Nitroderm TTS 5mg Patch 1's

Talk to Doctor Talk to your doctor before taking this medicine, if you: are allergic to glyceryl trinitrate or to any of the other ingredients in the medicine suffer from a heart condition which is associated with low blood pressure leading to shock suffer from low blood pressure or low blood volume suffer from anaemia (low iron levels in your blood) have an eye disease called glaucoma have ever had a serious head injury, cerebral haemorrhage (bleeding in the brain) or a disease which is accompanied by increased pressure on the brain have any diseases of the lungs, liver or kidneys have recently had a heart attack or you suffer from heart failure or any other heart disease suffer from hypoxaemia (insufficient oxygen in your blood) due to lung disease, heart failure or severe anaemia (low haemoglobin) have hypothermia (very low body temperature) are malnourished (severe lack of food) have a condition called Angina pectoris (chest pain) have a condition in which there is insufficient blood flow to the brain are an alcoholic Pregnancy & Breast Feeding If you are pregnant, trying to become pregnant or breast feeding, ask your doctor for advice before using NITRODERM Children & Adolescents NITRODERM is not suitable for children Driving & Using Machines NITRODERM may make you feel dizzy, tired or have blurred vision. If this happens to you, do not drive a vehicle or operate machinery

Always use this medicine exactly as your doctor has advised Your doctor will choose the dose that is right for you Normally one patch per day is enough Your doctor may increase this to two patches depending on how you respond to the medicine At the start of your treatment, put on a patch in the morning Remove the patch before you go to bed You must have 8 to 12 hours each day without a patch on. This will prevent you from becoming tolerant to the medicine. If you do this it will ensure the treatment remains effective Each morning put on a new patch When applying the patch, you should always Place the new patch on a different area of skin Allow several days to pass before applying a fresh patch to the same area of skin Choose a smooth area of skin to apply the patch. The area should be hairless, to ensure good contact of the patch with the skin. The chest, upper abdomen, upper arm, shoulder or thigh is suitable Your hands and the skin where you will apply the patch should be clean and dry. Do not use powder or moisturizer Tear open the wrapper across the top, take out the patch and hold it with the writing facing away from you Fold the patch along the S-shaped cut so the sides of the backing come apart Hold the patch on one side and peel off the backing on the other side to expose the sticky patch. Place the sticky side of the patch directly onto the skin Peel off the remainder of the backing and press down firmly with the palm of your hand Do not stretch the skin when putting a patch on Do not put the patch on a cut or reddened area of skin Do not pull the patch off the skin and then stick it back on again If you use more NITRODERM If you use more NITRODERM than you should, you may have a fall in blood pressure. This may make you feel dizzy, weak and light-headed on standing. You may also be pale, sweat a lot, have a weak pulse, rapid heartbeats (tachycardia), flushed skin, headache, feel sick or be sick, methemoglobinemia If you forget to use NITRODERM Take the old one off and Put a new one on as soon as possible, then carry on as before. Do not take a double dose to make up for a missed dose If you stop using NITRODERM Do not stop using NITRODERM even if you feel better. If you stop taking your medicine your condition may get worse

Serious Like all medicines, NITRODERM can cause side effects, although not everybody gets them. sudden wheeziness difficulties in breathing swelling of your eyelids, face or lips rash or itching especially those covering your whole body Common Like all medicines, NITRODERM can cause side effects, although not everybody gets them. headaches low blood pressure (hypotension) and light-headedness upon standing Uncommon Like all medicines, NITRODERM can cause side effects, although not everybody gets them. collapse sometimes with a slow heart beat and fainting temporary low oxygen level in the blood (temporary hypoxaemia) slight reddening, itching or burning sensation on the skin where you have applied the patch allergic skin rash, which may be severe flushing of the face feeling sick being sick heartburn

Tell your doctor if you are taking any of the following medicines such as: beta-blockers, calcium channel blockers, vasodilators, ACE inhibitors, medicines which reduce blood pressure diuretics tricyclic antidepressants medicines used to treat depression neuroleptics used to treat anxiety dihydroergotamine used to treat migraine amifostine a medicine used along with anticancer medicines

Storage Store at room temperature (15-25°C) Keep out of the reach of children Do not use NITRODERM after the expiry date