Question: Is sildenafil (Viagra) safe with nitroglycerin tablets?
Answer: Well, Viagra is not safe at all in the presence of nitroglycerin tablets and in fact, we know that if anyone takes Viagra with nitroglycerin tablets, that the blood pressure can be lowered precipitously and can be lowered to such levels as can be extraordinarily dangerous to you. [ABC News report from May 2008 - Internet]
As we know, not everyone experiences negative side effects from every medication.
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.
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. Norvasc is in a group of drugs called calcium channel blockers. It dilates blood vessels and slows the heart to reduce blood pressure and the pain of angina. Calcium channel blockers may be needed long term. Medications may also include beta-blockers.
Yes I would suggest a left heart catheterization to further evaluate you for the presence of severe obstructive atherosclerosis. Apart from this you should be on maximal medical therapy including beta blockers, ace inhibitors, aspirin and plavix as well as a statin. Is you heart function preserved after the heart attack? It is possible that your shortness of breath is secondary to systolic dysfunction and not only pneumonia.
You should talk to your doctor as you may be a good candidate for a low dose nitroglycerin patch which opens the coronary vessels to increase oxygen supply to the heart.
How are you currently managing your COPD? What medications and inhalers are you using? are you on home O2?
Nitroglycerin can also relieve esophageal spasm, it's not reliable for differential diagnosis of cardiac vs GI origin for chest pain. I've been through this recently myself and don't have any answers either. Nitro (sublingual) sometimes helped and sometimes didn't. Then on Friday I had a stress echo, my second in six months, again definitely negative. I'm also on Prevacid so my cardiologist doesn't think it's GI related but he also doesn't think it's cardiac.
There are pain management specialists, I think first off she needs to be referred to one.
earlier related topic: http://www.medhelp.
As anyone had the stress test the two parts myacardial perfusion scan after 4 weeks the cardiologist sent a prescription for asprin , isosirbide monitrate, amlodipine antrovastatin said my scan was 15% what does this mean is this not too bad medium or high risk don’t see him for another 2 months sldo can I have a few drinks on them as Iv not had a drink I just wondered people on these meds if they have a few drinks now n again thank you in advance x
Pain in the upper back can be a symptom of heart disease. The possibility is more because this pain is getting relieved by nitroglycerin. I would suggest you to consult your doctor as soon as possible about it and get yourself evaluated.
Take care!
m a 45 year old otherwise healthy male and have moderate restrictive lung disease that is more or less stable for the past 8 years. The reason I saw this cardiologist was the recurring chest pain that I was having (not because of shortness of breath as he indicates here!). The pain is still there together with light headedness and goes away if I take nitroglycerin (thought I know that nitroglycerin would relieve essentially any kind of chest pain).
I'm a Raynaud's Phenomen patients who has the CREST syndrome and i use the nitroglycerin patches to control my raynaud's. Can you tell me if the patches used in this way would cause your acid reflux to be worse. When i took the lowest dose of nitroglycerin patches 0.1 didn't notice any but had to move up and now i do. Will this be something that my body may take an adjustment period for before i notice a different of not having symptoms again?
Is it typical to have intermittent chest pain for the last two weeks since having my proximal LAD stented (coated stent)? I have resorted to nitroglycerin several times with mixed results. Today, I had some lightheadedness and shortness of breath with the chest pain, but a couple of hours later, and 3-4 sprays of nitro it is resolved.
Myocardial infarction pain is characteristically crushing retrosternal chest pain which may move to arms, shoulder, neck, teeth, jaw, belly area or back. This can be squeezing, lasting for 20 minutes. Rest and nitroglycerin may help relieve the pain to some extent. Other symptoms are anxiety, cough, dizziness, palpitations, shortness of breath etc. your doctor would like to check the cardiac enzymes like troponin and CPK, CPK MB.
i have to take blood pressure medication daily - i take at least three different types. i take atenolol (100 mg) and norvasc ( 5 mg) in the morning and clonodine (.4 mg) three times daily. my doctors have told me that if my bottom number reaches 100 to go to er, i also have nitroglycerin to take when my heart feels "funky". you start out with 1 pill; wait 5 minutes, if not better then take another one; wait 5 minutes take another one and call 911. hope this helps.
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