Do not flush medications down the toilet or pour them into a drain unless instructed to do so. It can cause your blood pressure to become dangerously low. It works by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its workload. This site complies with the HONcode standard for trustworthy health information: verify here. Drug interactions may change how your medications work or increase your risk for serious side effects. Bauer B (expert opinion). All rights reserved. Please enable it to take advantage of the complete set of features! The list below does not include all possible drug interactions with isosorbide mononitrate (Monoket). You can take your doses either before or after meals. URL of this page: https://medlineplus.gov/druginfo/meds/a682348.html. Isosorbide tablets are also used with other medications to treat heart failure. https://www.uptodate.com/contents/search. Isosorbide mononitrate is very similar to isosorbide dinitrate. Prescription and OTC tell your doctor if you may be dehydrated, if you have recently had a heart attack, or if you have or have ever had heart failure, low blood pressure, or hypertrophic cardiomyopathy (thickening of the heart muscles). This information is aggregated and used to produce personalized reports that patients can reference. This site needs JavaScript to work properly. Do not take a double dose to make up for a missed one. Herbal supplements can interact with medicines used to treat heart and blood vessel problems, such as high blood pressure and heart failure. Does Viagra add to the risks of melanoma? Herbal supplements can strongly affect the body. Below is the list of medicines, which contains Isosorbide Mononitrate as ingredient. Medicines Complete BNF 84th Edition; British Medical Association and Royal Pharmaceutical Society of Great Britain, London. It is used to treat and prevent a wide range of different conditions. Which drugs or supplements interact with isosorbide mononitrate? The Swedish Multicentre Group. It is not intended as medical advice for individual conditions or treatment. Longer-acting tablets and capsules are taken once daily in the morning. Can cause dizziness, especially when you change positions, Interacts with erectile dysfunction medications. Breastfeeding:There is data that nitrates are excreted in breast milk and may cause methemoglobinemia in infants. To help you remember, take it at the same times each day. Nitroglycerin works very quickly to widen your blood vessels and help your heart pump blood during a heart attack. [2] It can be used both to treat and to prevent heart-related chest pain; however, it is generally less preferred than beta blockers or calcium channel blockers. 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. Contraindications: Isosorbide mononitrate should not be used in cases of acute myocardial infarction with low filling pressure, acute circulatory failure (shock, vascular collapse), or hypertrophic obstructive cardiomyopathy (HOCM), constrictive pericarditis, low cardiac filling pressures, aortic/mitral valve stenosis and diseases associated with a raised intra-cranial pressure e.g following a head trauma and including cerebral haemorrhage. What happens if I stop taking isosorbide mononitrate (Monoket)? It is in the nitrate class of drugs. If you notice other effects not listed above, contact your doctor or pharmacist. 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. It will not treat an angina attack that has already begun. Trapidil is as effective as isosorbide-dinitrate for treating stable angina pectoris: a multinational, multicenter, double-blind, randomized study. The herb licorice may lower warfarin levels and can add to digoxin's effects. It's usually not a problem for most people unless you drink alcohol or take other medications that can also lower your blood pressure. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Browse all drugs on eHealthMe. Keep this medication in the container it came in, tightly closed, and out of reach of children. Who should not take Isosorbide Mononitrate? Isosorbide mononitrate works in two ways. If you have recently had a head injury or a heart attack. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). If you experience any other symptoms which you think may be due to the medicine, please speak with your doctor or pharmacist for further advice. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. If you have an underactive thyroid gland. Canada residents can call a provincial poison control center. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Clin Res Cardiol. 2017; doi:10.1016/j.jacc.2016.11.078. 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. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Take the container with you, even if it is empty. Some people feel dizzy or fall when changing positions, such as going from sitting to standing. 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. 88 ratings on Drugs.com. Natural Medicines. Upgrade to Patient Pro Medical Professional? You may opt-out of email communications at any time by clicking on Once- versus twice-daily administration of controlled-release isosorbide-5-mononitrate 60 mg in the treatment of stable angina pectoris. Try to keep your regular appointments with your doctor. Isosorbide-5-mononitrate ISMN usually begins acting within 30 minutes and its effects last six to eight hours. These side effects may go away during treatment as your body adjusts to the medicine. About one-half of adults in the United States say they have used one or more supplements in the past 30 days. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. You can consult me online for homeopathic treatment. May also be prescribed off label for Esophageal Spasm. Using this medicine with any of the following medicines is not recommended. In: Current Medical Diagnosis & Treatment 2022. 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. In Canada - Call your doctor for medical advice about side effects. Your doctor will prescribe you a short-acting nitrate for you to take if this happens. Swallow the tablet/capsule whole - do not chew or crush it before you swallow. If you have an eye condition called glaucoma. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: continuing ringing or buzzing or other unexplained noise in the ears, dull ache or feeling of pressure or heaviness in the legs, excess air or gas in the stomach or intestines, increased sensitivity of the eyes to sunlight, loss in sexual ability, desire, drive, or performance, pain or tenderness around the eyes and cheekbones, redness of the face, neck, arms, and occasionally, upper chest, redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid, redness, swelling, or soreness of the tongue, small clicking, bubbling, or rattling sounds in the lung when listening with a stethoscope, stomach bloating, burning, cramping, or pain, terrifying dreams causing sleep disturbances, uncontrolled twisting movements of the neck, white patches in the mouth, tongue, or throat. A very serious allergic reaction to this drug is rare. There are no data on passage of isosorbide mononitrate in human milk, but some excretion seems likely. Isosorbide comes as a tablet, an extended-release (long-acting) tablet, and an extended-release capsule to take by mouth. isosorbide mononitrate (Rx) Brand and Other Names: Imdur, Monoket, more. Minimally clinically significant. Does Isosorbide Mononitrate interact with other drugs you are taking? Information is also available online at https://www.poisonhelp.org/help. It is important that you follow the instructions your doctor gives to you about when to take your doses. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. Fish Oil (omega-3 polyunsaturated fatty acids), Email this report to a friend, doctor, or patient, isosorbide mononitrate consumer information. These side effects may go away during treatment as your body adjusts to the medicine. Tell your doctor if this medication stops working well (for example, you have more frequent or worsening chest pain). (1) Starting on a low dosage was associated with a reduced frequency and severity of headache and did not notably influence the beneficial effect on angina pectoris. Prescription and OTC Aspirin relieves pain and inflammation and helps to thin the blood. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088). Diabetes treatment: Can cinnamon lower blood sugar? It might help to keep the room cool and use a fan. May also be prescribed off label for Esophageal Spasm. Angina pain develops if part of your heart muscle does not get as much blood and oxygen as it needs. This is a condition where the heart does not beat as efficiently as it should. ask your doctor about the safe use of alcoholic beverages while you are taking isosorbide. Your doctor may tell you to take a pain reliever to treat your headaches. You may report side effects to the FDA at 1-800-FDA-1088. American Society of Health-System Pharmacists, Inc. Disclaimer, U.S. Department of Health and Human Services. It took me a few weeks to adapt to it, but the effect on preventing chest pain was dramatic. 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. The American Society of Health-System Pharmacists, 4500 East-West Highway, Suite 900, Bethesda, Maryland. Accessed Sept. 7, 2022. eCollection 2021. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Isosorbide mononitrate (Monoket) is good for a specific type of chest pain (called angina), but it can cause headaches or dizziness after you take it. Isosorbide mononitrate dose 10 mg twice daily to 120 mg daily in divided doses. Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). Do not share this medication with others. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Important information about all medicines, Notes on Isosorbide mononitrate dose and side-effects info, https://patient.info/medicine/isosorbide-mononitrate-elantan-imdur-isotard-monomax-tardisc-xismox, Manufacturer's PIL, Isosorbide mononitrate 10 mg tablets, Carmil XL; Chemydur XL; Elantan LA; Imdur; Isib XL; Ismo; Isodur XL; Isotard XL; Modisal XL; Monomax SR; Monomil XL; Nyzamac SR; Relosorb XL; Tardisc XL; Trangina XL; Xismox XL; Zemon XL, Tablets, modified-release (longer-acting) tablets, and modified-release (longer-acting) capsules, Ask your doctor or pharmacist to recommend a suitable painkiller. It works by relaxing and widening blood vessels so blood can flow more easily to the heart.This medication will not relieve chest pain once it occurs. Store at room temperature away from light and moisture. Natural remedies for depression: Are they effective? . If tolerance is suspected during the use of transdermal patches they should be left off for 8-12 hours (usually overnight) in each 24 hours; in the case of modified-release tablets of isosorbide dinitrate (and . Valerian: A safe and effective herbal sleep aid? Accessed Sept. 7, 2022. Do not let anyone else take your medication. Isosorbide mononitrate tablets and capsules are not suitable to take to treat the pain of an angina attack. Before Coenzyme Q-10 Natural Medicines. It is important to take the drug at the same times each day. 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. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. Nitrate-Induced Headache in Patients with Stable Angina Pectoris: Beneficial Effect of Starting on a Low Dosage. Liperoti R, et al. For instance, many herbal supplements that are used often interact with the blood thinner warfarin (Jantoven). Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Seek alternatives to the CYP3A4 substrate when possible. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Herbal supplements can strongly affect the body. other information we have about you. Do not stop taking it without consulting your doctor. Take them to your local pharmacy which will dispose of them for you. It is components of vit. Isosorbide dinitrate (Isordil): Basics, Side Effects & Reviews - GoodRx My blood pressure, cholesterol and pulse are all normal and I have no chest pains, shortness of breath or other heart problem symptoms. Please note that only the generic name of each medication is listed below. Isosorbide mononitrate Alternatives Compared - Drugs.com AHFS Patient Medication Information. This drug may make you dizzy. isosorbide mononitrate prices. Anti-ischemic and anti-anginal effects of controlled-release and conventional isosorbide-5-mononitrate in stable angina pectoris. GoodRx works to make its website accessible to all, including those with disabilities. Manufacturer's PIL, Isosorbide mononitrate 10 mg tablets; Merus Labs Luxco S.a.R.L, The electronic Medicines Compendium. May also be prescribed off label for Esophageal Spasm. 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. This content does not have an English version. Real test is coronary angiography. Ask your pharmacist for a list of the ingredients. Integrative medicine (complementary and alternative medicine). 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 ).
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