Doctor insights on:
Long Term Effects Of Imdur
Is it safe to take Nitrates (Imdur) QD & Nitrostat (nitroglycerin) PRN long-term. I don't need additional questions, I can't answer. Can you please just answer my?'s
Yes: I have patients who have been taking nitrates for over 30 years. I have no reason to believe that there is any safety issue with long term use of these medications. ...Read more
I have chest pain. Cleared by Heart MD. ALL other system R/O. Put on Imdur ER and Nitrostat (nitroglycerin). They are only things that help. Is ok to take long term?
Diagnosis?: U say that ur Heart MD (presumably a Cardiologist) "cleared" you. What does that mean? What is the diagnosis? Do you have Prinzmetal's angina (ie coronary artery spasm with no blockage)? Is it Diffuse Esophageal Spasm, which mimics chest pain? In pts with heart disease (CAD), being on long-term nitrates increase mortality; however, u r young (23) & probably don't have CAD. Again, ask ur "heart MD" ...Read more
I take clonodine, hydralozine, imdur, diovan, (valsartan) coreg & amolodipine for hbp & levothyroxide for thyroid. How can I keep longer erection & better sex?
Talk to your doc: If you have weak erections inadequate for sex or short duration that does not allow for mutual pleasure, then see what med changes can be made. I assume that you have some major pathology that has put you on these meds at such a young age, so there may not be much wiggle room. Your meds may rule out viagra, (sildenafil) so you might need to resort to vacuum devices. ...Read more
Are effects of Imdur and Nifedipine cumulative or no? After 5 days my heart still hurts &am wondering if they will make it any better as I take more?
Effects not really: Cumulative as nefidipine has reached steady state concentrations after 5 days but give a few more days & discuss with prescribing physician ...Read more
At what different strengths can imdur comes. Is there any immediate release imdur avaible & at what strength.
Several: Imdur (isosorbide mononitrate) is a long-acting formulation of nitroglycerin. It comes in multiples of 30 mg. The short acting form of isosorbide (dinitrate) is marketed under a couple different brand names (most commonly Isordil (isosorbide dinitrate) in the us). It has a shorter half-life. Sublingual Nitroglycerin (pills or spray) is nearly instantaneous in onset and has a half-life of only a few minutes. ...Read more
Should imdur oral b used prn or should it b taken all the time? Not exp. Chest discomfort rt now.
Never PRN: Imdur is a slow release medication meant to prevent angina. It is of little benefit once there is an attack because it will not work for hours. If there is no angina, perhaps the dose could be reduced or the medication may no longer be needed. Dosing should be once daily in the morning and not more or less frequently. Talk to your doctor about whether to wean off this medication. ...Read more
Should I take these medications (imdur, Cartia, metoprolol) in the morning with breakfast or at night for most benifit?
Depends...: Not sure why you are on Cartia and metoprolol -- 2 medicines that both lower heart rate while controlling BP. Having said that, I would take Cartia and metoprolol at opposite times of day (one at night and the other in a.m.) Imdur at night. These are serious medicines for a young persons like yourself of 36. ...Read more
Isosorbide mononitrate extended-release(imdur) vs quick acting release(by kremers). Which one can develop tolerance more. Which one prescribed often?
Different targets: Either can develop tolerance, long acting a little more likely b/c in system longer. But imdur usually for prolonged venous-dilitation / cardiac perfusion effects and immediate / short formulation more common w/cardiac symptoms. Ask you cardiologist or pharmacist for more specific information. ...Read more
On cartia and Imdur since 2011. What happen if suddenly stop these Cardiac drugs. Symptoms controlled. Blood pressure normalized. I feel fine.
Don't do it: You will no longer receive the benefit of these 2 drugs and risk suddenly destabilizing your current state of good health. If you want to try stopping your meds (not unreasonable), do it with medical supervision and do it slowly, tapering first one and, if okay, then the other. I would drop the Imdur first. Your BP will rise, especially when the Cartia is stopped. ...Read more
My blood pressure meds CARTIA n IMDUR are controlling my BP n hr. But I still have a problem when I lay down 2 sleep I feel flip flopping n beat skippin that keeps me awake n not sleep. How 2 treat it?
Should alcohol strictly be avoided on Gabapentin, Verapamil and Imdur? I've read that alcohol should be avoided, but have been taking a tincture that has alochol in it. I think I should stop using anything with alcohol, do I need to be that vigilant?
Yes, and no: Yes, absolutely don't consume alcohol (like a shot of vodka, glass of wine, can of beer) with gabapentin. Together they synergistically cause CNS depression. Alcohol is known to cause vasodilatation as well, so combining it with your blood pressure meds could be dangerous. That said, a couple of drops of ethanol won't harm you. What else is in the tincture? Those contents may be more worrisome. ...Read more
F70, started imdur 60mg and Norvasc (amlodipine) today, also tinormin 25mg, now having severe head ache, BP rt hand190/93 lft hnd165/85. Is head ache due new med.?
Need to take 30 mg ER imdur for angina. Would it cause low blood pressure. How effictive it is vs regular isosorbide regular release on blood pressure?
Nitrates: Both may cause some drop in blood pressure but usually not very much. Nitrates are not typically used for treatment of hypertension. The effects of the short and long acting isosorbide mono nitrate are similar; the difference is how often it has to be taken, i.e. Once vs. Twice a day. ...Read more
What are the most potent vasodilators? Hydralazine? Sildenafil? Imdur? What are the systemic dilators, veins, arteries, capillaries?
Hydralazine: There are vascular dilators that act primarily in the arteries which are generally potent such as Hydralazine and those that act on the veins and capillaries such as nitrates(Imdur) and those that act on both the veins and arteries such as Sildenafil and calcium channel blockers. The most potent of them all given only in intravenous route is Nitropusside ...Read more
Very reduced semen volume or output. Is it a side effect of my meds, Cartia,Imdur, Neurontin,Plaquenil, Xyzal,Oysco, Singular?
On metoprolol xr 100 and Losartan 25 once a day. Pharmacist said imdur 30 mg will cause too much blood pressure drop (currently 140/80 at night). Safe to start on half the 30 mg dose to help with angina? Are nitrates safe for kidney? Thanks
Follow directions: Always follow your doctor's instructions carefully. Of course, you may ask your doctor to explain any part you do not understand. ...Read more
Resistant BP stays at 160/80 despite micardis 20, bystolic (nebivolol) 10. Norvasc 5-10 mg works but get leg edema. Imdur raises bp to 180. Diuretics? Ckd patient
Diuretics for HTN: Hypertension which is not uncontrolled on 2 drugs often needs a diuretic. There is sometimes fear that diuretics will worsen kidney function, but in fact BP control is especially important for patients with kidney disease. A very low salt diet will help. See "Loop Diuretics are Most Appropriate for Hypertension Treatment in Chronic Kidney Disease" J Am Soc Hypertension 2016. ...Read more
I am on Imdur ER 60mg and Nitroglycerin .4mg. My BP is 80/60... I am having chest pain. Is it safe to take my nitro with that BP?
Lying down: It is surprising to me that a 23-year old would have significant enough coronary artery disease to require these medications. Nitroglycerin will briefly lower your blood pressure more which could be detrimental. If you are lying down when you take it you may not pass out or feel as dizzy. I think you need to confirm the need for these medications with your health care provider. ...Read more
Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus. Imdur, diuretics not advised by md. Other choices?
There seems to be much going on and not fully helping you.
For now please check your blood pressure every other morning and every other alternate night.
I suspect that the blood pressure data will be different from day to day, in which case you must contact your doctor for treatment advice.
Please let me know how things develop. ...Read more
Any interactions plaquenil methotrexate motrin800 Tylenol500 folic acid prilosec aspirin lopressor cartia imdur ambian singulair xyzal (levocetirizine) melatonin?
Too many: You are taking so many drugs that it is difficult to tell whether drug interaction may occur. Even if you run a profile in Epocrates, it is impossible to tell whether a combination with another drug may lead to interaction. Thus, you will require close monitoring by your doctor and be on the lookout for any adverse effects. ...Read more
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