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How Many Nitro Pills Can Be Taken In A Day To Effectively Treat Chest Pain?
Question: How many .4 sublingual,nitro pill can I take daily for controllable pain. Have never used three tab five minutes apart. On tab ttakes care or pain all the time without second pill. Generally no pain unless I do something physical to cause it. Currently I take it four to six times in 24 hour period. If I do not sleep enough such as only four hour in a day, I do get more angina.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello,
I passed carefully through your question and would explain that if the pain is not relieved after taking 3-4 tablets of nitro, you should go to the ER as the situation may be really serious, indicating possible persistent ischemia and acute coronary syndrome which can be life-threatening.
In such a case, a resting ECG and cardiac enzyme monitoring should be done.
If the pain is relieved, I would recommend discussing with your attending physician on the possibility of starting nitrate compositions with a longer half-life, like Isosorbide 5-mononitrate or nitro patch every 12 hours (twice daily).
These treatment options can help manage the pain for a longer time compared to sublingual nitro, as their action lasts longer.
Hope I have answered your query.
Take care
Regards,
Dr Ilir Sharka, Cardiologist
I would recommend as follows:
Detailed Answer:
Hello,
I passed carefully through your question and would explain that if the pain is not relieved after taking 3-4 tablets of nitro, you should go to the ER as the situation may be really serious, indicating possible persistent ischemia and acute coronary syndrome which can be life-threatening.
In such a case, a resting ECG and cardiac enzyme monitoring should be done.
If the pain is relieved, I would recommend discussing with your attending physician on the possibility of starting nitrate compositions with a longer half-life, like Isosorbide 5-mononitrate or nitro patch every 12 hours (twice daily).
These treatment options can help manage the pain for a longer time compared to sublingual nitro, as their action lasts longer.
Hope I have answered your query.
Take care
Regards,
Dr Ilir Sharka, Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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