Please read this instruction sheet carefully before using Nitroglycerin Transdermal System
Nitroglycerin Transdermal System for the prevention of angina
Nitroglycerin Transdermal System
Nitroglycerin Transdermal System is easy to use-- it has a transparent outer backing with a special adhesive that keeps the system in place and a white, translucent protective peelable liner.
Select any area of skin on the body, EXCEPT the ex tremities below the knee or elbow. The chest is the pre ferred site. The area should be clean, dry, and hairless. If hair is likely to interfere with system adhesion or removal, it can be clipped but not shaved. Take care to avoid areas with cuts or irritations. Do NOT apply the system immediately after showering or bathing. It is best to wait until you are certain the skin is completely dry.
Each Nitroglycerin Transdermal System is individually sealed in a protective pouch.
Application
When Nitroglycerin Transdermal System is applied to your body, the nitroglycerin contained in the system begins to flow onto your skin so that it is released and available for absorption through your skin at a uniform rate.
At the time recommended by your doctor, remove and discard the system.
Place a new system on a different skin site, following the steps for application, according to your doctor's instructions.
Contact with water, as in bathing, swimming, or showering will not affect the system. In the unlikely event that a system falls off, discard it and put a new one on a different skin site.
The most common side effect is headache, which often decreases as therapy is continued, but may require treatment with a mild analgesic. Although uncommon, faintness, flushing, and dizziness may occur, especially when suddenly rising from the recumbent (lying horizontal) position. If these symptoms occur, remove the system and notify your physician.
Skin irritation may occur. If it persists, consult your physician.
Keep these systems and all drugs out of the reach of children.
Your doctor may decide to increase or decrease the size of the system, or prescribe a combination of systems, to suit your particular needs. The dose may vary depending on your individual response to the system.
This system is to be used for preventing angina, not for treating an acute attack.
Store at 20° to 25°C (68° to 77°F)
[See USP Controlled Room Temperature].
Do not store unpouched. Apply immediately upon removal from the protective pouch.
"Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088."
Manufactured by:
Hercon Pharmaceuticals, LLC
Emigsville, PA 17318
Distributed by:
MAJOR®PHARMACEUTICALS
17177 N Laurel Park Dr., Suite 233
Livonia, MI 48152
1000019
Rev.: 07/18
What is this medication?
NITROGLYCERIN (nye troe GLI ser in) prevents chest pain (angina). It works by relaxing blood vessels, which decreases the amount of work the heart has to do. It belongs to a group of medications called nitrates. Do not use it to treat sudden chest pain.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
COMMON BRAND NAME(S): Deponit, Minitran, Nitrek, Nitro-Dur, Nitrodisc, Transdermal-NTG
What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:
How should I use this medication?
This medication is for external use only. Follow the directions on the prescription label. One patch contains a full day's supply of medication. It is usually worn for 12 to 14 hours a day and removed for 10 to 12 hours. Apply the patch to an area on the upper body that is clean, dry and hairless. Avoid injured, irritated, calloused, or scarred areas. Use a different site each day to prevent skin irritation. Do not cut or trim the patch. Do not use your medication more often than directed. Do not stop using this medication suddenly or your symptoms may get worse. Ask your care team how to gradually reduce the dose.
Talk to your care team about the use of this medication in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, apply the patch as soon as you can. Do not wear two patches at the same time unless told to by your care team.
What may interact with this medication?
Do not take this medication with any of the following:
This medication may also interact with the following:
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medication?
Check your heart rate and blood pressure regularly while you are using this medication. Ask your care team what your heart rate and blood pressure should be and when you should contact him or her. Tell your care team if you feel your medication is no longer having any effect.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medication affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
If you are going to have a MRI procedure, let your MRI technician know about the use of these patches. Some medication patches contain an aluminum backing that can become heated when exposed to MRI and may cause burns. You may need to temporarily remove the patch during the MRI procedure.
If the patch pulls loose or falls off, fold it in half (sticky side in) and throw away out of the reach of children or pets. Replace with a fresh patch.
What side effects may I notice from receiving this medication?
Side effects that you should report to your care team as soon as possible:
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Where should I keep my medication?
Keep out of the reach of children.
Store at room temperature between 15 and 25 degrees C (59 and 77 degrees F). Avoid extremes in temperature and humidity. Throw away any unused medication after the expiration date.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.