There are two listed in the FDA Orange Book reference.
Nitromist by Novadel
Quote:
NitroMist™
NitroMist™ (nitroglycerin lingual aerosol) was approved by the U.S. Food & Drug Administration (FDA) in November 2006 for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease. NovaDel is currently finalizing commercialization plans for this important drug.
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and
Nitrolingual by Pohl Boskamp
This product used to be made by Rorer (which merged with another company a while back)
Obviously your pharmacist is not OLD. We oldsters remember the Rorer product.
If drug companies do not send in sales reps to the doctors, the doctors never realize that something exists and is available.
(some teaching hospitals may be the exception of this).
But most remain clueless. If doctors don't write for it, pharmacists don't see it and therefore don't know about it either.
The spray has never been a huge seller. I would see it only very occasionally in my 40 yrs + ...
The delivery device is critical for this drug, since such tiny amounts are delivered with each dose. I suspect the device is the hold up in production and dissemination of this product. Not the usefulness in the long run and the major cost factor too.
I don't know if all insurances pay for it. It may be not allowed due to cost. But with the shortage of nitro due to the Ethex recall (most nitro was supplied by Ethex), some people may be forced to use the spray--- and the insurances may override it for a short time.
It was never really popular for decades.
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All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei
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Weezie looking at petunias 8.25.2017
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