NitroMist

Generic Name: Nitroglycerin

  • What is NitroMist?

    NitroMist is a vasodilator (medicine that relaxes blood vessels) used at the onset of chest pain to prevent or treat an angina (chest pain) attack.

  • What is the most important information I should know about NitroMist?

    NitroMist may cause severe low blood pressure. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness, especially just after rising from a lying or seated position. This effect may be more frequent in people who have consumed alcohol. If possible, you should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness or dizziness.

    Frequent use of NitroMist may cause you to have a decreased response to it.

    Nitrate therapy may worsen angina and other heart-related diseases.

  • Who should not take NitroMist?

    Do not take NitroMist if you are using drugs to treat impotence, such as sildenafil, vardenafil, and tadalafil.

    You should not take NitroMist if you have severe anemia or increased pressure in your brain, or if you are hypersensitive to it or to other nitrates or nitrites. Hypersensitivity skin reactions have been observed with nitrates.

  • What should I tell my doctor before I take the first dose of NitroMist?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with NitroMist. Also, talk to your doctor about your complete medical history, especially if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Onset of Chest Pain

    Adults: Spray one or two sprays on or under the tongue. One spray may be repeated approximately every 5 minutes as needed. No more than three sprays are recommended within a 15-minute period.

    Prevention of Chest Pain

    Adults: Spray one or two sprays on or under the tongue, 5-10 minutes before the activity that may trigger an angina attack.

  • How should I take NitroMist?

    At the onset of an angina attack, administer one or two sprays on or under the tongue. Wait 5 minutes and repeat if needed. No more than three sprays are recommended within a 15-minute period. Do not spit or rinse your mouth for 5-10 minutes following administration.

    NitroMist may be used as preventative treatment 5-10 minutes before engaging in activities that might trigger an attack. During use, you should rest in a sitting position. The container should be held upright. The dose should be sprayed into the mouth on or under the tongue by pressing the button firmly, and you should close your mouth immediately after each dose. The spray should not be inhaled.

    If chest pain persists after a total of three sprays, call your doctor or 911 immediately.

    If the product is not used for >6 weeks, reprime the pump with two sprays.

  • What should I avoid while taking NitroMist?

    NitroMist may cause dizziness. Avoid driving, operating machinery, or performing other tasks that require concentration until you know how this medication affects you. Do not use this medication along with drugs to treat impotence, such as sildenafil, vardenafil, and tadalafil.

  • What are possible food and drug interactions associated with NitroMist?

    If NitroMist is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining NitroMist with the following: alcohol, aspirin, calcium channel blockers such as amlodipine or diltiazem, ergotamine, heparin, labetolol, sildenafil, tadalafil, tissue-type plasminogen activator (t-PA) therapy, and vardenafil.

  • What are the possible side effects of NitroMist?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: collapse, flushing, headache, low blood pressure and dizziness upon standing, nausea, pallor (pale color), palpitations, sweating, syncope (fainting), vomiting, weakness

  • Can I receive NitroMist if I am pregnant or breastfeeding?

    The effects of NitroMist during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of NitroMist?

    NitroMist is taken as needed. If the product is not used for >6 weeks, the canister should be reprimed with two sprays.

  • How should I store NitroMist?

    Store at room temperature, away from heat.

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