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.
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 read your post to me about how you don't like block/replace therapy, and that you like MMI titration, what is that? HOw do you keep your patients from going hypo thyroid on only ATD's? and if they do go hypo, how do you help them if you don't use replacement? Also, does using ATD's burn out your thyroid? and does replacement burn out your thyroid? Do you consider 5mg of MMI to be a high dose of ATD?
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.
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.
I've never heard of nitroglycerin being used to treat migraine, but glad that it worked.
But if it keeps on, and sorry to tell you this, but you probably should see a doctor ASAP. It could be the sign of a coming stroke, since it is sudden and very painful. I started with a sudden very different migraine than any I had ever had before. It turned out that within 3 weeks, longer than usual as a gap in time, I had a full carotid artery dissection stroke.
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.
I am a healthcare professional and can not afford to seek professional help as it may compromise my job. Please let me know if titration is an effective way to come down. My thoughts are to decrease my dose every three days as follows:
-Currently taking 4, 10 mg-325 acetaminophen at 5-6 pm and 4 more (same concentration) around bed time.
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???
Monotrate, Vasotrate, Ismo, Imdur, Angicor), Isosorbide dinitrate (brand names: 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.
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?
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?
The doctors just did an ECG and say all is good. Is this possible? She is on constant Nitroglycerin and Morphine prn. Should she get a second opinion? What other procedures could she have done to take away this pain? She says the pain is getting more frequent and stronger. Thank you for your responses.
1) If GP agrees to titrate, how soon will the anxiety dissipate? In other words, I want to suggest that we try titration as an experiment for two weeks to see if the anxiety resolves. Is that enough time?
2) In the event GP won't titrate will anxiety eventually resolve? How long does that usually take. I've been back on meds for 4 weeks now.
3) 3 weeks after being increased to 125 mcg I began having extreme difficulty in concentrating.
why because it is longer lasting and can be cut down easier. Now for your decrease thod i suggest water titration. it takes you off im ml by turning the hard pill into a liquid form much easier to theen off in mg. But if you insis on cutting down in pill form here is my SUGGESTION please note that fact. you will have to cut the pill in such small doses to be accurate is gonna be impossible but maybe bearable please you tube water titration.
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