Isosorbide mononitrate Alternatives Compared Isosorbide mononitrate Aspirin Nitroglycerin Prescription only Prescribed for Angina, Heart Failure, Angina Pectoris Prophylaxis. This medicine is for you. The table below contains some of the most common ones associated with isosorbide mononitrate. This content does not have an Arabic version. Along with its needed effects, a medicine may cause some unwanted effects. However, you should not flush this medication down the toilet. Journal of the American College of Cardiology. Isosorbide mononitrate 30% immediate-release 70% sustained-release formulation: a review. Each day, take the first dose when you wake up, then take the second dose 7 hours later. To use the sharing features on this page, please enable JavaScript. PMC It can cause your blood pressure to become dangerously low. Isosorbide mononitrate dilates (widens) blood vessels, making it easier for blood to flow through them and easier for the heart to pump.Isosorbide mononitrate is used to prevent angina attacks ( chest pain ). The effects of this exposure on a nursing infant are unknown. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. Your provider might temporarily have you stop isosorbide mononitrate (Monoket) if this happens. It also relaxes and widens blood vessels in your heart (coronary arteries) which increases the flow of blood to your heart muscle. As precautionary measure, it is preferable to avoid the use of isosorbide mononitrate during pregnancy. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. If we combine this information with your protected https://naturalmedicines.therapeuticresearch.com. Breastfeeding:There is data that nitrates are excreted in breast milk and may cause methemoglobinemia in infants. Take the container with you, even if it is empty. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Alternative cancer treatments: 11 options to consider. Does isosorbide mononitrate (Monoket) affect your kidneys? Making any changes without doctor's advice can be dangerous. If you do not remember until your next dose is nearly due, then leave out the forgotten dose and take your next dose when it is due. Now, youll enjoy a streamlined experience created specifically for healthcare providers. We don't support your browser. To provide you with the most relevant and helpful information, and understand which If you have recently had a head injury or a heart attack. These products are provided 'AS IS' and 'as available' for use, without warranties of any kind, either express or implied. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Isosorbide mononitrate vs. Amlodipine besylate, Isosorbide mononitrate vs. Bisoprolol fumarate, Isosorbide mononitrate vs. Diltiazem hydrochloride, Isosorbide mononitrate vs. Isosorbide dinitrate, Isosorbide mononitrate vs. Metoprolol succinate, Isosorbide mononitrate vs. Metoprolol tartrate, Isosorbide mononitrate vs. Nitrolingual pumpspray, Isosorbide mononitrate and Aspirin (7,880 reports), Isosorbide mononitrate and Furosemide (6,020 reports), Isosorbide mononitrate and Amlodipine (3,554 reports), Isosorbide mononitrate and Simvastatin (3,508 reports), Isosorbide mononitrate and Omeprazole (3,422 reports), Isosorbide mononitrate and Lisinopril (3,099 reports), Isosorbide mononitrate and Metformin (2,822 reports), Isosorbide mononitrate and Carvedilol (2,589 reports), Isosorbide mononitrate and Clopidogrel (2,524 reports), Isosorbide mononitrate and Acetylsalicylic acid (2,355 reports). Liperoti R, et al. Store at room temperature away from light and moisture. Isosorbide mononitrate has an average rating of In: Current Medical Diagnosis & Treatment 2022. Headaches can be a sign that the medicine is working, and they might lessen with continued use of the medication. Browse all drugs on eHealthMe. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. Symptoms of overdose may include: slow heartbeat, vision changes, severe nausea/vomiting, sweating, cold/clammy skin, bluish fingers/toes/lips. https://naturalmedicines.therapeuticresearch.com. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Therefore, oral nitrates should not be used by patients who are sensitive to the effects of hypotension, such as those with pre-existing hypotension, shock, vascular collapse or significant cerebrovascular disease, significant anaemia or hypothyroidism. Glyceryl trinitrate (GTN) is commonly prescribed for this. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. Methods: In a randomized, double-blind, crossover study, 89 patients with stable angina pectoris were studied to compare two different dosage strategies of isosorbide-5-mononitrate (5-ISMN). It will give you more information about nitrate medicines, and it will also provide you with a full list of side-effects which you could experience from taking isosorbide mononitrate. It took me a few weeks to adapt to it, but the effect on preventing chest pain was dramatic. Does Isosorbide Mononitrate interact with other medications? The information contained in the Truven Health Micromedex products as delivered by GoodRx is intended as an educational aid only. Things to remember when you fill your prescription. Does Viagra add to the risks of melanoma? B complex. it is a safe and effective alternative; the choice between beta blockers and calcium channel blockers depends . Available for Android and iOS devices. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Background: Nitrates, although important for the management of angina pectoris, cause significant headache in many patients. Who should not take Isosorbide Mononitrate? Prescription and OTC Aspirin relieves pain and inflammation and helps to thin the blood. You could also spray your face with cool water or sip non-alcoholic cold or iced drinks. Please enable it to take advantage of the complete set of features! Contact your doctor immediately if you experience any of the following: The following side effects may get better over time as your body gets used to the medication. All rights reserved. When used regularly on a long-term basis, this helps prevent angina attacks from occurring. You may report side effects to the FDA at 1-800-FDA-1088. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If you are having an operation or dental treatment, please remember to tell the person carrying out the treatment which medicines you are taking. . You may opt-out of email communications at any time by clicking on Portions of this document last updated: Feb. 01, 2023. 2023 eHealthMe.com. A very serious allergic reaction to this drug is rare. Make sure laboratory personnel and all your doctors know you use this drug. Melanoma is one of the most dangerous forms of skin cancer which develops in the skin cells that produce melanin ( the pigment that gives your skin its color). Prescription and OTC the unsubscribe link in the e-mail. A total of 195 drugs are known to interact with isosorbide mononitrate: A total of 330 drugs are known to interact with aspirin: A total of 239 drugs are known to interact with nitroglycerin: No known alcohol/food interactions. Anti-ischemic and anti-anginal effects of controlled-release and conventional isosorbide-5-mononitrate in stable angina pectoris. If you have any problems with the way your liver works, or any problems with the way your kidneys work. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking isosorbide. All rights reserved. Isosorbide mononitrate: isosorbide mononitrate. In case of overdose, call the poison control helpline at 1-800-222-1222. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Yet many herbal supplements may interact with heart disease medicines. Herbal supplements and heart medicines may not mix, Your blood pressure, if you also take a drug to treat high blood pressure, Beta blockers, such as atenolol (Tenormin), nadolol (Corgard) or propranolol (Inderal LA, Innopran XL), Calcium channel blockers, such as diltiazem, nifedipine (Procardia) and verapamil (Calan SR, Verelan), Nitrates, such as nitroglycerin (Nitrostat, Nitro-Dur, others) and isosorbide (Isordil, Bidil), Statins, such as atorvastatin (Lipitor), lovastatin (Altoprev) and rosuvastatin (Crestor), Anti-rejection medicine, also called immunosuppressant medicine, such as cyclosporine (Gengraf, Neoral, Sandimmune). Fish Oil (omega-3 polyunsaturated fatty acids), Email this report to a friend, doctor, or patient, isosorbide mononitrate consumer information. Take the missed dose as soon as you remember it. Alcohol or marijuana (cannabis) can make you more dizzy. Methods: Canada residents can call a provincial poison control center. Clipboard, Search History, and several other advanced features are temporarily unavailable. Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. 7 disease interactions. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. Alcohol will increase the risk of you experiencing side-effects such as feeling dizzy and light-headed. you should know that isosorbide may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position, or at any time, especially if you have been drinking alcoholic beverages. 5.0 out of 10 from a total of Even if the medication is working, you may experience some unwanted side effects. 72% of reviewers reported a positive effect, while 12% reported a negative effect. With any medication, there are risks and benefits. Your health care provider and pharmacist can help you stay away from unsafe interactions. There are 7 disease interactions with isosorbide mononitrate which include: Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. About one-half of adults in the United States say they have used one or more supplements in the past 30 days. isosorbide mononitrate (Rx) Brand and Other Names: Imdur, Monoket, more. Take them to your local pharmacy which will dispose of them for you. Accessed Sept. 7, 2022. There are no data on passage of isosorbide mononitrate in human milk, but some excretion seems likely. Careers. https://www.uptodate.com/contents/search. Be sure to mention any of the following: aspirin; beta blockers such as atenolol (Tenormin, Tenoretic), carteolol , labetalol (Trandate), metoprolol (Lopressor, Toprol-XL, in Dutoprol, in Lopressor HCT), nadolol (Corgard, in Corzide), propranolol (Hemangeol, Inderal, Innopran), sotalol (Betapace, Sorine, Sotylize), and timolol; calcium channel blockers such as amlodipine (Norvasc, in Amturnide, in Tekamlo), diltiazem (Cardizem, Cartia, Dilt-CD, others), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), and verapamil (Calan, Covera, Verelan); ergot-type medications such as bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (D.H.E. For these reasons, before you start taking isosorbide mononitrate it is important that your doctor knows: Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. Otherwise, call a poison control center right away. Isosorbide mononitrate is also sometimes prescribed alongside other medicines for people with heart failure. Along with its needed effects, a medicine may cause some unwanted effects. Dated October 2016. It can cause your blood pressure to become dangerously low. Mayo Clinic; 2021. Commonly reported side effects include: See also: isosorbide mononitrate side effects in more detail. My cardiologist recommended I get on metropolol. If you are a Mayo Clinic patient, this could If you suffer headaches when taking Isosorbide mononitrate, be patient. Get emergency help immediately if any of the following symptoms of overdose occur: bulging soft spot on the head of an infant, change in the ability to see colors, especially blue or yellow, feeling of constant movement of self or surroundings. Natural remedies for depression: Are they effective? Isosorbide mononitrate (Monoket) may interact with certain medications or supplements. It's usually not a problem for most people unless you drink alcohol or take other medications that can also lower your blood pressure. Nitrates in the management of acute coronary syndrome. Copyright, 2023. Thirty percent of the patients never experienced headache from the given dosages. You may report side effects to Health Canada at 1-866-234-2345. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information. Integrative medicine (complementary and alternative medicine). The https:// ensures that you are connecting to the Longer-acting tablets and capsules are taken once daily in the morning. Receive price alerts, news, and other messages from GoodRx about isosorbide mononitrate (Monoket) and other healthcare topics and relevant savings offers. This should pass after a few days. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. The IR version can help treat and prevent angina. Mehta D. Botanical medicines. information highlighted below and resubmit the form. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. Isosorbide immediate-release tablets are used for the management of angina (chest pain) in people who have coronary artery disease (narrowing of the blood vessels that supply blood to the heart). Your body can get used to isosorbide mononitrate (Monoket), and the same amount of medication might no longer work as well as it used to. Isosorbide extended-release (long-acting) tablets and extended-release capsules are used for the management of chest pain in people who have coronary artery disease. Natural Medicines. This content does not have an Arabic version. Take care, thanks. This risk may be even higher for certain groups. My blood pressure, cholesterol and pulse are all normal and I have no chest pains, shortness of breath or other heart problem symptoms. eCollection 2021. [2] It is taken by mouth. Advertising revenue supports our not-for-profit mission. Bauer B (expert opinion). Unless there is a specific reason you need the brand, the generic medication will be a better value. information submitted for this request. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Nitrates, although important for the management of angina pectoris, cause significant headache in many patients. May also be prescribed off label for Esophageal Spasm. Patient does not provide medical advice, diagnosis or treatment. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Zhonghua Yi Xue Za Zhi (Taipei). Some of these medicine interactions can be risky. Be sure to talk to your health care provider before you take any herbal supplements if you take prescription medicines. Your doctor will probably tell you not to take isosorbide if you are taking one of these medications. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. In Canada - Call your doctor for medical advice about side effects. flushing - try to cut down on coffee, tea and alcohol because they can make flushing worse. Natural Medicines. Sildenafil ( Viagra ), tadalafil ( Cialis ), avanafil ( Stendra ),and vardenafil ( Levitra) increase the blood pressure lowering effects of isosorbide mononitrate and may cause excessive reductions in blood pressure. Alcohol, including beer, wine, and spirits, does raise your blood pressure if its consumed in excess. Isosorbide is in a class of medications called vasodilators. Consult your pharmacist or local waste disposal company. Isosorbide mononitrate, sold under many brand names, is a medication used for heart-related chest pain ( angina ), heart failure and esophageal spasms. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Accessed Sept. 7, 2022. For instance, many herbal supplements that are used often interact with the blood thinner warfarin (Jantoven). Your doctor will tell you which is the right dose for you, and this will also be printed on the label of the pack to remind you about what the doctor said to you. When used regularly on a long-term basis, this helps prevent angina attacks from occurring. (3) The overall number of headache attacks in the first period of active treatment was significantly higher than in the second period irrespective of the dosages given. This is called a medicine interaction. Saper RB. Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to similar drugs (such as isosorbide dinitrate, nitroglycerin); or if you have any other allergies. Other medications may be prescribed by your doctor for these conditions. Take isosorbide exactly as directed. official website and that any information you provide is encrypted HHS Vulnerability Disclosure, Help Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. 2006 Apr;95(4):217-23. doi: 10.1007/s00392-006-0367-x. You can take your doses either before or after meals. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. With medical big data and proven AI algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. Some conditions may become worse when the drug is suddenly stopped. This medication belongs to a class of drugs known as. This activity describes the indications, action, and contraindications for isosorbide as a valuable agent in treating angina pectoris due to coronary artery disease, heart failure with reduced . Isosorbide mononitrate (Monoket) is available as a generic medication and may be significantly cheaper compared to the brand version. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Manufacturer's PIL, Imdur 60 mg tablets; TopRidge Pharma Ltd, The electronic Medicines Compendium. But only about 25% of people who take herbal supplements tell their health care providers. It works and leaves the body quickly, so it needs to be taken twice a day. These relax smooth muscle within the blood vessels, widening them and making it easier for blood and oxygen to reach the heart Calcium antagonists (eg, diltiazem, nifedipine, nimodipine, verapamil). Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. This medication may interfere with certain laboratory tests (including cholesterol levels), possibly causing false test results. Journals of the American College of Cardiology. It is important to take the drug at the same times each day. http://www.upandaway.org. Headache, dizziness, lightheadedness, nausea, and flushing may occur as your body adjusts to this medication. The most common side-effect is headache. Do not keep out-of-date or unwanted medicines. Do not drink alcohol while taking View side-by-side comparisons of medication uses, ratings, cost, side effects and interactions. It works by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its workload. If you are taking other medicines, including those available to buy without a prescription, as well as herbal or complementary medicines. FOIA Generic alternatives may be available. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. amlodipine, lisinopril, aspirin, metoprolol, furosemide, carvedilol, propranolol, spironolactone, atenolol, diltiazem. Angina pain develops if part of your heart muscle does not get as much blood and oxygen as it needs. information and will only use or disclose that information as set forth in our notice of See also: aspirin side effects in more detail. You will find a full list in the manufacturer's information leaflet supplied with your medicine. Clin Res Cardiol. Properly discard this product when it is expired or no longer needed. Accessed Sept. 7, 2022. If concomitant therapy cannot be avoided, monitor clinical effects of the . If you have any questions about this medicine ask your pharmacist. McGraw Hill; 2022. https://accessmedicine.mhmedical.com/search. Erectile dysfunction medications (e.g., sildenafil (Viagra), vardenafil (Levitra), tadalafil (Cialis)) cannot be taken while you're taking isosorbide mononitrate (Monoket). Copyright 2023 IBM Watson Health. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Call your doctor for medical advice about side effects. This medication performs a vasodilatory function and is therefore used as a treatment for high blood pressure. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. Although not all of these side effects may occur, if they do occur they may need medical attention.Check with your doctor immediately if any of the following side effects occur:Less commonAbnormal heart soundabsence of or decrease in body movementarm, back, or jaw painblack, tarry stoolsbladder painbleeding after defecationbleeding gumsblood in the urine or stoolsblurred visionbody aches or painburning while urinatingburning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelingschest pain or discomfortchest tightness or heavinesschillscold sweatscoldsconfusionconvulsionscough or hoarsenessdecreased urinediarrheadifficult or labored breathingdifficult, burning, or painful urinationdilated neck veinsdizzinessdizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting positiondry mouthear congestionextra heartbeatsfaintingfast, slow, irregular, pounding, or racing heartbeat or pulsefever or chillsflu-like symptomsfrequent urge to urinatefrequent urinationgeneral feeling of discomfort or illnessheadacheheadache, severe and throbbingheart murmurincreased need to urinateincreased sweatingincreased thirstincreased volume of pale, dilute urineirregular breathingitching, pain, redness, or swelling on the legjoint pain, stiffness, or swellinglightheadednessloss of appetiteloss of voicelower back, side, or stomach painmuscle aches and painsmuscle crampsnasal congestionnausea or vomitingnervousnessnumbness or tingling in the hands, feet, or lipspain or discomfort in the arms, jaw, back, or neckpain, tension, and weakness upon walking that subsides during periods of restpartial or slight paralysispassing urine more oftenpinpoint red or purple spots on the skinpounding in the earsrunny noseshakiness in the legs, arms, hands, or feetshiveringsneezingsore on the legsore throatsudden decrease in the amount of urinesweatingswellingswelling of the face, fingers, feet, or lower legstightness in the chesttrembling or shaking of the hands or feettrouble sleepingtroubled breathinguncomfortable swelling around the anusunusual bleeding or bruisingunusual tiredness or weaknessvomiting of blood or material that looks like coffee groundsweaknessweight gainRareBluish-colored lips, fingernails, or palmsdark urinepale skinrapid heart rateGet emergency help immediately if any of the following symptoms of overdose occur:Symptoms of overdoseBlurred or loss of visionbulging soft spot on the head of an infantchange in consciousnesschange in the ability to see colors, especially blue or yellowcold, clammy skindisturbed color perceptiondouble visionfeeling of constant movement of self or surroundingshalos around lightsheadache, severe and throbbingloss of consciousnessnight blindnessoverbright appearance of lightsparalysissensation of spinningtunnel visionSome side effects may occur that usually do not need medical attention. Dehydration in Buspar, how severe and when it was recovered? Isosorbide mononitrate (Monoket) is a nitrate vasodilator. Are you looking for information on isosorbide dinitrate (Isordil) instead? https://naturalmedicines.therapeuticresearch.com. And as many as 25% of people also take medicines ordered for them by their health care providers, also called prescription medicines. The longer you take isosorbide mononitrate, the more your body can become used to it (called tolerance), and then it can have less of an effect. While both isosorbide mononitrate (Monoket) and nitroglycerin (Nitrostat) are both nitrate vasodilators, they are not the same medication. This site needs JavaScript to work properly. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Cardizem may also be used for purposes not listed in this medication guide. It is in the nitrate class of drugs. This product may contain inactive ingredients, which can cause allergic reactions or other problems. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Limited data from animal studies indicate no adverse effects on the pregnancy or the unborn child. Please upgrade your browser or download modern browsers from here! If you buy any medicines, please check with a pharmacist that they are suitable for you to take with isosorbide mononitrate. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). Patients were randomized to either 60 mg 5-ISMN once daily (od) for two weeks or to 30 mg 5-ISMN od for one week followed by 60 mg 5-ISMN od for one week. Isosorbide (C6H10O4), also called D-Isosorbide dinitrate, is a bio-product sourced from starch. Accessed Sept. 7, 2022. Learn to reduce stress through mindful living. include protected health information. 2005 - 2023 WebMD LLC. 1996 Dec;3(12):802-806. doi: 10.1097/00045391-199612000-00003. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Isosorbide dinitrate (Isordil) is available as both a short-acting tablet and long-acting capsule. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen). 8.0 out of 10 from a total of Dated August 2017. Disclaimer. 2021 May 11;39:28. doi: 10.11604/pamj.2021.39.28.22180. Herbal medications in cardiovascular medicine. Isosorbide mononitrate (Monoket) can cause some serious health issues. prevention of anginal chest pain associated with coronary artery disease, prevent bleeding varicose vein in the esophagus. The authors assessed the occurrence of angina pectoris and headache by diary cards while taking into account the number of isosorbide dinitrate sublingual puffs and paracetamole tablets required. coma (loss of consciousness for a period of time). Nitroglycerin works very quickly to widen your blood vessels and help your heart pump blood during a heart attack. Isosorbide tablets are also used with other medications to treat heart failure. Do not change the dosing times unless directed by your doctor. Swallow the tablet/capsule whole - do not chew or crush it before you swallow. Drug interactions may change how your medications work or increase your risk for serious side effects. This medication belongs to a class of drugs known as nitrates. There may be variations in CSA schedules between individual states. For haemoglobin formation vit. Your doctor may tell you to take a pain reliever to treat your headaches. See also: nitroglycerin side effects in more detail. Keep all medicines out of the reach and sight of children. isosorbide mononitrate prices. To avoid this, if you are taking more than one dose a day, your doses may not be prescribed at equal intervals throughout the day. Reduction of blood-nitrate concentrations to low levels for 4 to 12 hours each day usually maintains effectiveness in such patients.

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