Nitrolingual Dosage/Direction for Use

Nitrolingual Spray should always be used exactly as prescribed. Patients should seek medical advice if they are not sure.
The spray should be sprayed under the tongue. Patients should take care not to inhale it. Whenever possible, patients should be sitting down while using Nitrolingual Spray.
Recommended dose: At the start of an angina attack or immediately before stress known to trigger an angina attack, 1-3 actuations (puffs) of Nitrolingual Spray (equivalent to 0.4-1.2 mg glyceryl trinitrate) are used, depending on the severity.
For acute heart failure (weak heart) and acute heart attack, 1-3 actuations (puffs) of Nitrolingual Spray (equivalent to 0.4-1.2 mg glyceryl trinitrate) are given, depending on the severity, with monitoring of the blood circulation (systolic blood pressure higher than 100 mmHg). If there is no response, treatment with the same dose can be repeated after 10 minutes.
As a preventive measure before coronary angiography, 1-2 actuations (puffs) of Nitrolingual Spray (equivalent to 0.4-0.8 mg glyceryl trinitrate) are given.
Use in children and adolescents: There are no data from the use of glyceryl trinitrate in children.
Method of administration: To get used to handling the Nitrolingual Spray and to ensure that the dosing chamber is completely filled for initial use, firstly prime the valve and spray the contents into the air until liquid appears (fully depress the spray nozzle quickly and then release). This may also be required if the spray has not been used for a long time.
As the opening can be easily felt with the finger, it also acts as a reliable aid for guiding the spray if used at night.
1. It is preferable to be sitting down.
2. Remove the protective cap.
3. Hold the bottle upright with the finger on the spray nozzle. Do not shake the spray before use.
4. Open the mouth and place the bottle as close to the chin as possible.
5. Whilst holding the breath, press on the spray nozzle, so that the spray containing the active substance goes under the tongue.
6. Wait for 30 seconds before applying the next actuation (puff).
The transparent container allows constant monitoring of how much is left. The bottle contents can only be sprayed for as long as the opening, located at the bottom end of the feeder pipe, remains fully immersed in the liquid. As with all other sprays, it is not possible to spray the remaining liquid at the bottom. This is taken into account when the bottle is filled, so that the declared amount can be withdrawn. A new Nitrolingual Spray should be obtained in good time.
Duration of use: The treating doctor will decide how long this medicine should be used.
Forgetting Nitrolingual Spray: Patients should not use a double dose to make up for a forgotten dose.
Stopping Nitrolingual Spray: Patients should not stop their treatment without asking their doctor.