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Old 11-25-2006, 07:43 PM   #1
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Question Nitro Patch...burning

Hi Folks,
I'm concerned about my MIL. She has been using the Nitro-Dur patches for a couple of years. Started out with 0.2 and after a hospitalization in April increased to 0.4.

All well until 3 weeks ago. She got the patches from a new pharmacy.
She says about an hour after applying she feels a burning sensation followed by itching at the site of the patch. There is a small oozing blister/burn in the center of the patch area, much redness and swelling.
She changes the site of the patch daily and when I went to have a look last week I counted 7 burn sites in various stages of healing. She applies polysporin. She is mildy concerned and I didn't want to scare her but it sure scared me.

Her family dr. retired early last year and no other dr's in the area are taking new patients. The outpatient dept. at the local small hospital can't keep drs so there is a steady turnaround, I've never seen the same dr more than twice!

When she went to the clinic, the dr. he told her he thought that because she wears a lot of fleecy type tops that it was building up too much heat. She stopped wearing them but the reaction is still occurring. He told her she should continue to tolerate this until she saw a heart specialist.
She has an appt. to have some tests done in Jan. and then it will be determined if she needs to be referred. She had 2 angioplasties (?) about 6 years ago.

Could it be a bad batch?

Any thoughts welcome.....
Brenda

 
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Old 11-26-2006, 06:42 AM   #2
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Re: Nitro Patch...burning

Brenda,

She is clearly sensitized to the Nitro-Dur.

First call the new pharmacy, and then the manufacturer and ask what they can make of it, perhaps one of the inert ingredients was changed.. Then try a new batch. If STILL red, discontinue using it, it may be presaging a more serious allergic reaction.

There are alternative ways to deliver the nitrate and her cardio will explore them.

 
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