Most people place the patch on their chest. The area should be clean, dry, and hairless to allow the nitroglycerin to absorb across the skin. A person should leave the patch on their skin for 12—14 hours and remove it for 10—12 hours. People usually have the patch on during the day and remove it during sleep.
People can apply nitroglycerin ointment to their skin using a dose-measuring applicator that comes with the tube. A person measures the desired dose onto the measuring applicator and then places the applicator ointment side down on the skin. They then spread the ointment across the skin. The person should not rub the medication in but allow the ointment to absorb across the skin. Finally, they tape the applicator to the skin. People apply two doses of ointment each day. Doctors usually tell people to use the ointment first thing in the morning and reapply it 6 hours later.
The rectal ointment for anal fissures contains 0. A person inserts the ointment into their anus every 12 hours for up to 4 weeks. If symptoms persist, a person may take the medication for another 4 weeks, totaling 8 weeks.
To apply the rectal ointment, a person covers their finger with plastic wrap and puts 1 inch of ointment along the finger. They then insert the finger into the anal canal up to the first finger joint. The person then smears the ointment around the area. When people use nitroglycerin for relieving angina, they should be in a relaxed, seated position. If they stand up too quickly after administering the dose, their blood pressure may drop even lower and put them at risk of fainting.
The most common side effect of long-acting nitroglycerin is a headache, but this side effect decreases with medication use. Although people only apply rectal ointment to the anus, they may still experience headaches and dizziness. Some people may have allergies to nitroglycerin, so doctors do not recommend that people use it if they have a history of allergic reactions to this medication.
Doctors do not prescribe nitroglycerin to anyone with a history of severe anemia , heart attack occurring on the right side of the heart, or increased pressure in the brain.
Nitroglycerin contraindications include allergic reactions, though these reactions are rare. Other contraindications include:. Nitroglycerin may interact with certain other medications, such as PDE-5 inhibitors. PDE-5 inhibitors are drugs that doctors give to treat erectile dysfunction. As with nitroglycerin, these drugs also cause increased blood flow and can lower blood pressure. Doctors do not recommend that people use nitroglycerin with PDE-5 inhibitors, as these medications can cause fainting if someone is taking them together.
People should avoid using nitroglycerin if they have taken Viagra or Levitra within the past 24 hours or Cialis within the past 48 hours. You should avoid smoking while you are taking nitrates since it may make them less effective. You should also avoid alcohol, because it may increase the effect of the medicine. Nitrates can interact with other medications, so be sure to tell your doctor about any other medications you may be taking including prescription, non-prescription, over-the-counter or natural health products vitamins and minerals, herbal remedies, homeopathic medicines, traditional medicines such as traditional Chinese medicines, probiotics and other products such as amino acids and essential fatty acids.
Speak to your doctor or pharmacist about any other information you may need to know about your medications. Always give your doctor your complete medical history, especially if you are over 60 years of age, have recently had a stroke or heart attack or have severe headaches, low iron anemia or glaucoma. You may also want to talk to your doctor about how effective nitrates are for managing your angina. Your doctor can adjust the amount of medicine or suggest other ways of managing your condition.
Some common side effects of nitrates include headaches, flushing, dizziness, fainting, low blood pressure hypotension and irregular heart rhythms arrhythmia.
Report any and all side effects to your doctor. Eating a healthy diet that is lower in fat, especially saturated and trans fats, being smoke free, limiting alcohol use, being physically active and reducing stress are also important in lowering the risk of heart disease.
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But moreover, many distrusted government-dictated food programs which also threatened what became a defining feature of the American way of life: being well-fed. In , Franklin D. Americans were anxious about said entrance for innumerable reasons, among them forfeiting a full-bellied way of life, which had only recently been restored following the Great Depression.
Roosevelt's last two freedoms were threatened. Food rationing loomed. Salvage programs to supply the military with scrap metal, rubber, wastepaper, and rags enlisted families to play their patriotic part. Then the government turned to fat.
The premise was simple: Engage women in the war effort right from their kitchens. The donor got four cents a pound for the fat, and in December when lard and butter began to be rationed, the government started offering two ration points per pound as well. At the start of the fat salvage program, a study found that almost three-quarters of households saved cooking fats for reuse Southerners were the biggest fat savers.
Doctors and dieticians at the time were more concerned with vitamin deficiencies caused by wartime diets than the consumption of excess fat or salt. Collecting the fat after frying up some bacon or roasting some beef was a practical and economical way to run a household.
And there was a lot of leftover fat because Americans ate a lot of meat.
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