Imdur vs. Nitrolingual

Are Imdur and Nitrolingual the Same Thing?

Imdur (isosorbide mononitrate) Extended Release and Nitrolingual Pumpspray (nitroglycerin lingual spray) are vasodilators indicated for the prevention of angina pectoris.

Side effects of Imdur and Nitrolingual that are similar include dizziness.

Side effects of Imdur that are different from Nitrolingual include headache.

Side effects of Nitrolingual that are different from Imdur include mild burning or tingling with the tablet in the mouth, flushing (warmth, redness, or tingly feeling under the skin), or feeling weak.

Both Imdur and Nitrolingual may interact with calcium channel blockers and erectile dysfunction medications.

Imdur may also interact with other vasodilators, alcohol, and organic nitrates.

Nitrolingual may also interact with alteplase, aspirin, heparin, bladder or urinary medications, blood pressure medications, bronchodilators, dihydroergotamine, ergotamine, antidepressants, beta-blockers, irritable bowel medications, medications that cause dry mouth, or medicines to treat psychiatric disorders.

What Are Possible Side Effects of Imdur?

Common side effects of Imdur include:

  • headache, and
  • dizziness

What Are Possible Side Effects of Nitrolingual?

Common side effects of Nitrolingual include:

  • mild burning or tingling with the tablet in the mouth,
  • warmth,
  • redness, or
  • tingly feeling under the skin, or
  • feeling weak or dizzy

Contact your doctor if you have signs of a severe allergic reaction after using Nitrolingual Pumpspray, including:

  • hives,
  • difficulty breathing,
  • swelling of your face/lips/tongue/throat,
  • rash or itching,
  • tightness in the chest,
  • blurred vision,
  • irregular heart rate,
  • pale skin,
  • feeling like you might pass out, or
  • fever,
  • sore throat, and
  • headache with a severe blistering,
  • peeling, and
  • red skin rash

What Is Imdur?

Imdur (isosorbide mononitrate) Extended Release Tablets are a vasodilator indicated for the prevention of angina pectoris due to coronary artery disease.

What Is Nitrolingual?

Nitrolingual Pumpspray (nitroglycerin lingual spray) is a nitrate that dilates (widens) blood vessels, making it easier for blood to flow through them and easier for the heart to pump, used to treat or prevent attacks of chest pain (angina).

What Drugs Interact With Imdur?

Imdur may interact with sildenafil, other vasodilators, alcohol, calcium channel blockers, and organic nitrates. Tell your doctor all medications and supplements you use. Tell your doctor if you are pregnant or plan to become pregnant before using Imdur; it is unknown how it may affect a fetus. It is unknown if Imdur passes into breast milk. Consult your doctor before breastfeeding.

What Drugs Interact With Nitrolingual?

Nitrolingual Pumpspray may interact with alteplase, aspirin, heparin, bladder or urinary medications, blood pressure medications, bronchodilators, dihydroergotamine, ergotamine, erectile dysfunction medications, antidepressants, beta-blockers, calcium channel blockers, irritable bowel medications, medications that cause dry mouth, or medicines to treat psychiatric disorders. Many other drugs can interact with Nitrolingual Pumpspray. Tell your doctor all medications and supplements you use. During pregnancy, Nitrolingual Pumpspray should be taken only if prescribed. It is unknown if this drug passes into breast milk or if it could harm a nursing baby. Consult your doctor before breastfeeding.

How Should Imdur Be Taken?

The recommended starting dose of Imdur Tablets is 30 mg (given as a single 30 mg tablet or as 1/2 of a 60 mg tablet) or 60 mg (given as a single tablet) once daily. After several days, the dosage may be increased to 120 mg (given as a single 120 mg tablet or as two 60 mg tablets) once daily.

How Should Nitrolingual Be Taken?

The recommended dose of Nitrolingual Pumpspray is at the onset of an attack to administer one or two metered sprays onto or under the tongue. No more than three metered sprays are recommended within a 15-minute period.

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References
SOURCE:

FDA. Imdur Product Information.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/075155Orig1s034lbl.pdf

FDA. Nitrolingual Pumpspray Product Information.

https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/018705s017lbl.pdf

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