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Thread: HELP! AD medication information needed ASAP

  1. #1

    HELP! AD medication information needed ASAP

    I have had three extreme cases of AD in three weeks and during todays' event I actually got nausiated for the first time ever, which cannot be good. While in all three events the problem was known and eventually removed, the time in which my BP is extremely high was 30+ minutes in all cases and I desperately need something that will reduce my BP somehwat while I wait for help to arrive.
    I keep reading about a nitroglycerin paste and a topical spray that can be used for an immediate reduction. WHERE CAN I GET THIS STUFF? All of my physicians here in MS have bever heard of such a hence will not/cannot prescribe it. I even found a link online outlining its use, but its useless info to them. Can anyone help me with this info before this BP ends me?
    C5-6 - 22 years

  2. #2
    Nitroglycerine spray has been used much more in Europe than in the USA. It is available in the USA under the brand name Nitrolingual. If you want to purchase some (which of course requires a prescription), here is one source: http://www.drugstore.com/pharmacy/pr...param=xsp74057

    Nitroglycerine actually has a relatively slow onset of action compared to some other drugs used for AD management. In addition, it is definately contra-indicated if you EVER use any of the ED drugs (Viagra, Levitra or Cialis). If you have taken one in the last 24-48 hours (depending on the drug), taking nitroglycerine could be fatal, and if you use the nitroglycerine, you can't use an ED drug for at least 24 hours.

    For immediate relief of AD symptoms, while looking for and correcting the cause ONLY, the drugs most often used include either nifedipine (chew and swallow) or Captopril (sublingual). Apresoline can also be given IV.

    If the cause of the AD is known, and cannot be quickly remedied (for example, a fracture, pressure ulcer or post-operative pain), then other medications that work well include Prazosin (Minipress) - 0.5 to 1.0 mg. daily or Clonidine (Catapres) - 0.2 mg. p.o. b.i.d. Dibenzyline has also been used but has a slow onset of action (hours instead of minutes).

    It is critical to also treat the cause of the AD, and not just the symptoms, as the cause itself can be fatal.

    Your physician should have a copy of the professional clinical practice guidelines for AD management from the Consortium for Spinal Cord Medicine, which he or you can download here for free:

    http://www.pva.org/site/DocServer/AD2.pdf?docID=565

    (KLD)
    Last edited by SCI-Nurse; 08-28-2006 at 11:37 PM.

  3. #3
    my doc prescribed nitropaste when i had an elbow pressure sore and uti, which were causing bouts of ad. it worked well. comes in a tube. i just put some on my inside wrist and monitored bp and symptoms. when they subsided, i wiped it off.

    but i had a known cause of ad: the coupling of elbow sore and uti. usually i don't get ad.

    i have been cautioned on nifedipine due to bp going too low. that's why i like nitropaste--you can wipe it off once bp is going down.
    Last edited by cass; 08-28-2006 at 11:57 PM.

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