"By Megan Brooks
Medscape Medical News
The US Food and Drug Administration (FDA) will require makers of prescription testosterone products to clarify the approved uses of these medications on the product label and add information"...
(nitroglycerin lingual spray) 400 mcg per spray, 60 or 200 Metered Sprays
Before using your Nitrolingual® Pumpspray (nitroglycerin lingual spray) 400 mcg per spray, 60 or 200 metered sprays, read carefully the following directions for use.
Nitrolingual® Pumpspray (nitroglycerin lingual spray) is a metered dose spray which delivers 48 mg of solution containing 400 mcg of nitroglycerin with each spray. Nitroglycerin is absorbed from the tongue and surrounding mucosa producing a prompt therapeutic effect. It is best to use Nitrolingual® Pumpspray (nitroglycerin lingual spray) in a sitting position.
How to Use Nitrolingual® Pumpspray (nitroglycerin lingual spray)
Before using this product for the first time, the pump must be sprayed 5 times into the air (this is known as priming). The pump should be primed every 6 weeks to remain ready for use. If the product has not been used for 6 weeks, a prime of 1 spray is necessary.
- Remove the plastic cover.
- DO NOT SHAKE.
- Hold the container upright with forefinger on top of the grooved button.
- Open the mouth and bring the container as close to it as possible.
- Press the button firmly with the forefinger to release the spray onto or under the tongue. DO NOT INHALE THE SPRAY.
- 6. Release button and close mouth. Avoid swallowing immediately after administering the spray. The medication should not be expectorated or the mouth rinsed for 5 to 10 minutes following administration.
- If you require a second administration to obtain relief, repeat steps 4, 5, and 6.
- Replace the plastic cover.
NOTE: To familiarize yourself with the product and while priming the container, actuate the spray into the air (away from yourself and others).Get the feel of your finger resting on the grooved button so that you can use the spray in the dark. DO NOT SHAKE the container before use. You may wish to keep additional pumpspray containers handy in convenient locations.
During an anginal attack, one or two sprays should be administered into your mouth, preferably onto or under the tongue. Do not inhale spray. The medication should not be expectorated or the mouth rinsed for 5 to 10 minutes following administration. A spray may be repeated approximately every 3-5 minutes as needed. No more than three metered sprays are recommended within a 15-minute period. If chest pain persists, prompt medical attention is recommended. Nitrolingual® Pumpspray (nitroglycerin lingual spray) may be used 5 to 10 minutes prior to engaging in activities which might provoke an acute attack.
There are approximately 60 or 200 metered sprays of nitroglycerin per Nitrolingual® Pumpspray bottle. However, the number of times the medication may be used is dependent on the number of sprays per use (1 or 2 sprays), and frequency of repriming. Each metered spray of Nitrolingual® Pumpspray (nitroglycerin lingual spray) delivers400 mcg of nitroglycerin after an initial priming of 5 sprays.The container will remain adequately primed for 6 weeks. If the medication is not used within 6 weeks, it can be adequately reprimed with 1 spray. Longer storage periods without use may require up to 5 repriming sprays.
Your physician has determined that this product is likely to help your personal health. USE THIS PRODUCT AS DIRECTED, BY YOUR PHYSICIAN.
If you have any questions about alternatives, consult with your physician.
Do not share or give your medication to others, particularly those who may appear to be having chest discomfort similar to yours. Nitrolingual® Pumpspray (nitroglycerin lingual spray) should be used during an episode of chest pain or may be used 5 to 10 minutes prior to engaging in activities which might provoke an acute attack.
Nitrolingual® Pumpspray (nitroglycerin lingual spray) is available in a clear glass bottle with a red plastic coating on the exterior. This plastic coating is designed to contain the glass and medication should the bottle be shattered.
The transparent container can be used for continuous monitoring of the consumption. The end of the pump should be covered by the fluid level. Once fluid falls below the level of the center tube, sprays will not be adequate and the container should be replaced. As with all other sprays, there is a residual volume of fluid at the bottom of the bottle which cannot be used. Nitrolingual® Pumpspray contains 20% alcohol. Do not forcefully open or burn container. Do not spray toward flames. Keep in a safe place and out of the reach of chiIdren.
Store at 25 °C (77 °F); excursions permitted to 15-30 °C (59-86 °F) [see USP Controlled Room Temperature].
Last reviewed on RxList: 11/3/2008
This monograph has been modified to include the generic and brand name in many instances.
Additional Nitrolingual Pumpspray Information
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
Get the latest treatment options.