is there anyone who can tell us more about the new ATA guidelines ? according to their research, they are saying the standard treatment for hypo thyroid should be synthroid drugs, that they found none of the others work... well I was on synthroid for two years, it was not converting to t3... I felt horrible... then I asked my Dr. to put me on armour, and WOW it was like somebody turned on a light switch.. my thyroid panel levels all normal, feel like a million bucks....
s esophagus, GERD, gastic paralysis, fibromyalgi, chronic fatigue, Sicca syndrome, list goes on.....This is something new...sudden very severe shooting pain going up right side of neck, carotid area, sometimes into ear, but not always. Relieved with nitroglycerin. Any guesses as to what this could be?
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.
In November 2002, AACE published revised guidelines that provided a new range for normal thyroid function. Until this time, doctors had relied on a normal TSH level ranging from 0.5 to 5.0 to diagnose and treat patients with a thyroid disorder who tested outside the boundaries of that range. AACE encouraged doctors to consider treatment for patients who test outside the boundaries of a narrower margin based on a target TSH level of 0.3 to 3.04.
I still had stable angina every time I did some for of cardio activity or is I ate something with sodium. I started using Nitroglycerin patches and even have the pills just in case my angina episode occurs.
I had a date and I read online that you can't take viagra and any nitrates cause it can drop your blood pressure really low. So I stopped using my nitroglycerin for about 48 hours so I can take the Viagra.
I just got back from my neurology checkup. I am very confused. I was diagnosed with ms years ago. Today he tells me there's new guidelines. First one is all ms patients are to have yearly EEGs to check for cognitive decline or changes. He contends that this is better than neuro/psych exams. Secondly its recommended that everyone with ms wear a pedometer as we are to take 10000 steps daily for our health.
i'm new to this forum but i do have CREST SYNDROME which i have the raynaud's mainly in my hands. I have tried all kinds of blood pressure pills and when i move up on dose to help it causes more raynauds. I finally was put on nitroglycerin patches and had to be moved up once and now i'm adding ginko to my dose and i have finally saw a change. Not a perfect fix yet but much better. I also take fish oil twice a day for the inflamation.
ed is correct nitro dilates vessels.
I take a nitrate (isosorbide) for more than 6 years 3 times before going to gym for workout. My blood pressure does not drop between intervals...in fact I was told to have intervals of nitrate free period. It is true, nitro dilates the coronary vessels and prevents angina (chest pain). The patch should only be worn for up to 12 to 14 hours a day, or as directed by your doctor, but continued use with no interruptions can cause a tolerance for drug....
I only take isosorbide prior to a workout, and nitro when engaged in an activity that brings on angina. I understand your doctors are suggesting taking isosorbide daily as aschemia does not always produce angina even though the heart cells are not getting sufficient blood supply. This can lead to a silent heart attack so the medication is recommended continuously whether there is angina or not and older people in general are likely to have a silent heart attack.
The pain lasts anywhere from a few minutes to several hours. I have been prescribed nitroglycerin to take as needed for chest pain and this medicine surely helps. I've had several EKGs and cardiac enzymes done which were all normal. I also had a threadmill/stress test done which was normal. My cardiologist thinks the the probability of me having an occluded/blocked coronary artery is very low.
Hopefully they will update their site with their new recommendations in an obvious place, in clear language. As of now, the testing guidelines on their site are the same as they have been, not anything new.
Thanks for sharing!!
The doctor said the left heart was okay but found a narrowing in the right heart which caused coronary spasms during the test. IV nitroglycerin during the test stopped the spasms and dilated the vessel. He did not mention any other problems and recommended sublingual nitroglycerin to treat the spasms as they occur.
You also have to wonder how quickly doctors will embrace the new guidelines. If they don't react more quickly than they have to the recommendation to change the reference range for TSH, there's nothing to worry about.
And, after all, less procedures is less money in the pocket!!
The same with his recent heart catherization was chest pressure. In the ER he was given 2 nitroglycerin, 5 minutes apart, the chest pressure went away after the 2nd nitroglycerin.
Does any good specialist in cardiology think that my husband should have the open heart surgery for bypasses considering the risks regarding his age, his diabetes?
I would appreciate very explanatory answers, easy to understand, what to do in my husband's situation.
Thankyou.
I assume the diagnosis of hyperreactive responses not only to the constrictor effects of acetylcholine, but also the dilator effects of nitroglycerin were detected diffusely in the epicardial coronary arteries of patients with coronary spastic angina.
The goal of treatment is to control chest pain and to prevent heart attack. The pain is relieved by a medicine called nitroglycerin (dilates coronary vessels). You have been prescribed norvasc and that should relieve any chest pains.
My 54 year old "healthy" husband received a stent yesterday due to a 99% LAD blockage! He is the typical type A personality and this only adds to his already stress overload. I realize we are lucky he is still here and thankful for medical technology. I am just concerned that this will forever be a constant worry for him. Any suggestions of how I can help him. Also I asked his MD about having nitroglycerin to have on hand and he said that this wasn't necessary???
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