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Drug Guide    A   Ang-O-Span

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   Ang-O-Span

Ang-O-Span
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Nitroglycerin extended release capsules are used to prevent chest pain (angina). When used regularly, nitroglycerin can decrease the number and severity of attacks of chest pain from angina and improve your ability to exercise. This medication is called a nitrate. It works by relaxing blood vessels and allowing more blood to flow to the heart.This medication should not be used to treat angina when it occurs. Use other medications (e.g., sublingual nitroglycerin) to relieve an angina attack as directed by your doctor. Consult your doctor or pharmacist for details.

 
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OverviewPhotosHow To UseSide EffectsPrecautionsMissed DoseDrug Interactions
Ang-O-Span

Uses
Nitroglycerin extended release capsules are used to prevent chest pain (angina). When used regularly, nitroglycerin can decrease the number and severity of attacks of chest pain from angina and improve your ability to exercise. This medication is called a nitrate. It works by relaxing blood vessels and allowing more blood to flow to the heart.This medication should not be used to treat angina when it occurs. Use other medications (e.g., sublingual nitroglycerin) to relieve an angina attack as directed by your doctor. Consult your doctor or pharmacist for details.
Notes
  • Do not share this medication with others.Laboratory and/or medical tests (e.g., blood pressure) should be performed periodically to monitor your progress or check for side effects.
  • Consult your doctor for more details.Lifestyle changes such as stress-reduction programs, exercise, stopping smoking, and dietary changes may increase the effectiveness of this medicine.
  • Talk to your doctor or pharmacist about lifestyle changes that might benefit you.Avoid situations that may lead to chest pain (e.g., vigorous exercise, cold air, heavy meals).
  • Discuss with your doctor.

Storage
  • Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture.
  • Close the container tightly right after each use.
  • Do not store in the bathroom.
  • Keep all medicines away from children and pets.

Overdose
  • Symptoms of overdose may include: persistent throbbing headache, fainting, confusion, fever, slow/irregular heartbeat, vision changes, severe nausea/vomiting, sweating, shortness of breath, cold/clammy skin, seizures.

How To Use
  • Take this medication by mouth, usually once daily in the morning without food or as directed by your doctor.
  • Swallow this medication whole with at least half a glass of water (4 ounces or 120 milliliters).
  • Do not crush, chew, or split the capsules.
  • Doing so can destroy the long action of the drug and may increase your risk of side effects.
  • Exactly follow your doctor's directions on how often to take this drug.
  • The dosage is based on your age, medical condition, and response to therapy.Use this medication regularly in order to get the most benefit from it.
  • To help you remember, take it at the same time each day.
  • It is important to continue using this medication even if you feel well.If you take this drug continuously all day, your body will become used to it and it will not work as well.
  • To prevent this effect, your doctor will usually direct you to avoid taking this drug during a daily break time (usually 14 hours).
  • Consult your doctor for more details.Do not suddenly stop taking this medication without consulting your doctor.
  • Your condition may become worse when the drug is suddenly stopped.
  • Your dose may need to be gradually decreased.Inform your doctor if your condition worsens (e.g., the number of angina attacks increases).

Side Effects
  • Headache, lightheadedness, flushing, dizziness, nervousness, nausea, and vomiting may occur.
  • If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Headache generally means that the medication is working.
  • Treat headaches with an over-the-counter pain reliever (e.g., acetaminophen) as directed by your doctor.
  • If the headaches continue or become severe, notify your doctor.Remember that your doctor has prescribed this medication because the benefit to you is greater than the risk of side effects.
  • Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: severe dizziness, fainting, fast/pounding heartbeat with headaches, paleness, sweating, blurred vision, dry mouth.Tell your doctor immediately if any of these rare but very serious side effects occur: worsening chest pain, dark urine, bluish lips/skin/nails, unusual tiredness, severe weakness, irregular heartbeat, seizures.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs.
  • Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before using this medication, tell your doctor or pharmacist if you are allergic to it; or to any other nitrates; or if you have any other allergies.This medication should not be used if you have a certain medical condition.
  • Before using this medicine, consult your doctor or pharmacist if you have: severe anemia.Before using this medication, tell your doctor or pharmacist your medical history, especially of: low blood pressure, a severe loss of body water (dehydration), certain heart problems (e.g., recent heart attack, chronic heart failure, cardiomyopathy), increased pressure in the brain (e.g., due to head trauma, cerebral hemorrhage), exposure to nitrates while on the job.This drug may make you dizzy or cause temporary blurred vision; use caution engaging in activities requiring alertness and clear vision such as driving or using machinery.
  • Limit alcoholic beverages.To minimize dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug, especially dizziness, increased risk of falling, and worsening chest pain.This medication should be used only when clearly needed during pregnancy.
  • Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk.
  • Consult your doctor before breast-feeding.

Missed Dose
  • If you miss a dose, take it as soon as you remember.
  • If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
  • Do not double the dose to catch up.

Drug Interactions
  • Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it.
  • Do not start, stop or change the dosage of any medicine before checking with them first.This drug should not be used with the following medications because very serious (possibly fatal) interactions may occur: drugs used to treat sexual problems (e.g., sildenafil, tadalafil, vardenafil).If you are currently using any of these medications, tell your doctor or pharmacist before starting nitroglycerin.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: alcohol, alteplase, migraine drugs (e.g., ergotamine), water pills/diuretics (e.g., furosemide, hydrochlorothiazide), other drugs for high blood pressure (e.g., beta blockers, calcium channel blockers, ACE inhibitors).Check the labels on all your medicines (e.g., cough-and-cold products, diet aids, nonsteroidal anti-inflammatory drugs-NSAIDs for pain/fever reduction) because they may contain ingredients that could increase your blood pressure, cause a fast heartbeat, or increase chest pain (e.g., pseudoephedrine, phenylephrine, chlorpheniramine, diphenhydramine, clemastine, ibuprofen, naproxen).
  • Ask your pharmacist about the safe use of those products.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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