Update on Imdur and Niaspan medications...my experiences

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ChevyAsylum
Regular Member


Date Joined Mar 2005
Total Posts : 84
   Posted 4/18/2005 8:03 PM (GMT -7)   
My new cardiologist has put me on Niaspan (500mg) for cholesterol control and Imdur (30mg) for angina. It's actually a vasodilator, which opens up the blood vessels. In my case, that's a very, very good thing.

He warned me that the Niaspan could cause flushing of the skin and some hot flashes. He didn't tell me that I'd feel like I was burning up. He didn't warn me about the vomiting, either. But I discussed this with him last week and we decided to try taking 1/2 a pill twice a day. This has worked out much, much better. I get a little flushed feeling...and my face and neck feel hot for a few minutes...but I don't feel like I'm in the midst of a nuclear melt-down. The doc also mentioned that the side-effects should go away after a week or two of taking the stuff. It seems to be improving. So that's real positive.

The Imdur has seemed (to me) to be a miracle drug. It completely stops the angina for several hours. I did some research on it and the 30mg dose once daily is the very minimum dosage. It's actually recommended to take the 30mg pills once every 8-12 hours. The last couple of days I've found that if I take it around 6 am, the angina comes back about 12 hours later. So I've started taking a second pill in the evening. I can't tell ya how nice it is not to have the constant pain in the chest. I can even take deep breaths without pain. Wow!

So I have an appointment in about 10 days...so I'll tell him of my experiences and I think he'll probably increase the dosage of the Imdur to twice a day ot maybe to 60mg. The websites I've checked out have indicated that in some cases, 120mg 2 or 3 times a day is prescribed...so I'm not really worried about the smaller dose. But it sure works well for me...at least for the time being.

I thought someone might be interested in this stuff...and besides...I'm waiting for a large file download and had a few minutes to kill. :)
Ray

ChevyAsylum.com


Teri16
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Date Joined Dec 2003
Total Posts : 5230
   Posted 4/18/2005 9:05 PM (GMT -7)   
Ray, I couldn't remember (again) if I'd already given this one to you, but here's a link to the Imdur...

http://www.drugs.com/xq/cfm/pageid_0/htm_D00269A1.htm/type_mtm/tgid_54/bn_Imdur/qx/index.htm

Hugs, Teri :)
"Because he is he and I am I."......E. V. Lucas
 
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Teri16
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Date Joined Dec 2003
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   Posted 4/18/2005 9:13 PM (GMT -7)   

Ray, here is a link to the Niaspan.  I've taken plain Niacin and had the flushing, and didn't get along with it too well, but I've really heard some good things about this one!

http://www.niaspan.com/niaspan.asp?page=0&sec=0&from=0

By the way, re the Imdur, it, too is a great medication for Angina, unless you have a low Blood Pressure to begin with.

I'm glad to see that you and these particular med.'s are getting along, Ray, as they obviously seem to be making you feel better and that's what it's all about with this angina~especially when they know your main arteries are clear and it's the CAD or small vessel disease causing this!  Best wishes to you!

Hugs, Teri tongue


"Because he is he and I am I."......E. V. Lucas
 
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ChevyAsylum
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Date Joined Mar 2005
Total Posts : 84
   Posted 4/19/2005 1:14 AM (GMT -7)   
Teri: I've read both those sites. There's some good info there...and some manufacturer's hype....but I guess you can never get away from that totally. I appreciate the info, tho.

OkD: Thanks for the info on the tolerance and the need for nitrate-free periods to restore the effectiveness. I'm not exactly sure what the best regimen would be for me...but I'm sure we can come up with something.

And yes...I'm up in the middle of the night again. Lucky me. I wish I could do my "work" work when I wake up like this....I could work until 6am and get a lot done, then go back to bed. But since they've converted me from a salaried individual to an hourly....well, I have to work pretty much standard hours to avoid automatic shift differential pay. It would be nice to get it, but somebody would end up yelling at me for it. So I'll surf for a bit and see if I can go back to sleep.
Ray

ChevyAsylum.com


Teri16
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Date Joined Dec 2003
Total Posts : 5230
   Posted 4/19/2005 8:33 AM (GMT -7)   
Ray, are you going to bed too early?  Is it the depression?  Please take it easy on yourself, the stress here with your situation isn't helpful...can you get up and do something like debug your computer?, watch the news?  Something not quite so lively?! lol 
 
Hugs, Teri :)
"Because he is he and I am I."......E. V. Lucas
 
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ChevyAsylum
Regular Member


Date Joined Mar 2005
Total Posts : 84
   Posted 4/19/2005 1:19 PM (GMT -7)   
Just to clarify things here...Teri and I exchanged emails and I told her that I'm not in the midst of a severe depressive state at the moment...actually quite the opposite. I'm in a pretty good place. The help I'm getting from the new cardiologist, from my GP and the new meds seem to be helping a lot.

But I have insomnia and I also have a DSL modem that rolls over and dies every morning at 4:30...so I've kinda trained myself to get up then and cycle power on it. I have a new modem, but it's a different type (I'm switching from an ActionTec to a cisco 678) and I'm havin some "issues" getting it configured correctly...otherwise, I'd take the luxury of sleeping in. :)
Ray

ChevyAsylum.com


Teri16
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Date Joined Dec 2003
Total Posts : 5230
   Posted 4/19/2005 3:36 PM (GMT -7)   
 
And I want to thank you, Ray, for emailing me and letting me know that this ole worry wart doesn't have to worry! yeah  I'm so glad that you are feeling better and that you do have these Dr.'s on your side!!  That makes a heck of a difference!
 
From Texas to you, Hugs, Teri  tongue
"Because he is he and I am I."......E. V. Lucas
 
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jtu91952
Regular Member


Date Joined Mar 2005
Total Posts : 137
   Posted 4/19/2005 4:49 PM (GMT -7)   
Ray, i have a bottle of niaspan that i was taking. I took it for two days, but couldn't take the flushing. I even halfed the pill to 250mgs and still had flushing and vomiting. How long did it take b4 the flushing lessen. I would like to start taking my niaspan, but like you noted it made me very, very warm and uncomfortable.

Are you taking niaspan with a meal or asprin? Im also interested in the imur. I've noticed my angina has returned. It is becoming quite difficult to breath at times.

ChevyAsylum
Regular Member


Date Joined Mar 2005
Total Posts : 84
   Posted 4/19/2005 8:29 PM (GMT -7)   
I still get some flushing when I take half a pill. But it's not nearly as bad as when I first started taking it. I tried taking a whole pill every other day for a few days and that didn't work at all. But it's been almost a week taking 2 half-pills a day and it's a lot better. The cardiologist said, "you may have 6 or 8 bad episodes of flushing, but it should get better as your body gets used to it." So I'm gonna assume that I'm over the worst of it. I just took my evening dose of it about 5 minutes ago on an empty stomach and I'm startin to feel a little bit of a flush...but nothing serious.

The doctor told me to take my pills in the morning, including aspirin, then 30 minutes or so later, take the Niaspan. I tried that, but I didn't notice that it made any difference.

The Imdur is good stuff, but as was mentioned, you have to do almost exactly the opposite as with the Niaspan. It seems that there has to be a period of time every day that the body is free of the nitrates or its effectiveness is severely limited. I just read this today (I think) and tomorrow I'm gonna try taking it around noon, since I don't have a lotta angina in the morning. I guess I have to wait until I've been goin thru the work stresses for a while before it show up. :) Seriously, since I just work mornings, there is a correlation between work, stress, blood pressure and angina. I tracked it by taking my BP every coupla hours for two weeks or so and it was really easy to see the relationship between the days and the hours that I worked and the increase in BP. I'm hopin this retirement thing comes to fruition pretty soon. I spose it'll happen when it's supposed to, tho.

I hope this answers a coupla questions for ya.
Ray

ChevyAsylum.com


jtu91952
Regular Member


Date Joined Mar 2005
Total Posts : 137
   Posted 4/20/2005 4:23 PM (GMT -7)   
Thank you Ray. Im going to ask about imur. I don't know if i'll take the niaspan until i talk to my gp next week. I want to know if my cholesterol has dropped.

bettieboop59
New Member


Date Joined Jun 2010
Total Posts : 1
   Posted 6/3/2010 6:32 PM (GMT -7)   
For you out there who are taking half a niaspan, I really don't think you should. Since they are timed release they should not be broken in half. That will just make more go into you bloodstream faster. The 500 mg or any will work if you take an aspirin or motrin a half hour before you take the niaspan. I took 1500 mg niaspan for over 5 years and never had a problem with the flushing. The problem I am having now is the muscle pain! Of course the doctors keep telling me that all the blood work is normal so no problem. I was having so much neck & shoulder pain and my calves in my legs hurt so bad I couldn't sleep. I finally had an EMG test done and found out I have muscle damage, I took all kinds of statin drugs over the years. After I got on the Niaspan I thought I would be safe but found out they cause muscle pain also. Anyway I am taking myself off of the Niaspan and am going to try diet & exercise. anything is better than the pain. Always listen to what your body is telling you and insist on other tests other than just blood test. Good health & God bless you all.
 
Edit:
 
You have posted to a thread that is 5 years old. 
 
If you would like to start a thread of your own we would love to meet and greet you and have the chance to get to know you better.
 
Kindly,
Kitt

Post Edited By Moderator (stkitt) : 6/3/2010 8:41:27 PM (GMT-6)


AmyTx
Regular Member


Date Joined Dec 2006
Total Posts : 185
   Posted 6/3/2010 10:45 PM (GMT -7)   
my dads cardiologist suggest eating apple sauce when taking niaspan it decreases the redness and the burning sensation..
Female: 38 yrs/old DX: Lupus (dx:'03) MCTD, Raynaud's, Anxiety./panic disorder, GERD, Antithyroid antibodies, Lupus Cebritis, Lupus CNS, Lupus Pneumonitis and Stage 3 & 5 Lupus Nephritis. PRES ,Seizures, Photosensitivity since childhood, vasculitis, left thumb and toe amputated from raynauds, Sjogren's
Meds: cellcept, Plaquenil,Prednisone 10,Miracle mouthwash,bactrim, actonel, caltrate, Xanax, Darvocet, Xopenex inhaler, Xopenex Nebulizer, Spiriva, prevacid, aspirin 325mg, pantaprozole and carafate

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