will tell you exactly how much to use). It is also used just before activities that may cause episodes of angina in order to prevent the angina from occurring. However, you can wear it anywhere on the body below the neck and above the knees or elbows. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.