imdur

For more information about: imdur visit the heart and blood site MyHeartyHeart.com today.

Q: how long does the headaches while taking Imdur last. can anything be done to decrease intensity?
i am on my 3rd day of imdur for chronic angina. i am also taking toprol bid. of note lortab doesnt ‘touch ‘the headaches either

A: You are having side effects to the medication. CALL YOUR DOCTOR AND TELL HIM/HER. Your doc has NO CLUE you are having problems if you don’t call let him/her know. Get off the computer if the clinic is still open and talk to your doctor NOW so he can tell you what to do.

Q: Can I Take graprfruit/grapefruit juice whilst taking Imdur (similar to Isosorbide mononitrate)?
I understand that whilst taking Beta blockers, one cannot ingest grapefruit/grapefruit juice, as the combination could lead to a serious interraction. But is it ok to take grapefruit whilst on Imdur? its a similar drug to Isosorbide mononitrate but does not have such a significant effect of hypotension (low blood pressure)
Imdur is a calcium channel-blocker, not a beta-blocker. Asthmatics cannot take beta-blockers.

A: I take a Beta Blocker and as far as I’m aware its okay to take grapefruit. The one that you cant take the fruit with are certain statins.
There are no restrictions for taking with Imdur. If in doubt check with the pharmacist.

Q: What can you do to get rid of a nitro headache?
I was recently put on a medicine called Imdur. It creates nitro headeaches as a side effect. I need to take this medicine for my heart but hate this side effect. I have taken tylenol and some ibuprofen without success, any ideas???

A: Couldn’t hurt to contact a naturopathic doctor (N.D.) in your area.
First check to see if your state has a naturopathic board of examiners (similar to M.D. or D.O boards) and see if they need to be licensed and can prescribe prescription medications.
You may get lucky and find one that used to be an M.D. or D.O.
Email me if you’re in the Phoenix area and I’ll send you info on one I know.

Q: what is Imdur or isosorb mono?
i need to know what this is used for

A: are you sneaking through someone’s medicine cabinet without his knowledge? shame….

they are nitrates, used to treat coronary artery disease – i.e. people who have had heart attacks or suffered from angina.

this is not an infectious disease question

Q: Please explain why someone with Hyperkalemia would be prescribed?
High doses of Potassium 3x daily and why would a person who has low bloodpressure 90/50 and CHF be prescribed drugs like Coreg, and Imdur, both of which cause reduction in blood pressure?

A: Wow, this is not good. Hyperkalemia as you know is high potassium, so I don’t know why a doctor would prescribe potassium 3 times per day when they already have a high potassium level. And you are right about Coreg. Coreg is used for people who have high blood pressure. Imdur is used for people who have angina, but one of the precautions with Imdur is not to take it if you have low blood pressure.

I am unsure if you are talking about yourself or someone you know, but the physician needs to be questioned regarding this and personally I would find another physician.

I know that does not answer your question as to why, but I have no answer as to why this would be done. It does not make any sense as to why these would be prescribed with the information you have given.

Best wishes.

Q: Is it advisable for a 79yearold lady with a history of congestive heart failure and angina to take these meds?
Am doing a report on this clinical scenario – The medicines prescribed are Aspirin-one tablet in the morning(70mg), Imdur-one tablet in the morning(60mg) and GTN tablets-one as required for chest pain(500mcg). Any help will be great! thanks

A: Yes. Aspirin is fairly standard for prevention of secondary MI, while isosorbide mononitrate (Imdur) is to reduce preload and thus how hard her heart has to work, and the GTN is mainlyfor symptomatic relief of anginal pain (though it does not reduce mortality). If her angina is stable, she should probably also be on beta-blockers (to reduce cardiac workload) as well.

Q: Multiple choice medication question?
When a nurse took the patient to the toilet she noticed that the patient passed blood in her stools when her bowels opened. Which medication may have caused this?

a.Aspirin and Zantac
b.Imdur and Metoprolol
c.Panadol
d.All of the above

A: Aspirn (acetylsalicylic acid )The main undesirable side effects of aspirin are gastrointestinal ulcers, stomach bleeding.

and Zantac( Generic name: Ranitidine hydrochloride )
a drug that is useful in promoting healing of stomach and duodenal ulcers, and in reducing ulcer pain and GERD.

Generic Name-.Isosorbide mononitrate

BRAND NAMES: Imdur, Ismo, Monoket
is in the class of drugs called nitrates that are used for treating and preventing angina.

Metoprolol- Lopressor

Brands: Lopressor, Metoprolol Succinate ER, and Toprol-XL

Metoprolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

Metoprolol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack

This can cause clay colored stools.

Panadol INN:Paracetamol or acetaminophen is a widely used over-the-counter analgesic (pain reliever) and antipyretic (fever reducer)

Answer: Asprin, Panadol and Metoprolol.

Q: Clinical scenario help?
A 79year old lady with a history of congestive heart failure and angina receives this prescription: Aspirin 70mg, one tablet in the morning. Imdur 60mg, one tablet in the morning. GTN tablets, one tablet for chest pain. Any comments?

A: A much more detailed history is needed to assess if she is on the right treatment. Like, does she have other medical conditions, is she intolerant to particular medication, how bad is the heart failure and agnina?

Generally, people with angina should be on a beta-blocker as this is the one medication that improves their prognosis.
Patients with heart failure should be on an ACE-inhibitor as this is one of the main medication that slows down the progression of the ventricular impairment.
She should also be prescribed a cholesterol-lowering tablet such as a Statin or alternative.
And the usual dose of Aspirin is 75mg.

Ofcourse, there are many factors that affect the above treatment and her doctor would have taken all of those into account.

Q: Drug-Coated Cardiac Stents?
I am a 36 year old female with genetic heart disease. I have had 7 stents placed in my heart this year, In January I had 4 stents placed in the right coronary artery. In February I had 3 stents placed in two of the left arteries…I feel worse now than I did before my heart was fixed. My blood pressure will bottom out and my lymph nodes are swollen through out my body and I have chest pain where I still have to use my nitro spray. I have to take plavix, a low dose aspirin and a drug called Imdur that widens my vessels each day for the rest of my life. I just don’t feel like my old self and I stay dizzy and loose my balance almost every time I go to stand or turn my head. I did research and discovered the stents are coated with a chemo-drug and I wonder if this is not the cause. Has anyone else had or have this problem? I wonder if my body is trying to reject the stents.

A: The stents are likely not the cause. The drug coatings release miniscule amounts of drugs. They act primarily in the immediate area of the stent.

You need to talk to your cardiologist. There are a lot of more likely reasons for your symptoms than the stents.

Q: Will a nuclear stress test show blockages better than an angiogram?
Since Jan 06 i’ve had 4 heart attacks, 5 stents installed, and a triple bypass. I have recurring blockages in all the stents (as much as 60% in some) and my RCA graft is 100% blocked. I am experiencing the same pains as before plus some I haven’t experienced before.I called to schedule another angio before i have another attack and my cardiologist scheduled a nuclear stress test instead of the angio. Will a nuclear stress test show blockages better than an angio or are my suspicions true that the hospital didn’t bother to check my past medical records? I am on Imdur and my nitro-quick tabs alleviate the pain when I take them.

A: The nuclear stress test will show ischemia, or areas of the heart that aren’t getting enough oxygen. The cardiac catheterization (angios) will show the blockages, while the stress test will give an idea of where the problem might be (they’re not always right, though still helpful!).

With the catheterization, your cardiologist can also perform an intra-vascular ultrasound (IVUS) to see how narrowed any blockages may be.

That’s quite a history you have… were you taking plavix after your stents? If you’re having the same pain as before (you know your heart pain), then you ought to either call your cardiologist, or go to the ER. At the ER they will test your blood, as well as do an EKG & see if you’re having another heart attack. If they find that you are, you’ll go directly to the Cath Lab, and if not, they’ll probably schedule you in very soon.

Best wishes to you, and feel free to email me if you have any questions- I’m one of those people who work in the Cath Lab, helping the Cardiologist!

Q: 56 y/o female with diastolic heart failure, just diagnosed.?
I have just begun Lasix/Frusemide 40 mg to treat. I already take a number of other heart/BP drugs, Nicorandil, Noten, Imdur, Diltiazem, Tritace. Have had CABG in 2005, which failed to revascularise my heart effectively. Can some of you educated post grads give me some guidelines for exercise? Also what to expect in the future? I walk twice a week for 30 mins, but can’t walk quickly enough to lose weight, because of symptoms of angina/breathlessness. I weigh 76 kgs and am 5′3″ tall. I am Australian.

A: I’ve been in heart failure for five (almost six) years, and walking has been the best exercise for me. There is really no way to do it wrong.

The trick, I believe, may not be to walk fast, but to walk steady. Walk as fast as you can, as slow as you need to, but DON’T STOP. Keep going until you have to stop. When you do have to stop, stop for a short as a time as possible, and then start walking again.

It will take a little time to build up. The first day I walked, they told me to walk for 15 minutes, and I couldn’t do it. Now I can walk 4 miles!

Take your fluid pills as prescribed. You’ve been put on the heart failure diet? If not, there are only two guidelines: No more than 2000 milliliters of fluid a day, and no more of 2000 milligrams of sodium per day.

The sodium is the hard part. You’re going to have to start checking the cans and packages when you buy groceries, and for a while it will take much longer to decide what you will eat than it will to prepare and eat it. But it becomes like second nature to you. Someone will offer you food and it will “click” in your head about how much sodium is in that item, and you’ll decide if you can have some or just pass the plate to the next person.

The quickest way to help yourself is to move the salt shaker to the other end of the table. And tell your family that under NO circumstances are they to pass it to you. Keep the cook away from the salt shaker, also. Cook the food as it is, if people want some salt, they can salt their own portions!

As soon as you wake up in the morning, go to the bathroom and urinate. Then weigh yourself.(No clothes, or as little as possible) Write down the date and your weight, and check it EVERY day. If you ever gain more than 3 pounds in a 24 hour period, call your doctor and report it.

Heart failure can be controlled, if you decide right from the beginning you are going to take care of yourself. I wish you the best of luck!

Q: Burning problem in Esophagus?
I had an heart attack on 14th November 2008 and I was taking regular medicines till now.

After that I started taking morning walk of around 5 Kilometer every day,. but just before two months I started facing serious burning problem in Esophagus. This burning pains are so bad that I become restless in such conditions.

Medicines I was taking was

Nicorandil Tablets, Nikoran 5 (Once in a day after breakfast)
DEPLATT A75 (Once in a day after Lunch)
Telma 80 (Once in a day after breakfast)
Amlopress 5 (Once in a day after breakfast)
GLYCIPHAGE 850 (Half tablet once in a day after breakfast) for Sugar Problem
Atorva 10 (Twice in a day One after breakfast and one after dinner)
Imdur 30 (Once in a day after breakfast)

My sugar is very nicely controlled and right now random sugar is 115.

Now I have stopped taking all these medicine from last two weeks and now the burning problem is reduced to very great extent but very small amount of pains are still there.

I went to my regular doctor and told all about happening but he is asking me to continue with all these medicines. I don’t know what to do? Right now I am taking only Amlopress 5 and GLYCIPHAGE 850 (half tablet) every day.
I tried Lan 30 to reduce acidic problem if it is there but there is no change in burning problem. I have started taking all medicine again according to your advice.
Thank you

A: You NEED to keep taking those prescribed medications – they will save your life. In the meantime, you are likely experiencing Gastroesophageal Reflux where you get stomach acid coming back up from your stomach and it burns your esophagus. Go see your doctor and describe these symptoms, tell him you think that you might have reflux and ask if he thinks you should try an H2 blocker or a proton pump inhibitor. These medicines make your stomach produce less acid so that it won’t burn up your esophagus.

Q: I am heart patient and had under gone a CABG?
I am heart patient and had under gone a CABG on 29th September 2009.After the surgery two months back I had again admitted the Hospital and taken an Angiogram. In that angiogram, it is found that out of the three grafts that they have grafted one of the graft in LAD is failed. Doctors say that the LAD is diffusely diseased and they prescribed the following medicines for three months.
1, T. Clopivas AP 150mg 0-1-0
2, T. Dilzem 30 mg 1-1-1
3, T.Crester 10mg 0-0-1
4, T. Ramace 2.5 mg 1-0-1
5, T. Imdur 30mg 1-0-0
6, T. Folic acid 5mg 1-0-0
7, T Nicorandil 5mg 1-1-1

Now I am taking the medicine but still I have the Angina. In any treatment available in India is advisable to me.Any latest treatment method /medicines is available for decreasing angaina.

A: Serves you right fo having that operation in that godforsaken country. I would only have gone to a handful of hospitals in the USA.

Q: Adrenosine Nuclear test preparation question.?
This afternoon (Friday) I was scheduled for an Adrenosine Nuclear [Pharmacological Myocardial Profusion (MPI) rest/stress study using Adrenosine] at 7:30 Monday morning. Since my cardiologist’s office is not open during the weekend, I cannot ask him before the test.

The instruction sheet I received says “Take medications as prescribed unless otherwise directed by your physician.”

The Cleveland Clinic (not involved in my test) instruction sheet says:

“If you take heart medications: DO NOT take the following heart medications on the day of the test unless your physician tells you otherwise, or unless it is needed to treat chest discomfort the day of the test:
Isosorbide dinitrate (for example: Dilatrate, Isordil)
Isosorbide mononitrate (for example: Imdur, ISMO, Monoket)
Nitroglycerin (for example: Minitran, Nitropatches, Nitrostat)
Dipyridamole (Persantine) — Stop taking 48 hours before the test
Your physician may also ask you to stop taking other heart medications on the day of your test. If you have any questions about your medications, ask your physician. Do not discontinue any medication without first talking with your physician.”

I take Isosorbide mononitrate (Imdur), usually about 7:30 in the morning, shortly after I normally get up. Obviously Monday morning I will be getting up earlier.

I have not decided if it would be better to take my normal dose shortly after I get up Monday or if it would be better to take the tablet with me to the appointment as ask if they want me to delay taking it until after the test. My concerns are:

If they want me to take it before the test, and I do not take it until 7:30, will they have to delay the start of the test until the medication gets into the bloodstream?

If I do take it and they did not want me to, would the test be less valid or postponed?

Any informed advice would be appreciated.

A: Imdur could possibly interfere with the test results since it causes the blood vessels to dialate and increase blood flow to cardiac tissue. But it is contraindicated to abruptly stop taking Imdur, as it can make symptoms of angina (chest pain) worse.
Call the number you have for your doctor. Listen to the message/recording, they should give a number for the doctor’s exchange. It is a way to get ahold of the physicians after hours. Whatever cardiologist is taking call will be able to answer your questions. It’s always a good idea to clarify.
It’s best to follow whatever their instructions are specifically.

Q: Recent cardiac cath, what can I expect the next few days or weeks ?
I had a cath yesterday and have been started on Imdur and Zetia. I feel terrible ! Tenderness in the groin area, not bad, but I’ve had a non-stop headache since the procedure….. regular headache and also feels like a sinus headache. I’m VERY tired but can’t seem to sleep for very long. My BP and pulse are excellent but I can feel every heart beat…. with an ocassional skipped beat. I did not have any blockages to speak of; no angioplasty, no stent. How long will I feel like this ?

A: You might ask your doctor about a statin medicine rather than zetia. There is no outcome data for zetia and essentially no indication to use it alone without a statin.

The groin tenderness will resolve over the next several days. If the groin swells or starts to bleed then you need to be seen in the ER. You may be having some lingering side effects from the sedation. This will also resolve in the coming days. Again if things are very concerning, you ought to call the office of the doctor who did the procedure.

Advice offered here is not meant to be a replacement for proper evaluation and examination by a qualified medical professional and should not be construed as such.

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