Nitrolingual (GTN) Spray

About Nitrolingual (GTN) Spray

Nitrolingual Pumpspray 400 micrograms is a fast-acting sublingual spray used to treat and prevent the pain of angina pectoris — chest discomfort caused by reduced blood flow to the heart.

It contains glyceryl trinitrate (GTN), a nitrate medicine that relaxes and widens the blood vessels, making it easier for the heart to pump blood and reducing its oxygen demand. The spray works within minutes when used under the tongue, providing quick relief from angina pain or preventing attacks before physical activity or emotional stress.

What is Nitrolingual Spray Used For?

Nitrolingual Spray is used to relieve and prevent angina attacks. It works by relaxing the smooth muscle in blood vessel walls, allowing them to widen (vasodilate) and improve blood and oxygen flow to the heart muscle.

This reduces chest pain, tightness, and discomfort, helping patients return to normal activity quickly. It may also be used before activities known to trigger angina, such as climbing stairs or exercise.

Who is Nitrolingual Suitable For?

Nitrolingual Spray is suitable for adults diagnosed with angina who need fast-acting relief.

Do not use Nitrolingual if you:

• Are allergic to glyceryl trinitrate or other nitrates
• Have very low blood pressure or severe anaemia
• Have had a recent stroke, head injury, or bleeding in the brain
• Are taking sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) or similar medicines for erectile dysfunction or pulmonary hypertension
• Have severe narrowing of heart valves or cardiogenic shock

Consult your pharmacist or doctor before use if you have glaucoma, cerebrovascular disease, heart failure, or low oxygen levels due to lung conditions.

How to Use Nitrolingual Spray

1. Before using a new bottle, spray once into the air to prime the pump. Re-prime if not used for a week or more.
2. Sit or rest before use to reduce the risk of dizziness or fainting.
3. Hold the bottle upright and press firmly to spray once or twice under your tongue.
4. Close your mouth and do not inhale or swallow immediately.
5. If chest pain persists, repeat after 5 minutes, up to a maximum of three sprays within 15 minutes.

If pain continues after three sprays, seek medical help immediately as this may indicate a heart attack.

Possible Side Effects of Nitrolingual Spray

Like all medicines, Nitrolingual may cause side effects, although not everyone experiences them.

Very common (more than 1 in 10 people):

• Headache (usually temporary)

Common (up to 1 in 10 people):

• Dizziness, light-headedness, or weakness
• Flushing of the face or neck
• Increased heart rate
• Drop in blood pressure, especially on standing

Uncommon (up to 1 in 100 people):

• Nausea or vomiting
• Fainting
• Allergic skin reactions

Seek urgent medical help if you experience severe dizziness, fainting, worsening chest pain, or signs of an allergic reaction (rash, swelling of lips, tongue, or face).

Warnings and Precautions

• For sublingual use only — do not inhale or swallow the spray.
• Do not use together with medications for erectile dysfunction or pulmonary hypertension.
• Alcohol can enhance the blood pressure-lowering effects — avoid drinking before use.
• Wait at least 5 minutes after using the spray before driving or operating machinery.
• Use with caution if you have low blood pressure or valve disease.

Storage Instructions

• Store below 25°C.
• Keep away from flames or heat sources.
• Do not pierce or burn the bottle even when empty.
• Keep out of the sight and reach of children.

Ingredients

Active ingredient: Glyceryl trinitrate (GTN) 400 micrograms per metered spray.
Other ingredients: Coconut oil, ethanol, medium-chain partial glycerides, and peppermint oil.

Important Information

• Each spray delivers 400 micrograms of GTN for rapid angina relief.
• Carry the spray at all times and keep a spare bottle available.
• Relief usually occurs within 1–2 minutes and lasts up to 30 minutes.

Buy Nitrolingual (GTN) Spray Online from Click2Pharmacy

Nitrolingual Spray is available from our angina treatment clinic after a quick online consultation with one of our pharmacists. Once approved, your medication will be dispensed and delivered discreetly to your door with tracked 24-hour delivery.