Do not use Nitrolingual Pumpspray if:

• You are allergic to glyceryl trinitrate (the active ingredient) or any of the other ingredients of Nitrolingual Pumpspray listed at the end of this leaflet

• You are allergic to any medicine or food containing nitrates or nitrites

Symptoms of an allergic reaction may include:

• Asthma, wheezing or shortness of breath

• Swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing

• Hives, itching or skin rash

• Fainting

Always check the ingredients to make sure you can use this medicine.

Do not use phosphodiesterase inhibitors (e.g. Viagra®, Cialis®, Levitra® or others) if your doctor or pharmacist has asked you to use Nitrolingual Pumpspray.

Do not use soluble guanylate cyclase stimulators (such as Adempas®) if you are using Nitrolingual Pumpspray.

Do not use Nitrolingual Pumpspray after the expiry date printed on the bottle and packaging.

If you take this medicine after the expiry date has passed, it may not work (as well).

Do not use Nitrolingual Pumpspray if the packaging is torn or shows signs of tampering.

Do not use Nitrolingual Pumpspray to treat any other complaints unless your doctor or pharmacist has instructed you to do so.

If you are not sure whether you should start using Nitrolingual Pumpspray, contact your doctor or pharmacist.

Check with your doctor or pharmacist if:

you have any allergies to:
- any other medicines
- any other substances, such as foods, dyes or preservatives.

you have any medical conditions, including:
- severe anaemia
- low blood pressure (which can make you feel faint, weak or dizzy, especially when you stand up suddenly)
- a recent heart attack or other serious heart disease
- a recent head injury or stroke
- an abnormality of haemoglobin (a pigment in your red blood cells which carries oxygen)
- high blood pressure in the pulmonary artery

you take any medicines for any other condition:
- it may not be safe for you to use Nitrolingual Pumpspray.

During treatment, you may be at risk of developing certain side effects. It is important you understand these risks and how to monitor for them.

Pregnancy and breastfeeding

Check with your doctor or pharmacist if you are pregnant or intend to become pregnant.

Talk to your doctor or pharmacist if you are breastfeeding or intend to breastfeed.

Do not use Nitrolingual Pumpspray if you are pregnant or breast-feeding unless you and your doctor or pharmacist have discussed the risks and benefits involved.

Use in Children

Nitrolingual Pumpspray is not recommended for use in children as there is no specific information about such use.

Always ask your doctor or pharmacist before giving medicines to children.

Use in Elderly

Elderly patients may be more sensitive to the effects or side effects of Nitrolingual Pumpspray.

If you are elderly you may need to watch carefully for signs of side effects.