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 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.
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.
When they injected the dye into the artery they could not see anything. However, when nitroglycerin was administered everything showed up...no blockage. I also have chest pains and shortness of breath and fatigue along with the coldness spreading to my legs along with leg heaviness, cramps and weakness when walking. I have been referred to a cardiologist. What is the treatment for severe vasospasms? Could this mean I am having vasospasms everywhere including coronary vasospasms?
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.
Esophageal spasms are often difficult to treat, and controlled studies of treatment methods are lacking. The aim of treatment is to relieve symptoms by decreasing pressure in the lower esophageal sphincter. Nitrates (for example, nitroglycerin placed under the tongue before meals) or calcium channel blockers.
Arthritis has inflammatory characteristics and very little if anything to do with dilated vessels, etc.
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.
Is that normal procedure?
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.
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???
The most common side effects of Viagra and the other PDE5 inhibitors are flushing and headache. PDE5 drugs can cause dangerously low blood pressure if they are taken with nitroglycerin or other nitrate medications that are used to treat chest pain and heart disease.
In patients that cannot tolerate PDE5 inhibitors there are other treatments available. The drug alprostadil (Caverject, Edex, Muse) also increases blood flow to the penis leading to an erection.
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.
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.
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.
Stress test.. A big part of this has to do with the nature of the pain.
Pain that comes and goes in 5 -15 minute waves, is dull or constricting in nature, with shortness of breath nausea and/or sweating, that exists primarily below the breastbone and/or radiates to the front of left shoulder/ pects, up to left jaw and down the pinky/arm pit side of arm.. Often With numbness in pinky finger is the worst sign.
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