Heart pathologies are increasingly common at a young age. Particularly dangerous are attacks of angina pectoris and acute myocardial infarction. If the patient does not seek medical help in time, the patient risks his life. In this situation, it is necessary to stop the attack as soon as possible so that a necrotic area does not form in the heart.
Timely help is the key to success
There are medications that in a short time can expand the coronary vessels and alleviate the patient's condition. These medicines can be used until the ambulance arrives. These drugs include "Nitromint" (spray). Its analogue "Iso Mic" is also widely used. The drugs have an identical composition and indications for use, they belong to the same group of antianginal drugs. The dosage of the medication may depend on the severity of the heart attack. Experts say that Nitromint can become a reliable assistant for people who have cardiovascular pathologies.
"Nitromint" (spray). Release form and composition of the drug
There are manydrugs that specialists use in cardiovascular diseases. The Nitromint spray is considered to be quite effective and in demand. It is very easy to use and has a reasonable price. In pharmacies in Russia, the cost of the drug is approximately 150 rubles. The drug is available in the form of an aerosol. The main substance in its composition is nitroglycerin. In the middle of the bottle is a clear liquid, which, when it enters the oral cavity, is instantly absorbed into the systemic circulation. The agent is placed in lithographic aluminum cylinders with a dosing pump and a spray head. Each aerosol has 180 doses.
If you believe the reviews of experts, Nitromint (spray) is considered really effective. A photo of the medical device can be seen above.
The medicine is characterized by the following actions:
- reducing myocardial oxygen demand;
- relaxation of peripheral arteries and veins, coronary vessels;
- improved blood supply;
- supply of oxygen to the ischemic zone of the myocardium;
- increased cardiac output;
- increase exercise tolerance;
- relaxation of smooth muscle cells in the bronchi, gallbladder, esophagus and intestines.
Nitromint (spray) is widely used by cardiologists. Instructions for use describes how to use the drug. However, doctors do not recommend self-medication.
Indications and contraindications
The drug can be used in the followingcases:
- treatment and prevention of angina attacks;
- complex treatment of acute left ventricular failure;
- rehabilitation after myocardial infarction;
- acute myocardial infarction;
- pulmonary edema.
Contraindications:
- hypersensitivity to nitroglycerin;
- hypotension;
- acute vascular insufficiency;
- cardiogenic shock;
- mitral and aortic stenosis;
- primary pulmonary hypertension;
- increased intracranial pressure;
- migraine;
- epilepsy;
- alcoholism.
Unfortunately, not all pharmacies can buy the drug "Nitromint". Spray recipe in Latin has an uncomplicated. But only a doctor can make it. Pharmacies dispense only prescription medication.
Dosage
Dose selection is carried out individually for each patient and depends on the clinical symptoms, severity of the process and sensitivity to the drug. Cardiologists say that an attack of angina pectoris is stopped by the introduction of one or two doses of the drug under the tongue. After 15 minutes, you can repeat the introduction of the drug. To avoid the occurrence of an attack during physical exertion, a few minutes before it, one dose of the drug should be administered. Each pressure of the spray sprays one dose of medicine. The aerosol head must be up and the can in a vertical position.
Overdose
Overdose can lead toto the development of the following symptoms:
- migraine;
- dizziness;
- lower pressure;
- tachycardia;
- drowsy;
- hyperemia on the face;
- feeling hot;
- nausea;
- diarrhea;
- orthostatic collapse;
- increased methemoglobin.
If symptoms of an overdose occur, seek immediate medical attention. Spray "Nitromint" when taken in high doses can cause tachypnea and cyanosis.
Use the spray with the following groups of medicines with caution:
- antihypertensive drugs;
- antidepressants;
- tranquilizers;
- Heparin;
- "Sildenafil";
- Viagra;
- Novocainomid.
Aerosol has a high explosive hazard, so it must be stored at a temperature not exceeding 25 degrees, in a dark and dry place. Also, the medicine should be out of the reach of children. In the pharmacy, the drug is sold by prescription. It is forbidden to smoke near the aerosol and throw the empty can into the fire. It is necessary to strictly observe safety measures using "Nitromint" (spray). Instructions for use, reviews of doctors - all this information should be studied before starting therapy.
If it was not possible to purchase the drug at the pharmacy, experts recommend using the Izo Mik substitute.
Basic information about the drug "Izo Mik"
The drug belongs to antianginal drugs. Contains active isosorbidedinitrate, which is part of the nitrate group. Available in aerosol form.
The tool has the following actions:
- relaxes the smooth muscle layer of blood vessels;
- reduces peripheral resistance and blood flow to the right atrium;
- increases exercise tolerance;
- reduces myocardial oxygen demand;
- increases the lumen of the coronary vessels;
- delivers blood to the ischemic area.
Iso Mic also reduces pressure in the pulmonary circulation in patients with pulmonary hypertension. Experts say that this drug may well replace Nitromint (spray). The instruction describes for which pathologies the medicine can be used.
When is Iso Mic used?
The medication is prescribed in such cases:
- treatment of angina attacks;
- pulmonary hypertension syndrome;
- chronic heart failure;
- acute heart attack;
- rehabilitation after a heart attack;
- acute stage of left ventricular failure of any nature.
Contraindications
Iso Mic is not prescribed for the following pathologies:
- hypersensitivity to ingredients;
- acute vascular insufficiency;
- low blood pressure;
- cardiac tamponade;
- hypertrophic obstructive cardiopathy;
- increased intracranial pressure;
- severe pathology of the liver and kidneys.
Do not use Iso Mic aerosol and Nitromint spray in case of cerebral circulatory disorders and mitral stenosis.
How to take the drug?
A drug is prescribed for spraying under the tongue. During the dose, you should hold your breath and breathe through your nose. You can take two doses at once with an interval of 45 seconds. Within an hour it is not allowed to use more than three doses. With repeated administration, it is necessary to control the pressure indicators. The maximum allowable dosage per day is 4 doses.
Side effects of overdose are as follows:
- reflex tachycardia;
- facial redness;
- feeling hot;
- pressure reduction;
- collapse;
- dizziness;
- migraine;
- loss of consciousness;
- sleep disorder;
- pain in the epigastrium;
- nausea;
- vomit;
- diarrhea;
- allergic reactions.
Identical side effects may develop if Nitromint (spray) is taken at an increased dosage. Analogues are very similar.
Drug Interactions
Concomitant use with the following medications is not recommended:
- "Sildenafil";
- "Dihydroergotamine";
- miotics;
- Heparin;
- antihypertensive drugs;
- antidepressants;
- narcotic analgesics.
The medicine does not have a specific antidote, as does Nitromint (spray). Instructions for usetells you what to do if side effects occur.
There are no reliable data on how the drug affects the baby during pregnancy and while breastfeeding. The medication is prescribed only in emergency cases, when the positive effect for the mother outweighs the risk for the baby. The medicine is stored at a temperature not exceeding 25 degrees, in a dark place out of the reach of children. Spray "Nitromint" can be used for two years. Before use, you should carefully study the expiration date.
What do experts think about Nitromint spray?
In the opinion of cardiologists, the cause of angina pectoris is a blockage and spasm of the coronary vessels that feed the heart. A heart attack can come on suddenly, and damage to the heart develops over several years. Usually, vasospasm occurs with atherosclerosis, when fatty deposits accumulate on the walls inside the vessels and form plaques. The patient during an attack has a burning pain in the chest, profuse sweating, nausea and vomiting. Breathing stops at a frequency of two seconds. Most doctors prescribe Nitromint spray for the relief of angina attacks and other symptoms of chronic heart failure. The drug in a short time will expand the blood vessels, will improve the condition and increase tolerance to physical activity. The medicine is easy to use, the aerosol provides a dosed supply of the product.
If used for a long timespray, then symptoms of side effects may begin, which are indicated a little higher in this article. After stopping the attack, the patient must be sent to the hospital for further examination and intensive care. Without fail, the patient is given an ECG and a series of tests that will help confirm the existing diagnosis or establish a new one. In the hospital, the doctor prescribes painkillers, oxygen therapy. If the patient was brought to the hospital no later than 6 hours after the attack, then it is advisable to administer thromboembolic drugs, which can dissolve the thrombus formed in the vessels, which can be fatal. After being discharged home, the cardiologist will recommend that you always have the antianginal Nitromint near you. It is it that will help relieve the attack and save the patient's life.
At the discretion of specialists, the medicine is prescribed for poor circulation, followed by a decrease in blood pressure. The dosage is chosen by the cardiologist, appointing "Nitromint". Spray reviews of patients are more often positive, the drug is in demand among patients. The drug is widely used to prevent seizures. The medicine can always be carried with you and used if necessary. You need to use the aerosol correctly to get the desired result. The cardiologist will also be able to advise analogues of the drug, inform about contraindications. You should not use the drug on your own.
Result
The medicine in a few minutes will be able to reduce high blood pressure and normalize the patient's condition. Feeling the heatcauses a medicine, passes in a short time. Sometimes patients complain of a severe headache that occurs after an attack and taking the remedy.
The drug helps relieve heart pain. Before starting physical activity, patients with cardiac pathologies should use Nitromint. Spray reviews of doctors also has good ones. Experts say that the medicine can serve as an excellent prevention of seizures. However, medications are only an auxiliary measure. Patients who have problems with the cardiovascular system should lead a normal lifestyle, avoid excessive physical exertion, give up nicotine and alcohol. Only in this way will it be possible to prolong life.
