Country: United Kingdom
Language: English
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Glyceryl trinitrate
Aspire Pharma Ltd
C01DA02
Glyceryl trinitrate
400microgram/1dose
Sublingual spray
Sublingual
No Controlled Drug Status
Valid as a prescribable product
BNF: 02060100; GTIN: 5000283601852
1. WHAT GLYTRIN IS AND WHAT IT IS USED FOR Your medicine is called Glytrin. It is a sublingual (under the tongue) aerosol spray that contains the active ingredient glyceryl trinitrate. Glyceryl trinitrate belongs to a group of medicines called nitrates that relax the muscle walls of the blood vessels and reduce the workload of the heart. Glytrin is used to treat angina at the onset of an attack. It is also used for the prevention of angina, which can be brought on from physical effort, emotional stress, and exposure to cold, etc. 2. WHAT YOU NEED TO KNOW BEFORE YOU USE GLYTRIN Do not use Glytrin and talk to your doctor: • If you are allergic to glyceryl trinitrate or any of the other ingredients of this medicine (listed in section 6). • If you have severe low blood pressure. • If you have shock caused by low blood pressure. • If you have severe anaemia. • If you have constrictive pericarditis (a heart condition). • If you have an extremely low heart rate. • If you have glucose-6-phosphate-dehydrogenase deficiency (an inherited enzyme deficiency, mainly affecting men). • If you have a brain trauma or cerebral haemorrhage (brain or head injury, including bleeding). • If you have narrowing of the heart valves or arteries or angina caused by a disease of the heart muscle. • If you have circulatory collapse (a failure of blood circulation). • If you have toxic pulmonary oedema (lung swelling/ fluid) • If you have cardiogenic shock (a serious heart condition caused by very low blood pressure, which may result in the following symptoms: dizziness and lightheadedness, fast pulse rate, white skin, sweating, restlessness or loss of consciousness). Do not use if you are taking Sildenafil, tildenafil, vardenafil or similar phospho-diesterase inhibitors used to treat male erectile dysfunction (impotence). Glytrin 400 micrograms per metered dose, Sublingual spray Glyceryl Trinitrate 400 micrograms per metered dose Warnings and precautions Talk to your doctor before using Glytrin if any of the following Read the complete document
OBJECT 1 GLYTRIN, 400 MICROGRAMS PER METERED DOSE, SUBLINGUAL SPRAY Summary of Product Characteristics Updated 28-Jun-2016 | Aspire Pharma Ltd 1. Name of the medicinal product Glytrin, 400 micrograms per metered dose, Sublingual Spray 2. Qualitative and quantitative composition Active Ingredient Glyceryl Trinitrate: 400 micrograms per metered dose This product contains small amounts of ethanol (alcohol) less than 100mg per spray. For full list of excipients, see Section 6.1 3. Pharmaceutical form Metered dose oromucosal (sublingual) spray solution. Small aerosol canister 4. Clinical particulars 4.1 Therapeutic indications Treatment of acute angina pectoris Prevention of inducible angina (e.g. physical effort, emotional stress, exposure to cold) Route of Administration Oromucosal (Sublingual) 4.2 Posology and method of administration Oromucosal Dosage Before using Glytrin for the first time, the patient should check that the spray is working by pressing the pump button a few times until it produces a fine mist of liquid. The patient should practice aiming the spray onto a tissue or similar item so that they will be able to aim it correctly under the tongue when they need to use it. If the patient does not need to use Glytrin very often, the spray should be checked regularly to see that it still works properly. Adults including the elderly At the onset of an attack, one or two metered doses (400 to 800 micrograms glyceryl trinitrate) to be sprayed under the tongue for the relief of anginal pain while breath is held. No more than three doses are recommended at any one time. For the prevention of inducible angina (e.g. physical effort, emotional stress, exposure to cold), one or two 400 microgram metered doses sprayed under the tongue within 2 3 minutes of the event starting. Children Glytrin is not recommended for children Administration During application the patient should rest, ideally in the sitting position. The canister should be held vertically with the valve head uppermost and the spray orifice as close t Read the complete document