Doctor insights on:
Nitrostat Allergy In Children
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
Exposure + Genes: One needs both a genetic component and "exposure" to a said allergen to develop an allergy. There is a growing support over the past 20 years, that growing up in an environment which is "too clean" can also lead to development of allergies down the road. Either way, allergies are on the rise. ...Read more
Nut allergy: Maybe. Your children may have inherited genes from you that make them more likely to develop an allergy, but they do not inherit a specific allergy to a food e.g. Nuts. The children have to be exposed to food proteins in the diet, before an allergy can develop. Once one develops an allergy then they are always allergic and need proper medical attention to prevent severe problems. ...Read more
Allergy tests: There are several types of testing. Some involve certain types of blood tests. Another method is to do a series of skin tests done by pricking the skin and applying different allergens. Other tests are provocative tests that can involve challanging the patient with allergic materials. Testing should be done by doctors specializing in allergy to obtain the best results. ...Read more
Skin & blood tests: Prick testing with allergenic extracts or fresh foods can help confirm allergy, as can blood tests for specific ige antibodies (rast-type tests). However, both types of testing can produce false positive results, and confirmation with food challenges may be needed. ...Read more
Not exactly: The ability to react to certain proteins in an allergic way is passed on from parents to their children, but a specific allergy is not. So if a mom is allergic to pollen and the dad is allergic to fire ants, their child may develop allergies but it may be to a food instead. If 1 parent has allergies, the child is 50% likely to develop allergies, but it's a 75% chance if both parents are allergic. ...Read more
Can I as a 46 year old, take children's Benadryl. It's all I have in the house and my allergies are terrible.
Okay to use: Okay to use children's Benadryl. Dosage will be 20 ml (4 teaspoons) per dose. ...Read more
Where can I find a statistic for the number of children who died from allergies causing anaphylaxis in the u.S.?
Only overall numbers: The incidence of anaphylaxis in children is unknown. Estimates of anaphylactic deaths (from drugs, foods, insect stings, and latex) in the us are 0.002 percent annually (2 per 100, 000): 500 fatalities from penicillin anaphylaxis; 40 fatalities from bee stings; 125-150 from food anaphylaxis. ...Read more
My husband has nut and fish allergies. I have 4 children, 2 without allergies should I get rest of kids tested before giving them these foods?
I give my 17mnth old 1/2 teaspoon of children's zyrtec (cetirizine) for allergies but some days it's not enough. Can I increase the dose or try something differ t?
Do not increase: A 17 month old should not have allergies to inhaled items like dust or pollen. Zyrtec (cetirizine) could cause drowsiness and I would avoid long term use of zyrtec (cetirizine) in your child. If your child has a runny or stuffy nose that is unresponsive to zyrtec (cetirizine) then see your doctor to make sure there isn't an infection brewing. ...Read more
Yes: Not all of the food allergies are created equal. Food allergies like dairy, egg, wheat tend to be outgrown. Tree nut and peanut are less likely (although recent studies suggest that 20-30% outgrow the peanut allergy). Environmental allergies tend to "grow on you" with time. Note: the allergy test may remain positive despite the child having outgrown the allergy. Consult with an allergist. ...Read more