Doctor insights on:
Medicine For Nitrostat Allergy
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
Would not reccomend: In the heart Nitrostat (nitroglycerin) works by dilating blood vessels and improving blood flow. I can see why you might think this is a good idea in stroke but it is not. By rapidly dropping blood pressure (since the dilatation effect is not restricted to the heart) this would likely result in less blood flow to the brain overall which is what you usually do not want. Best bet, get to a hospital asap. ...Read more
Angina aka ChestPain:
Nitrostat is a sublingual compressed nitroglycerin tablet that contains 0.3 mg, 0.4 mg , or 0.6 mg nitroglycerin.
This is used frequently by patients that undergo chest pain usually secondary to ischemia. Ischemia refers to an unbalance between oxygen demand and supply caused by possible stenosis.
Nitrostat dilates vessels, leading to improved blood flow and decreased chest pain. ...Read more
Not necessarily: Nitroglycerin is a vascular smooth muscle relaxant. It is indicated for the treatment of coronary arterial disease. Some patients benefit from sublingual Nitroglycerin for acute symptoms of esophageal spasm as well. Symptoms of esophageal spasm mimics angina. Chest pain from heart is usually related to exertion and activity last no more than 5-10 min and improves with rest. ...Read more
Nitrostat (nitroglycerin): I instruct patients if they get chest pain, they should sit down and rest. If the pain does not go away then take a nitro under your tongue wait 5 minutes if the pain is not gone you can take another nitro, wait 5 minutes if you take the third nitro then you should go to the er. So unless directly instructed by your physician you should follow these guidelines. ...Read more
One: It is usually recommended to take one nitro tab under the tongue for chest pain (angina) and repeat at five minute intervals x 2 if pain persists. If pain is not resolved medical evaluation is recommended. Nitro is available in 3 different strengths and a stronger dose may be more effective. There are other meds to prevent chest pains. Taking several nitros at once could lower BP & cause fainting. ...Read more
Minutes: Nitroglycerine sublingually is a short-acting medication. There are longer acting nitrate preparations (isordil). ...Read more
Nitrostat (nitroglycerin): unlikely to show up in ER labs ...Read more
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
Heart pain all the way through to my back. The pain gets caught at our local hospital, but settles before i get proper.
I am on nitrostat (nitroglycerin).?
Need and evaluation: This should be fully evaluated by a cardiovascular medicine specialist. Concern, in addition to coronary disease would be for significant aortic pathology. Hence would recommend eval for both issues asap. ...Read more
Is it safe and beneficial to give a heart attack victim nitrostat (nitroglycerin) before doing cpr?
Heart attack: If someone needs CPR nitro is not given. CPR is usually given to someone who is experiencing cardiac or cardio-pulmonary arrest. ...Read more
Is it normal for your heart to race and heart rate to increase by 20 bpm minutes after taking nitrostat (nitroglycerin) bi lingual?
Yes: nitrates cause vasodilatation. BP drops and reflex tachycardia is a compensatory response. ...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
What happens if I go to the ER with low blood pressure after taking nitrostat (nitroglycerin) (pills for chest pain) will it show up in blood work?
No: It will not show up in blood work and it won't show up in your BP either because it wears off in about 10 minutes. ...Read more
There is: No alternative for nitroglycerine if you need it. All nitroglycerine and similar nitrate products can be potentially dangerous with ed products and the combination should be avoided. ...Read more
No drug is similar to ntg but there are several ways of delivering it: sublingual (under the tongue in pills or spray), transdernally (through the skin via paste or patches), by mouth and even iv.
Each way has different brands and dosages and each one has a different need/use. ...Read more
No sub: There's no substitute for short acting nitroglycerin. Amyl nitrate is similar but used as a provocative (testing agent) and isn't useful for treating angina. Isosorbide dintrate and Isosorbide Mononitrate are long acting forms of nitrate used as prophylaxis for angina but not to treat it. ...Read more
I had tilt table test and I didn't pass out until the second phase after nitroglycerin. Bp dropped to 38/0. Positive result if drug induced? Pots?
POTS testing: POTS testing is much more complicated than just strapping you to a table and tilting you and measuring your B/P. 400 spaces does not allow a full explanation. Either speak to your cardiologist or make a virtual appt. you come from Georgia. Emory has great cardiology. Go there. ...Read more
Never had a bata blocker or nitroglycerin before. Doing a Dual flash head CT scan soon. Can this be right? Can this be safe to use these drugs ?
Stop taking it: If it is an extreme necessity, and there are no alternatives, and you don't know whether this an allergic reaction or an adverse drug reaction (side effect), see an allergist/immunologist for evaluation and possible desensitization to the said drug for treatment of a particular disease episode, good luck ...Read more
Various Options: Daily steroid or antihistamines nasal sprays (fluticasone, azelastine) are helpful. Determining exactly what you could be sensitized to in order to practice appropriate avoidance measures is also important. If medications and avoidance are not effective or not feasible allergen immunotherapy (allergy shots) could be an option as well. Other meds include Sudafed, Mucinex, (guaifenesin) Afrin, oral antihistamines ...Read more
Could be!: Without understanding the circumstances and the type of reaction, it is impossible to answer the question. If you started the new medicine, and experienced a reaction, it could be due to allergy to the medication. ...Read more
No cure yet, but...: Allergy shots (allergen immunotherapy) is currently the only treatment that is disease modifiying, meaning it can change how the body responds to exposure to allergens. It is "natural" and long lasting effects carry on after shots are stopped. It works for most, but not all people. Closest thing to a cure so far..... For more read my blog at: http://www.Familyallergyasthmacare.Com/2013/03/its-no. ...Read more
OTC Allergy: Not fair. Truly, it is trial-and-error. What works best for you might not work best for someone else. Loratadine is the weakest binding non-sedating antihistamine; Cetirizine is the strongest binding non-sedating antihistamine. Benadryl (diphenhydramine) works better than both but it makes people sleepy. ...Read more