Nitrolingual Pumpspray 0.400 mg

Drugs in other countries are sometimes sold using different trade names which will appear on the packaging. This product is sold in other countries as:

• Nitrolingual Spray

Nitrolingual Pumpspray 0.400 mg is available from our online pharmacy for less money than you'd spend locally. If you like the convenience of ordering from your home, you can order your prescription online, or speak with one of our customer service representatives on the phone. Call us, The Drug Company, toll free at 1-888-254-3038. Prior to taking Nitrolingual Pumpspray 0.400 mg, please consult with your doctor or health professional to see if this medication is right for you. Many customers have saved even more money by speaking with their doctor about a generic substitute.

About Nitrolingual Pumpspray

What Nitrolingual Pumpspray is used for

NITROLINGUAL PUMPSPRAY is used for the treatment of acute attacks of angina pectoris—chest pain which occurs when the heart muscle does not get as much blood (hence as much oxygen) as it needs.

What Nitrolingual Pumpspray does

NITROLINGUAL PUMPSPRAY belongs to a group of drugs, which reduce the oxygen demand of the heart.

When Nitrolingual Pumpspray should not be used

You should not use NITROLINGUAL PUMPSPRAY if you have any of the following conditions:

• Known allergy or sensitivity to nitroglycerin or any of the other components of NITROLINGUAL PUMPSPRAY (see What the important nonmedicinal ingredients are:) or to any other medication of the same group of medicines called nitrates

• An eye disease called closed angle glaucoma

• Heart attack (myocardial infarction)

• Low iron levels in your blood or low red blood cell count (severe anemia)

• Low blood pressure (hypotension) or a diagnosis of heart failure

• A condition caused by an increase in normal brain pressure (increased intracranial pressure)

• If you are taking CIALIS (tadalafil), LEVITRA (vardenafil), VIAGRA (sildenafil citrate) or any similar medication for impotence (erectile dysfunction).

What the medicinal ingredient is

Nitroglycerin

What the important nonmedicinal ingredients for Nitrolingual Pumpspray are

Ethanol anhydrous, medium chain partial glycerides, medium chain triglycerides, and peppermint oil.

What dosage forms Nitrolingual Pumpspray comes in

Spray bottles delivering 75 or 200 metered doses of 0.4 mg nitroglycerin per spray emission.

Warnings and Precautions

Serious Warnings and Precautions

If you are currently taking medication for the treatment of impotence (erectile dysfunction) such as CIALIS (tadalafil), LEVITRA (vardenafil), VIAGRA (sildenafil citrate) or any other similar medication (PDE5 inhibitors), the use of NITROLINGUAL PUMPSPRAY may lead to extreme low blood pressure resulting in fainting, heart attack and death.

BEFORE you use NITROLINGUAL PUMPSPRAY talk to your doctor or pharmacist if:

• You are currently taking any other medications, whether on prescription or otherwise (see Interactions with This Medication:)

• You have headaches, weakness or dizziness especially when getting up suddenly from a laying down or sitting position, or symptoms of low blood pressure (hypotension)

• You are breast feeding, pregnant, or think you might be pregnant

Tolerance to NITROLINGUAL PUMPSPRAY and similar drugs can occur after long periods of use. Chronic use can lead to angina attacks being brought on more easily.

NITROLINGUAL PUMPSPRAY is not for use in children.

Temporary dizziness may be associated with the use of NITROLINGUAL PUMPSPRAY. Make sure you know how you react to this medicine before you drive, operate machinery, or do anything requiring you to be alert.

Avoid alcoholic beverages until you have discussed their use with your doctor.

The spray should be kept away from the eyes and it should not be inhaled.

Interactions with Nitrolingual Pumpspray

Consuming alcoholic beverages and using NITROLINGUAL PUMPSPRAY may cause a negative lowering of your blood pressure.

Proper Use of Nitrolingual Pumpspray

(see package insert for illustrations).

Ideally, you should sit and rest while taking this medication.

1. Holding container in upright position, remove the plastic cover.

   DO NOT SHAKE.

2. The container must be primed prior to the first use. To prime, point away from face, press the button firmly with the forefinger to release one spray. Repeat this 3 times. Now your container is primed and ready for use.

   Repriming is only necessary when the container has not been used for more than 14 days. To reprime, release 1 spray as directed previously. There is no need to reprime the container between more frequent usage.

3. Hold the container upright with forefinger on top of the grooved button. There is no need to shake the container.

4. Open your mouth and bring the container as close to it as possible.

5. 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.

7. If you require a second dose, repeat steps 4, 5 and 6.

8. Replace the plastic cover.

When using this product for the first time, familiarize yourself with how to use it by testing the spray into the air (away from yourself and others). Get the feel of the finger resting on the groove button so that you can use the spray in the dark.

Usual dose

NITROLINGUAL PUMPSPRAY should be taken as prescribed by your doctor.

During an anginal attack, one or two doses should be sprayed onto or under the tongue, without inhaling. Your doctor can help you to discover the exact dose which will be best for you. Administer at rest, ideally in the sitting position. A dose may be repeated twice at 5-10 minute intervals. If the pain persists, seek emergency medical assistance.

MAKE SURE THAT YOU HAVE A SPARE PUMPSPRAY READILY AVAILABLE (TO PREVENT RUNNING OUT WHEN NEEDED).

Overdose

Symptoms of overdosage may include: flushing, headache, nausea, dizziness, and hypotension. If you suspect overdosage seek emergency medical assistance immediately.

Side Effects for Nitrolingual Pumpspray and What to Do About Them

Along with its intended action, any medication, including NITROLINGUAL PUMPSPRAY, may cause side effects. After you have started taking NITROLINGUAL PUMPSPRAY, it is important that you tell your doctor at once about any unexplained symptom you might experience.

Side effects such as severe and persistent headache, episodes of dizziness, weakness, flushing, palpitation (irregular heart rate) and occasionally nausea and vomiting may occur.

If you develop an allergic reaction involving swelling of the face, lips and/or tongue, stop using NITROLINGUAL PUMSPRAY and contact your doctor immediately.

This is not a complete list of side effects. For any unexpected effects while taking NITROLINGUAL PUMPSPRAY, contact your doctor or pharmacist.