You should not use Nitrostat if you are also using medicine to treat pulmonary arterial hypertension (PAH). Do not take erectile dysfunction medicine (Viagra, Cialis, Levitra and others) while you are using Nitrostat.
You should not use sublingual Nitrostat if you have severe anemia, increased pressure inside your skull, circulation problems, chest pain that spreads to your jaw or shoulder, or signs of shock (pale skin, suddenly feeling light-headed).
Seek emergency medical attention if you have early symptoms of a heart attack (chest pain or pressure, pain spreading to your jaw or shoulder, sweating, general ill feeling).
Get emergency medical help if you still have chest pain after using a total of 3 doses in 15 minutes, or if you have chest pain that seems unusual.
Before using this medicine
You may not be able to use Nitrostat if you have:
severe anemia (low red blood cells);
increased pressure inside the skull;
circulation problems or shock (pale or clammy skin, cold sweat, numbness or tingling, fast or irregular heartbeats, or feeling like you might pass out); or
if you also take riociguat or vericiguat.
Do not use erectile dysfunction medicine (such as Viagra, Cialis, or Levitra) or you could have a sudden and serious decrease in blood pressure.
To make sure Nitrostat is safe for you, tell your doctor if you have ever had:
an allergic reaction to nitroglycerin;
a heart attack or other heart problems; or
low blood pressure.
Tell your doctor if you are pregnant or breastfeeding.
Nitrostat is not approved for use by anyone younger than 18 years old.
How should I use Nitrostat?
Use Nitrostat exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Try to rest or stay seated when you use Nitrostat (may cause dizziness or fainting).
Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.
Use this medicine at the first sign of chest pain. Use another dose every 5 minutes as needed, up to a total of 3 doses.
Get emergency medical help if you still have chest pain after using a total of 3 doses in 15 minutes, or if your chest pain seems unusual.
You may use Nitrostat within 5 to 10 minutes before an activity that might cause chest pain.
This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using Nitrostat.
If you use Nitrostat on a regular schedule to prevent angina, do not stop using it suddenly or you could have a severe attack of angina. Keep this medicine on hand at all times. Get your prescription refilled before you run out of medicine completely.
Store Nitrostat at room temperature away from moisture and heat.
Keep the spray away from open flame or high heat, such as in a car on a hot day. The canister may explode if it gets too hot.
