Nitrolingual Pump Spray 400mcg (GTN)

About Nitrolingual GTN Spray

What is Nitrolingual sublingual spray used for?

Nitrolingual Pump Spray is a medicine used to quickly relieve chest pain or effort-related shortness of breath caused by angina. It comes in a small spray bottle and is used under the tongue (sublingually), so it starts working fast. Each spray delivers a measured dose of a medicine called glyceryl trinitrate (GTN), which helps improve blood flow to the heart.

Nitrolingual can treat angina symptoms when they happen, or to prevent chest pain before doing things that might trigger it, like exercise or climbing stairs.

How does Nitrolingual Spray work for angina?

Angina happens when your heart doesn’t get enough oxygen-rich blood, usually due to narrowed blood vessels. This can cause a heavy, tight, or painful feeling in your chest.

Nitrolingual Spray works by relaxing and widening your blood vessels. This allows more oxygen to reach your heart, which helps stop the pain. The spray starts working within minutes and usually lasts about 30 minutes.

Using it under the tongue helps the medicine get into your bloodstream quickly, so you get fast relief when you need it most.

Who can use Nitrolingual Pump Spray?

Nitrolingual Pump Spray is suitable for adults who have been diagnosed with angina. It’s used to relieve sudden chest pain or to prevent angina attacks before doing something that might trigger symptoms, like exercise or stress.

You should not use Nitrolingual if you:

• Are allergic to nitrates or any of the ingredients
• Have very low blood pressure or severe anaemia
• Have certain serious heart or circulation problems
• Are taking medicines for erectile dysfunction (e.g. sildenafil, tadalafil, vardenafil), as combining them can cause dangerous drops in blood pressure

Always speak to a pharmacist before using it, especially if you’re taking other medications or have any ongoing health issues.

How to Use Nitrolingual Pump Spray

Always follow the instructions provided with the spray, and ask your pharmacist if you’re unsure. Here’s how to use Nitrolingual safely:

For Sudden Chest Pain (Angina Attack)

• Use 1 or 2 sprays under your tongue as soon as you feel chest pain starting.
• Do not inhale the spray. Just let it absorb under your tongue.
• If the pain doesn’t improve after 5 minutes, you can repeat the dose.
• You can take up to 3 doses in total (at 5-minute intervals).
• If the pain doesn’t go away after 3 sprays, get emergency medical help immediately.

To Prevent Chest Pain

• Use 1 spray under your tongue about 2-3 minutes before doing something that normally causes angina (like climbing stairs or walking uphill).

Tips for Use:

• Sit or rest while using the spray to avoid feeling faint or dizzy.
• Always carry the spray with you.
• Before using a new bottle (or if you haven’t used it in over a week), prime it by spraying once into the air.

Let your pharmacist or doctor know if it seems like the spray is not working as well as it used to as they may need to review your treatment.

Possible Side Effects of Nitrolingual Spray

Like all medicines, glyceryl trinitrate spray 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

For a full list of side effects, check the Nitrolingual (GTN) Spray Patient Information Leaflet

If you notice any side effects, inform your doctor or pharmacist, even if they are not listed here. You can also report side effects directly through the MHRA Yellow Card Scheme. Reporting helps to improve the understanding of this medication’s safety.

Nitrolingual Spray Ingredients

Active ingredient: Glyceryl trinitrate (GTN) 400 micrograms per metered spray.

Other ingredients: Coconut oil, ethanol, medium-chain partial glycerides, and peppermint oil.

Nitrolingual Spray Safety Warnings

Do not use Nitrolingual if you:

• Have previously had an allergic reaction to glyceryl trinitrate or any other ingredient
• Have very low blood pressure, severe anaemia, or a recent serious head injury
• Have certain heart conditions, like severe valve problems or circulatory shock

Talk to your pharmacist if you:

• Feel dizzy when standing up
• Have glaucoma, recent stroke, or lung-related heart problems
• Have ever had a heart attack or unusual heart structure
• Drink alcohol – it can increase dizziness or fainting
• Are pregnant or breastfeeding – use only under medical advice