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Isosorbide-5-Mononitrate

Prescription vs OTC : Prescription by Doctor required

About Isosorbide-5-Mononitrate

Isosorbide-5-Mononitrate is primarily used to avoid an angina attack. It widens blood vessels allowing increased blood flow to the heart. This medicine falls under the category of drugs called nitrates. It is sold under different trade names in different countries.

As a preventive measure, consult your physician if you have the following conditions:

  • If you are allergic to any of the ingredients contained within Isosorbide-5-Mononitrate.
  • If you are taking any prescription or non-prescription drugs, vitamins or dietary supplements.
  • If you are taking any erectile dysfunction medications.
  • If you have a history of heart diseases or warnings of a possible heart attack.
  • If you have low blood pressure.
  • If you have kidney disease.
  • You are pregnant, or are planning to become pregnant or are breastfeeding.

Take this medicine as a whole. Follow the dosage as prescribed by your doctor. Normal dosage requires you to have this medication once daily, usually after waking up in the morning. In some other cases, you may need to have a second dose later on in the day.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

    What are the uses of Isosorbide-5-Mononitrate

    • Angina Pectoris Prophylaxis

      This medicine is used for the prevention of angina (chest pain) caused due to reduced flow of blood and oxygen to the heart. It is not effective in treating chest pain that has already set in.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

    What are the contraindications of Isosorbide-5-Mononitrate ?

    • Allergy

      This medicine is not recommended for use if you have a known history of allergy to this medication or any nitrate-containing medicines.

    • Anemia

      This medicine is not recommended for use if you have anemia or low levels of hemoglobin in the blood.

    • Obstructive Heart Disease

      This medicine is not recommended for use if you have a condition where the blood vessels in the heart have blockage due to swelling or narrowing.

    • Head Trauma/Increased Intracranial Pressure

      This medicine is not recommended for use in patients having a severe head injury or the pressure in the brain is elevated.

    • Medicine for erectile dysfunction

      This medicine is not recommended for use if you are taking medicines for the treatment of erectile dysfunction. One of the most commonly used medicines for this condition is Viagra (sildenafil),

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

    What are the side effects of Isosorbide-5-Mononitrate ?

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

    Key highlights of Isosorbide-5-Mononitrate

    • How long is the duration of effect?

      The effect of this medicine lasts for an average duration of 6-8 hours upon oral administration in the form of conventional tablets.

    • What is the onset of action?

      The effect of this medicine can be observed within 20-30 of oral administration. However, this time is subject to vary depending on the form of the medicine.

    • Are there any pregnancy warnings?

      This medicine is not recommended for use by pregnant women unless absolutely necessary and the benefits outweigh the risks involved.

    • Is it habit forming?

      No habit forming tendencies were reported.

    • Are there any breast-feeding warnings?

      This medicine is not recommended for use by women who are breastfeeding.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

    What are the dosage instructions?

    • Missed Dose instructions

      Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for the next scheduled dose.

    • Are there any overdose instructions?

      Contact your doctor immediately if an overdose with this medicine is suspected. Symptoms of an overdose may include a severe headache, fever, nausea, vomiting, difficulty in breathing, excessive sweating etc.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

    Where is the Isosorbide-5-Mononitrate approved?

    • India

    • United States

    • Japan

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

    Medicines containing Isosorbide-5-Mononitrate

    Below is the list of medicines, which contains Isosorbide-5-Mononitrate as ingredient

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

    How does this medication work?

    This medicine, chemically is an Isosorbide-5-Mononitrate, which gets converted to nitric oxide (NO) free radicals in the body which relax the blood vessels and reduces the load on the heart. This results in an improved blood flow and reduced oxygen demand.

      Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Cardiologist before using this medicine.

      What are the interactions of Isosorbide-5-Mononitrate ?

      Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

        test
      • Interaction with Alcohol

        Ethanol

        Avoid or limit the uptake of alcohol while using this medicine. Contact your doctor if you experience excessive sweating, dizziness, confusion after taking this medicine.
      • Interaction with Medicine

        Amitriptyline

        Report the use of either of the medicines to the doctor. You may need a dose adjustment and more frequent monitoring of blood pressure levels while using these medicines together.

        Amlodipine

        Report the use of amlodipine or any other medicine taken for lowering the blood pressure to the doctor. You may need a dose adjustment and more frequent monitoring of blood pressure levels while using these medicines together.

        Prilocaine

        Report the use of either of the medicine to the doctor. Your doctor may prescribe suitable alternatives that do not interact with each other. Do not stop the use of any medicine without consulting your doctor.

        Sildenafil

        Report the use of sildenafil or any other medicine taken for erectile dysfunction to the doctor. The risk of adverse effects is significantly high while using these medicines together. Your doctor may determine the best course of treatment in such cases.

        Riociguat

        Report the use of either of the medicine to the doctor. Your doctor may prescribe suitable alternatives that do not interact with each other. Do not stop the use of any medicine without consulting your doctor.
      • Interaction with Disease

        Acute myocardial infarction

        This medicine should be used with extreme caution in patients suffering from a heart attack or heart failure. The use should be preceded by suitable clinical examinations to ensure safe and effective use.

        Hypotension

        This medicine should be used with extreme caution in patients who have low blood pressure. The risk of further lowering of blood pressure and associated adverse effects are significantly high.

        Glaucoma

        This medicine should be used with caution in patients suffering from glaucoma. It should be prescribed only after accessing the condition and making suitable adjustments in dosage.
      • Interaction with Food

        Licorice

        Avoid or limit the use of licorice while taking this medicine. The risk of adverse effects is higher while using them together. Contact your doctor if you experience excessive sweating, dizziness, confusion after taking this medicine with licorice.

      FAQs about Isosorbide-5-Mononitrate

      • Ques : What is Isosorbide-5-Mononitrate?

        Ans : This medication widens blood vessels allowing for an increase of blood flow to the heart. It is also used to avoid an angina attack.

      • Ques : How long do I need to use Isosorbide-5-Mononitrate before I see improvement in my condition?

        Ans : This medication is to be taken till the time you see an improvement in your health conditions.

      • Ques : At what frequency do I need to use Isosorbide-5-Mononitrate?

        Ans : Normal dosage requires you to have this medication once daily, usually after waking up in the morning.

      • Ques : Should I use Isosorbide-5-Mononitrate empty stomach, before food or after food?

        Ans : This medication should be taken with or without food in a prescribed dosage.

      • Ques : What are the instructions for the storage and disposal of Isosorbide-5-Mononitrate?

        Ans : This medication should be kept in a cool dry place and in its original packaging. Make sure this medication remains unreachable to children and pets.

      References

      • Isosorbide mononitrate- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 6 December 2019]. Available from:

        https://druginfo.nlm.nih.gov/drugportal/name/isosorbide-5-mononitrate

      • Isosorbide mononitrate- DrugBank [Internet]. Drugbank.ca. 2019 [Cited 6 December 2019]. Available from:

        https://www.drugbank.ca/drugs/DB01020

      • Carmil XL 60 mg Tablets- EMC [Internet] medicines.org.uk. 2018 [Cited 6 December 2019]. Available from:

        https://www.medicines.org.uk/emc/product/7997/smpc

      Disclaimer : The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

      Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

      Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.
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      Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
      Reviewed By
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      Reviewed ByDr. Garima SharmaMBBS, Master in Healthcare Administration, Diploma in Occupational HealthGeneral Physician
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