Nitroglycerin sublingual

Common Questions and Answers about Nitroglycerin sublingual

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I have nitroquik - sublingual nitroglycerin - to take if I have angina pains - this morning about 5 am I was miserable and couldn't tell if it was heart or ms symptoms and I took one. As always it stopped my discomfort, depressed my already low blood pressure and I went to sleep for about 3 hours. I've used nitroquik for the past 3 months or so and it always stops the pain and gives me relief within minutes. It makes me wonder if nitroglycerin is part of anyone's MS drug protocol?
A couple of weeks ago my cardiologist offered to rx nitroglycerin tabs (0.4 mg sublingual) to help diagnose whether my symptoms are due to ischemia or not. I've used them twice now and am having trouble deciding whether they really helped. What I mean is, my symptoms always go away eventually so how can I tell whether it was the nitro that helped relieve them? The first time was during the afternoon last week when I was having a squeezing heaviness in the center of my chest.
pulsing pain in throat and upper chest relieved by sublingual nitroglycerin. Is this angina or esophogeal disorder?
He did not mention any other problems and recommended sublingual nitroglycerin to treat the spasms as they occur. The sublingual nitroglycerin seems to work to relieve the pain/pressure when it occurs but I am still conerned over the shortness of breath and fatigue along with a low temperature..95 and widely varying resting heart rate... 46 to 78 and widely variable resting blood pressure 148/98 to 102/70 thirty minutes later. What further testing, if any, would you suggest?
If you miss a dose of Nitroglycerin Patch, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once. When used for long periods of time without a break, some people develop a physical need to continue taking Nitroglycerin Patch. This is known as physical DEPENDENCE. Do not suddenly stop taking Nitroglycerin Patch without your doctor's approval.
is neck pain in ischemic heart disease relieved by nitroglycerin sublingual , without chest pain and normal ekg could be of heart attack?
Coronary vasospasm causes significant changes on the ECG during chest pain and both the chest pain and the ECG changes typically resolve with sublingual nitroglycerin. Of course if you are having chest pain during SVT, I would not give you any nitroglycerin because the chest pain is unlikely to be caused by spasm and, in addition, your blood pressure could drop significantly.
(As per the Hospital Cardiologist after a heart cath) One of the meds I was given was sublingual nitroglycerin and I have had to use it many times so far (I only use it when the chest pains last longer than 20-30 minutes or get really bad). I do not have insurance and cannot afford to see a Cardiologist but I was wondering how often people usually have to use nitroglycerin.
He did not mention any other problems and recommended sublingual nitroglycerin to treat the spasms as they occur. The sublingual nitroglycerin seems to work to relieve the pain/pressure when it occurs but I am still conerned over the shortness of breath and fatigue along with a low temperature..95 and widely varying resting heart rate... 46 to 78 and widely variable resting blood pressure 148/98 to 102/70 thirty minutes later. What further testing, if any, would you suggest?
I have had them, and it is similar to what you are having. My doctor prescribed sublingual Nitroglycerin and it does help most of the time. Esophogeal pain does refer to your left side also. Have you had a cardiac workup to make sure it isnt your heart? Just a thought.
I was under enormous stress when the pains started and the fear that it was cardiac in origin added to it. I had the nitroglycerin sublingual tablets. I took them, sometimes they helped, other times they didn't. To this day I have no definitive answer as to the cause of my pains, but they seem to have subsided for the past 6-7 months. Try the nitro and see if it helps. My guess is that it won't help indigestion, but would if it was due to vasospasm or other cardiac cause.
Sorbitrate, Isordil), Sublingual nitroglycerin tablets or spray (Angised, Angispan, GTN spray), Transdermal nitroglycerin patches or ointments (brand names: Top nitro, Nitroderm TTS, Myovin). Nitrates are also found in illicit drugs such as amyl nitrate (poppers). If you are not sure if any of your medicines contain nitrates, or if you do not understand what nitrates are ask you doctor or pharmacist. Penegra (sildenafil) is not approved for use in women.
is there anything I can suggest to my doctors to look at next, or another drug I can try since the only thing that gives me relief is sublingual nitroglycerin and I go through 100 of those a month ? Thanks for ANY suggestions, I am desperate.
If her chest pain resolves with the use of nitrates (such as sublingual nitroglycerin or a patch), it may be necessary to ensure that she is on a long-acting nitrate such as isosorbide mononitrate (Imdur) to help optimize her symptoms. However, if not, then she may need further evaluation to look for other causes. Hope this helps.
Pills, patches, or paste may be used together with sublingual nitroglycerin to give maximum relief and prevent angina. Some people develop a tolerance to nitrates if they use them constantly over a long period. Tolerance occurs when a medicine loses its effectiveness and may not seem to work as well. A doctor may prescribe a daily schedule of using nitroglycerin 12 to 18 hours on and 6 to 12 hours off to prevent the development of tolerance.
There is no typical cardiogenic chest pain, which is crushing precordial pain radiating to the jaw, arm and neck, relieved with sublingual nitrates. other possibilities for the muscle spasms can be chest injuries, previous chest surgery, possible culprit, any history of athletics, stress fractures , pulled chest muscles. Fibromyalgia is an important condition of chronic fatigue which causes severe muscle pain, with muscle spasms in chest.
There is no typical cardiogenic chest pain, which is crushing precordial pain radiating to the jaw, arm and neck, relieved with sublingual nitrates. other possibilities for the muscle spasms can be chest injuries, previous chest surgery, possible culprit, any history of athletics, stress fractures , pulled chest muscles. Fibromyalgia is an important condition of chronic fatigue which causes severe muscle pain, with muscle spasms in chest.
The pains were said to be esophageal spasms. Motility study normal. Only thing that has helped has been nitroglycerin spray sublingual, but that doesn't always work effectively. A typical attack begins as thus: Pain starts like a pinch between shoulder blades on the back, and in front between the breasts on the left side under the right breast, and goes straight through to the back, both sides of the neck hurt, pain goes down right arm.
Diagnosis is by esophageal manometry and esophageogram. Treatment is by sublingual nitroglycerin and calcium channel blockers. As I have mentioned earlier,the main possibility in your case is cervical spondolysis.The rest of the possibilities have to be ruled out.Pls get yourself evaluated for cervical spondolysis if not done before. Hope it helps.Take care and regards.
Nothing was remarkable about the test until they administered sublingual Nitroglycerin spray, which prompted a HR increase from 86 to 140 bpm immediatly. All my symptoms came about at once and I nearly passed out so they stopped the test. Blood pressure stayed about the same throughout. My doctor was unable to attend so I am curious in the mean time about these findings on the test. My EP has suggested he thought it was probably Inappropriate Sinus Tachycardia, but possibly POTS.
20 minutes with nausea cold swelling and etc. if your chest pain resolves with nitrates (sublingual) pain is supposed to be due to narrowing one of your epicardial artery. finally you had better to be t evaluated with a experienced cardiologist.
I suggested to the doctors that i had Prinzemetal's Angina ( internet search by me) and needed a Calcium Channel Blocker in addition to the prescribed Imdur and sublingual Nitroglycerin for acute occurences. Sofar no doctor diagnosed me with it. I was released as very heart-healthy. No plaque, normal cholesterol.
However, when he looked down and realized my dad died at such a young age he said although he felt the chest pain was related to the connective tissue disease and fibromyagia, to be sure they might need to do a cardiac cathertization, but he hated to do that on a young woman. So as a test he started me on IMDUR ER ( an extended release form on nitroglycerin ) to be taken daily and also NITROQUICK SL ( the short acting sublingual form of nitr ) to be used when chest pain occurs.
It may last for as short as 10 to 15 minutes or longer than several hours. It is usually relieved by sublingual nitroglycerin. Pain that lasts only a few seconds or continuously for days on end is almost never angina. Atypical angina is pain due to coronary artery disease that is different from that described above. It is a diagnosis of exclusion, which means that other causes of the chest pain (e.g. musculoskeletal, psychological, GI source, lung source, etc.) must be ruled out first.
I have been using sublingual nitro for 3 years plus to treat what I was told as unstable angina. I was in cardiac telemetry several time since....my bp was very high and my heart rate was in the upper 30's and 40's. A chemical echo-stress test was done and all of my EKGs' were not normal, most with an Anterior Infarction questioned. My left side cardiac catherization revealed a mild enlarged/dilated ascending thoracic aorta. Usually mild means, no need to do anything now....
5mm ST segment depression in recovery and ejection fraction of 83%. Repeat in 2006 shows pronounced ST dep/T inv. Taking nitro sublingual as needed and diltiazem 180 mg daily. Dr. says small vessel disease or arterial spasm; thinks no more diagnostic tests would help. SOB and pain increasing. Other thoughts?
But today I was feeling weak and anxious with a mild tightness in the centre of my chest, and I thought, okay, let's see if sublingual nitro helps this. I had some tablets from the time when I was being worked up earlier this year, that had never relieved my symptoms. I wasn't expecting anything but the usual pounding headache, but surprise! The tightness moved to a different place in my chest and gradually went away and I felt a burst of energy and even euphoria.
Pains continued. Many tests, all normal. Heart monitor ekg, normal, MRI, normal, upper gi scope,. The pains were said to be esophageal spasms. Motility study normal. Only thing that has helped has been nitroglycerin spray sublingual, but that doesn't always work effectively.
But it isn't touching the pain I get later in the afternoon when for example I take my walk. That's when I need to slip in the occasional sublingual nitroglycerin to get things done later in the day.
Some physicians treat the anginal episodes with sublingual nitroglycerin and I think this is reasonable if it helps. Vasospastic angina can be episodic and may dissappear as fast as it came. In the mean time, continue to take the medications and diet/exercise to improve fitness. Good luck!
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