Do not take erectile dysfunction medicine Viagra, Cialis, Levitra, Stendra, Staxyn, sildenafil, avanafil, tadalafil, vardenafil while you are using nitroglycerin topical. Using erectile dysfunction medicine with nitroglycerin can cause a sudden and serious decrease in blood pressure. Follow all directions on your prescription label and read all medication guides or instruction sheets.
Use the medicine exactly as directed. Nitroglycerin topical is usually applied 2 times daily. Follow your doctor's instructions carefully. Nitroglycerin topical will not work fast enough to treat an angina attack that has already begun. Your doctor may prescribe an oral form of nitroglycerin tablet, capsule, spray to treat an angina attack.
Talk with your doctor if any of your medicines do not seem to work as well in treating or preventing angina attacks. If you need to have any type of surgery or dental work, tell the surgeon or dentist ahead of time that you are using nitroglycerin topical.
Apply the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not apply two doses at one time. Seek emergency medical attention or call the Poison Help line at An overdose of nitroglycerin can be fatal. Overdose symptoms may include a severe throbbing headache, confusion, fever, fast or pounding heartbeats, dizziness, vision problems, vomiting, bloody diarrhea, trouble breathing, cold or clammy skin, fainting, and seizures.
Drinking alcohol can increase certain side effects such as dizziness, drowsiness, feeling light-headed, or fainting. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Some people also may experience itching or burning in the anal area.
In some cases, people may develop tolerance to nitroglycerin, meaning that after a while the ointment no longer works to reduce muscle tension. People using nitroglycerin ointment have increased chances of having low blood pressure. So you should not use nitroglycerin ointment within 24 hours of taking sildenafil Viagra , tadalafil Cialis , or vardenafil Levitra. Author: Healthwise Staff. Medical Review: Anne C.
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information.
The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Keep from freezing. Keep the tube tightly closed after you use the medicine. Throw away any unused medicine 8 weeks after opening the tube for the first time. It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly and to check for unwanted effects. Using these medicines together may cause blurred vision, dizziness, lightheadedness, low blood pressure, or fainting. This medicine may cause headaches. The headaches are a sign that the medicine is working.
Do not stop using the medicine or change how you use it to avoid the headaches. If you have questions about this, talk with your doctor. Dizziness, lightheadedness, or fainting may occur, especially when you get up quickly from a lying or sitting position. Getting up slowly will help. You should also limit the amount of alcohol you drink to prevent more dizziness.
This medicine may make you dizzy or lightheaded. Use nitroglycerin ointment exactly as directed. Do not apply more or less of it or apply it more often than prescribed by your doctor. If you are using nitroglycerin ointment to prevent angina, your doctor will probably start you on a lower dose of nitroglycerin ointment and may gradually increase your dose as needed to control your angina.
Nitroglycerin ointment may not work as well after it has been used for some time, especially at higher doses. To help prevent this, your doctor will schedule your doses so that there is a period of time when you are not exposed to nitroglycerin every day.
If your angina attacks happen more often, last longer, or become more severe at any time during your treatment, call your doctor. Nitroglycerin ointment helps to prevent angina attacks but does not cure coronary artery disease. Continue to use nitroglycerin ointment even if you feel well. Do not stop using nitroglycerin ointment without talking to your doctor. If you are using nitroglycerin ointment to prevent angina, follow your doctor's directions and the guidelines in this paragraph to apply the medication.
Nitroglycerin ointment comes with a paper applicator with a ruled line for measuring the dose in inches. Place the paper on a flat surface and squeeze the ointment onto the paper, carefully measuring the amount specified on your prescription label.
If your ointment comes in foil packets, you should know that each packet contains 1 inch of ointment and is to be used for a single dose only. Place the paper on your skin with the ointment side down, and use the paper to lightly spread the ointment to cover an area of skin at least as large as the applicator.
Do not rub the ointment into the skin. Tape the applicator in place and cover it with a piece of plastic kitchen wrap to prevent the ointment from staining your clothing. If your ointment comes in a tube, replace the cap and screw it on tightly. If your ointment came in a small foil packet, dispose of the packet. Try not to get the ointment on your fingers. Wash your hands after applying the ointment.
If you are using nitroglycerin ointment to treat anal fissure pain, follow your doctor's directions and the guidelines in this paragraph to apply the medication. Cover your finger with plastic wrap, a disposable surgical glove, or a finger cot. Lay the covered finger alongside the 1 inch dosing line on the side of the nitroglycerin ointment box so that the tip of the finger is at one end of the dosing line.
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