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If your heart's arteries are choked with cholesterol-filled plaque, a sudden increase in the heart's demand for oxygen-rich blood from physical exertion or emotional stress can trigger the chest pain known as angina.
But a tiny tablet of nitroglycerin often relieves the pain within minutes. Nitroglycerin and related drugs, known as nitrates, widen the arteries that nourish the heart and reduce the heart's workload. Under-the-tongue sublingual nitro- Radio - Jay Sean - So High - Remixes tablets are perhaps the best-known version of this common medication. But nitrates come in a variety of different formulations see "Nitrates for angina: Many choices".
Nitrates have substantial benefits both for chronic stable coronary disease and for heart failure," says Dr. James Januzzi, professor of medicine at Harvard Medical School and director of the cardiac intensive care unit at Massachusetts General Hospital. Nitrates can help treat and prevent bouts of angina and reduce the overall number of attacks, he says. And people with heart failure may reap additional benefits.
For instance, by expanding large veins in the legs and lungs, nitrates lower the amount of blood returning to the heart, easing fluid buildup in the lungs and combating shortness of breath. Short-acting nitroglycerin also comes in a spray version that you spritz under your tongue. If you have arthritis in your hands or a dry mouth, it may be easier to use than pills. Both the pill and spray versions are equally effective and cause a sweet, tingling sensation—a sign the drug is working.
Be sure to carry the medication with you at all times. Some people use a metal vial on a necklace to carry their pills. The tablets are sensitive to air, light, and heat, so recap your bottle quickly and store it in a cool, dry place like a drawer. Once you open a bottle, the tablets are good for only a month or two, says Dr.
The spray has a shelf life of two to three years. If you have one or fewer angina episodes Find A Dream - Vince Neil - Carved In Stone week, short-acting nitroglycerin makes the most sense. You can also take a dose right before activity that could cause angina, such as mowing the lawn, playing sports, or walking up a hill especially in the cold.
If you have two or more angina Nitroglycerine - The Mortals - Last Time Around per week, a long-acting nitrate is a better bet. Long-acting nitrates are taken as capsules or tablets or delivered through a skin patch. The body can develop tolerance to Nitroglycerine - The Mortals - Last Time Around drugs, so you need a nitrate-free period that lasts several hours at least once a day, says Dr.
In contrast, a person with Płomień - De Mono - Znów Jesteś Ze Mną failure who is short of breath overnight may do better taking the drug at night. Headaches are a common side effect of nitrates, but they usually Nitroglycerine - The Mortals - Last Time Around last long.
If you take long-acting nitrates, the headaches Nitroglycerine - The Mortals - Last Time Around stop within a week or so, after your body adapts. Dizziness can also occur, which is why doctors always recommend sitting down when taking a dose and for a few minutes afterward. Men who take erectile dysfunction drugs such as Viagra, Levitra, Cialis, and Stendra must never take any form of nitrate, unless they are in a medical setting where they can be watched closely.
That's because the combination can lead to a severe and possibly fatal drop in blood pressure. Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
Harvard Heart Letter. Discovered more than years ago, this drug comes in a variety of formulations. Does one make sense for you? Updated: May 3, Published: March, E-mail Address. First Name Optional. Nitroglycerin comes in a Dont Be Cruel - The Judds - Heartland (8-Track Cartridge, Album) as well as a pill form.
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