If you're still in pain after 5 minutes you can have a third and final dose.
Do not spit out the spray or rinse your mouth for at least 5 to 10 minutes. This chemical is made naturally by the body and has the effect of making the veins and arteries relax and widen (dilate). However, the relevance of these animal findings to man is unknown. Concomitant administration of phosphodiesterase inhibitors used for the treatment of erectile dysfunction or pulmonary arterial hypertension, e.g, sildenafil, vardenafil, tadalafil (see section 4.5).Any lack of effect may be an indicator of early myocardial infarction.As with all glyceryl trinitrate preparations, use in patients with incipient glaucoma should be avoided.Glyceryl trinitrate should be used with caution in patients in whom adequate preload is important for maintaining cardiac output (e.g.
Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect.The side effects listed above may not include all of the side effects reported by the medicine's manufacturer. Glyceryl trinitrate is also available without a brand name, ie as the Glyceryl trinitrate works by being converted in the body to a chemical called nitric oxide.
In a few patients there may be a reaction comparable to shock with nausea, vomiting, weakness, sweating and syncope.At very high doses an increase in intracranial pressure with cerebral symptoms may occur. Medicines should not be disposed of via wastewater or household waste.Ask your pharmacist how Continue typing to refine.
Mirtazapine (Remeron) Vilazodone (Viibryd) Vortioxetine (Trintellix) Antidepressants most likely to cause sexual side effects include: Selective serotonin reuptake inhibitors (SSRIs), which include citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil, Pexeva) and sertraline (Zoloft).
For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.If you think you have experienced a side effect from a medicine or vaccine you should check the patient information leaflet. In addition to these agents, the risk of hypotension and syncope with use of glyceryl trinitrate may be enhanced by alcohol.N-acetylcysteine may potentiate the vasodilator effects of glyceryl trinitrate.The possibility of tolerance to the effects of glyceryl trinitrate should be considered when used in conjunction with long-acting nitrate preparations.There is evidence that systemic nitrates may interfere with the anticoagulant effects of heparin. The spray should not be inhaled.Patients should be instructed to familiarise themselves with the position of the spray orifice, which can be identified by the finger rest on the top of the valve, in order to facilitate orientation for administration at night. Early and frequent monitoring of anticoagulation is recommended when systemic nitrates and heparin are used in combination.During the simultaneous use of dihydroergotamine, glyceryl trinitrate may lead to an increase in the DHE level and thus potentiate its hypertensive action.Animal studies did not indicate harmful effects with respect to fertility. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to make sure that the The medicines for erectile dysfunction (impotence) listed below must not be used by people who take glyceryl trinitrate, because the combination can produce a severe drop in blood pressure resulting in dizziness, fainting, or even a heart attack: If this medicine is taken in combination with other Glyceryl trinitrate sublingual tablets, sprays and injection are also available without a brand name, ie as the For background information about our medicine factsheets, including the references used to produce them, Nitrolingual pump spray contains the active ingredient glyceryl trinitrate, which is a type of medicine called a nitrate. If symptoms do not resolve, this may be repeated at five minute intervals for a total of three doses. This makes it easier for the heart to pump blood around the body.Widening the veins also decreases the volume of blood that returns to the heart with each heartbeat. You must also do this if you have not used the pump for a week or more. For the treatment and prophylaxis of angina pectoris and the treatment of variant angina.At the onset of an attack or prior to a precipitating event: one or two 400 microgram metered doses sprayed under the tongue. **Symptoms which are known in conjunction with hypersensitivity reactionsLarge doses of glyceryl trinitrate may cause vomiting, cyanosis, restlessness, methaemoglobinaemia and impairment of respiration.During treatment with glyceryl trinitrate, temporary hypoxemia may occur due to a relative redistribution of the blood flow in hypoventilated alveolar areas.Reporting suspected adverse reactions after authorisation of the medicinal product is important. Severe hypotension (systolic blood pressure below 90 mm Hg).
Severe anaemia, possible increased intracranial pressure (e.g. In a human pharmacodynamic study, pharmacological activity had commenced one minute after dosing and was obvious by two minutes.Medium-chain triglycerides, ethanol (absolute), glycerol monocaprylocaprate, peppermint oil, sodium (Glass bottle with or without red plastic coating, fitted with metering pump.
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