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Nitrolingual Generic Name & Formulations
Legal Class
Rx
General Description
Nitroglycerin 0.4mg/spray; lingual pump spray.
Pharmacological Class
Nitrate.
How Supplied
Spray—12g (200 metered sprays); 4.9g (60 metered sprays)
Manufacturer
Nitrolingual Indications
Indications
Acute attacks and prophylaxis of angina.
Nitrolingual Dosage and Administration
Adult
1–2 sprays at onset of attack, onto or under tongue while sitting; max 3 sprays/15 minutes. May use prophylactically 5–10 minutes before exertion. Do not inhale spray. Do not rinse mouth for 5–10 minutes after use.
Children
Not recommended.
Nitrolingual Contraindications
Contraindications
Concomitant sildenafil.
Nitrolingual Boxed Warnings
Not Applicable
Nitrolingual Warnings/Precautions
Warnings/Precautions
Acute or recent MI. Hypotension. Monitor for tolerance. Hypertrophic cardiomyopathy. Avoid abrupt cessation. Volume depletion. Elderly. Pregnancy (Cat.C). Nursing mothers.
Nitrolingual Pharmacokinetics
See Literature
Nitrolingual Interactions
Interactions
See Contraindications. Hypotension potentiated with sildenafil, alcohol, vasodilators, calcium channel blockers, other vasoactive drugs. Do not use epinephrine to treat hypotension from nitrate overdose.
Nitrolingual Adverse Reactions
Adverse Reactions
Headache, dizziness, flushing, orthostatic hypotension, paresthesia, tachycardia, nausea, rash.
Nitrolingual Clinical Trials
See Literature
Nitrolingual Note
Not Applicable
Nitrolingual Patient Counseling
See Literature
