nitroglycerin (topical) (cont.)
What happens if I miss a dose (Nitro-Bid, Nitrol Appli-Kit)?
Apply the medicine as soon as you remember. If your next dose is less than 2 hours away, wait until then to apply the ointment and skip the missed dose.
Do not use extra ointment to make up a missed dose.
What happens if I overdose (Nitro-Bid, Nitrol Appli-Kit)?
Seek emergency medical attention if you think you have used too much of this medicine.
Overdose symptoms may include a severe throbbing headache, confusion, fever, fast or pounding heartbeats, dizziness, vision problems, nausea, vomiting, bloody diarrhea, trouble breathing, cold or clammy skin, feeling light-headed, fainting, seizure (convulsions), or blue-colored skin, lips, or nails.
What should I avoid while using nitroglycerin topical (Nitro-Bid, Nitrol Appli-Kit)?
Avoid using nitroglycerin topical on irritated or broken skin.
Nitroglycerin topical can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
Avoid drinking alcohol. It can increase some of the side effects of nitroglycerin topical.
What other drugs will affect nitroglycerin topical (Nitro-Bid, Nitrol Appli-Kit)?
Tell your doctor about all other medications you use, especially:
- blood pressure medication or diuretics (water pills);
- cold or allergy medicines, diet pills, or over-the-counter pain medicine such as ibuprofen (Advil, Motrin) or naproxen (Aleve);
- an erectile dysfunction medication such as sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra);
- migraine headache medication such as ergotamine (Ergomar, Cafergot), or dihydroergotamine (D.H.E. 45, Migranal Nasal Spray);
- a beta-blocker such as atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), and others; or
- a calcium channel blocker such as amlodipine (Norvasc), diltiazem (Tiazac, Cartia, Cardizem), felodipine (Plendil), nicardipine (Cardene), nifedipine (Procardia, Adalat), nimodipine (Nimotop), nisoldipine (Sular), or verapamil (Calan, Covera, Isoptin, Verelan).
This list is not complete and there may be other drugs that can interact with nitroglycerin topical. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about nitroglycerin topical.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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