What are contraindications for nitroglycerin?
Nitroglycerin is contraindicated in patients that have reported allergic symptoms to the medication. [18] Known history of increased intracranial pressure, severe anemia, right-sided myocardial infarction, or hypersensitivity to nitroglycerin are contraindications to nitroglycerin therapy.
What drugs should you not take with nitroglycerin?
Drugs you should not use with nitroglycerin
- Sildenafil, tadalafil, vardenafil, and avanafil. Taking any of these drugs with nitroglycerin can cause very low blood pressure.
- Ergotamine. Taking these drugs together can cause more chest pain.
- Riociguat. Taking these drugs together can cause very low blood pressure.
Is Viagra contraindicated with nitroglycerin?
Using sildenafil together with nitroglycerin is not recommended. Combining these medications may cause blood pressure to fall excessively, which can lead to cardiovascular collapse.
Why should you not take Viagra with nitrates?
PDE5 inhibitors such as Viagra and nitrates both have the same effects on the diameter of your blood vessels. When used together, the interaction between these medications can cause your blood pressure to drop too low, affecting your consciousness and heart health.
Why is nitroglycerin contraindicated with Viagra?
Sildenafil is contraindicated in combination with nitrates due to the risk for a pharmacodynamic drug interaction that can result in severe hypotension and death.
Can you give aspirin with nitroglycerin?
An adult with chest pain may or may not have an MI. Reflexively that will lead a lot of us to give 325mg of aspirin and some sublingual nitroglycerin. In most cases both of these are great choices.
Are there any contraindications to the use of nitroglycerin?
The current 2014 ACC/AHA NSTEMI and 2013 ACC/AHA STEMI Guidelines as well as the 1999 ACC/AHA Expert Consensus Document all support the following to be contraindications to the use of any form of nitroglycerin include: Hypotension (usually reported to be a systolic blood pressure < 90 mm Hg) or a > 30 mm Hg drop from the patient’s baseline
When to stop taking nitroglycerin SL ( NTG ) tablets?
Hold dose if systolic BP < 90 mm Hg or more than 30 mm Hg below baseline. NTG is highly unstable and should be stored in light resistant container in cool environment (not the refrigerator). If SL tablets are not bitter, they have probably lost their potency.
How much nitroglycerin is in a Nitrostat tablet?
(Nitroglycerin Sublingual Tablets, USP) DESCRIPTION NITROSTAT is a stabilized sublingual compressed nitroglycerin tablet that contains 0.3 mg, 0.4 mg , or 0.6 mg nitroglycerin; as well as lactose monohydrate, NF; glyceryl monostearate, NF; pregelatinized starch, NF; calcium stearate, NF powder; and silicon dioxide, colloidal, NF.
When to give nitroglycerin to nste ACS patients?
2014 AHA/ACC NSTEMI Guidelines: “Nitrates should not be administered to patients with NSTE-ACS who recently received a phosphodiesterase inhibitor, especially within 24 hours of sildenafil or vardenafil, or within 48 hours of tadalafil”.