https://naturalmedicines.therapeuticresearch.com. Prescribed for Angina, Heart Failure, Angina Pectoris Prophylaxis. It might help to take isosorbide mononitrate and dinitrate after meals. 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. If you have been told by a doctor you have low levels of iron in your blood (anaemia), or low levels of oxygen in your blood (hypoxaemia). Accessed Sept. 7, 2022. Cardizem may also be used for purposes not listed in this medication guide. Using this medicine with any of the following medicines is not recommended. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. 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. Browse all drugs on eHealthMe. Cardizem Alternatives Compared - Drugs.com Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction. https://naturalmedicines.therapeuticresearch.com. Would you like email updates of new search results? 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 . Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). My cardiologist recommended I get on metropolol. Let your provider know if you are using any medications for erectile dysfunction before you start taking isosorbide mononitrate (Monoket). Longer-acting tablets and capsules are taken once daily in the morning. Who should not take Isosorbide Mononitrate? sharing sensitive information, make sure youre on a federal flushing - try to cut down on coffee, tea and alcohol because they can make flushing worse. Isosorbide Mononitrate - Uses, Side Effects, and More - WebMD Prescribed for Angina, Anal Fissure and 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. Trapidil is as effective as isosorbide-dinitrate for treating stable angina pectoris: a multinational, multicenter, double-blind, randomized study. WebMD does not provide medical advice, diagnosis or treatment. Browse Drugs and Medicines. Do not take more or less of it or take it more often than prescribed by your doctor. It is important to take the drug at the same times each day. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. If you have any problems with the way your liver works, or any problems with the way your kidneys work. This drug may make you dizzy. 55 ratings on Drugs.com. Bookshelf Nitroglycerin works very quickly to widen your blood vessels and help your heart pump blood during a heart attack. Isosorbide mononitrate works in two ways. Be sure to talk to your health care provider before you take any herbal supplements if you take prescription medicines. What are the interactions of Isosorbide Mononitrate ? Isosorbide mononitrate helps to prevent angina chest pain from developing. Imdur (isosorbide mononitrate) Extended Release and Isordil (isosorbide dinitrate) are vasodilators indicated for the prevention of angina pectoris due to coronary artery disease.. Side effects of Imdur and Isordil that are similar include headache and dizziness.. Side effects of Isordil that are different from Imdur include weakness and skin changes such as redness, tingling, or warmth. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). It relaxes blood vessels in your body (causing them to widen) and this reduces the strain on your heart, making it easier for your heart to pump blood around your body. This content does not have an English version. This medication may interfere with certain laboratory tests (including cholesterol levels), possibly causing false test results. Along with its needed effects, a medicine may cause some unwanted effects. Do not stop taking isosorbide without talking to your doctor. It works by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its workload. Isosorbide mononitrate is also sometimes prescribed alongside other medicines for people with heart failure. Careers. Aspirin has an average rating of This side-effect usually disappears after a few days, Do not drive and do not use tools or machines while affected, If either of these becomes troublesome, speak with your doctor. Your health care provider and pharmacist can help you stay away from unsafe interactions. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. Isosorbide is a medication used to treat and prevent angina pectoris in patients with coronary heart disease. Using this medicine with any of the following medicines is not recommended. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Mayo Clinic. Isosorbide mononitrate Interactions - Drugs.com Isosorbide tablets are also used with other medications to treat heart failure. 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. Isosorbide mononitrate | Drugs | BNF | NICE tell your doctor if you are taking or have recently taken riociguat (Adempas) or a phosphodiesterase inhibitor (PDE-5) such as avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), and vardenafil (Levitra, Staxyn). 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). For details see our conditions. Take the missed dose as soon as you remember it. 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). Isosorbide is in a class of medications called vasodilators. To use the sharing features on this page, please enable JavaScript. Journals of the American College of Cardiology. Last Revised - 09/15/2019. Saw palmetto. Laboratory and/or medical tests (such as blood pressure) should be performed periodically to monitor your progress or check for side effects. The extended-release capsule usually is taken once daily. Try to keep your regular appointments with your doctor. It works by . Take them to your local pharmacy which will dispose of them for you. Your provider might temporarily have you stop isosorbide mononitrate (Monoket) if this happens. It is important that you follow the instructions your doctor gives to you about when to take your doses. 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:Less commonAcid or sour stomachanxietyback painbelchingblemishes on the skinbloatedbreast painburning feeling in the chest or stomachburning, dry, or itching eyeschange in color visionchanges in visioncold sweatscongestionconstipationcontinuing ringing or buzzing or other unexplained noise in the earscough producing mucusdecreased interest in sexual intercoursedifficulty seeing at nightdifficulty with movingdischarge, excessive tearingdouble visiondrooping upper eyelidsdull ache or feeling of pressure or heaviness in the legsearacheexcess air or gas in the stomach or intestinesfeeling of constant movement of self or surroundingsfeeling of warmthfeeling unusually coldfrequent urge to defecatefrozen shoulderfull feelinghearing lossheartburnhyperventilationinability to have or keep an erectionincreased appetiteincreased sensitivity of the eyes to sunlightincreased sputumindigestionirritabilityitching skin near damaged veinslack or loss of strengthloss in sexual ability, desire, drive, or performancemuscle or bone painmuscle stiffness or weaknessnightmaresnoisy breathingpain or tenderness around the eyes and cheekbonespassing gaspimplespoor concentrationrashredness of the face, neck, arms, and occasionally, upper chestredness, pain, swelling of the eye, eyelid, or inner lining of the eyelidredness, swelling, or soreness of the tonguerestlessnessseeing doublesensation of spinningsleepiness or unusual drowsinesssmall clicking, bubbling, or rattling sounds in the lung when listening with a stethoscopesmall lumps under the skinsore mouth or tonguestiff neckstomach bloating, burning, cramping, or painstomach discomfort or upsetstraining while passing stoolstuffy nosesudden sweatingswollen feet and anklestender, swollen glands in the necktenderness in the stomach areaterrifying dreams causing sleep disturbancestooth disordertrouble swallowinguncontrolled twisting movements of the neckvoice changesweight losswhite patches in the mouth, tongue, or throatOther side effects not listed may also occur in some patients. Do not let anyone else take your medication. Isosorbide mononitrate Alternatives Compared - Drugs.com This medication belongs to a class of drugs known as nitrates. https://naturalmedicines.therapeuticresearch.com. It also relaxes and widens blood vessels in your heart (coronary arteries) which increases the flow of blood to your heart muscle. Daily headaches are a common side effect. https://naturalmedicines.therapeuticresearch.com. You can consult me online for homeopathic treatment. 1998 Oct;61(10):577-83. (2) One in 3 patients never experienced headache from the given dosages. US residents can call their local poison control center at 1-800-222-1222. Isosorbide: MedlinePlus Drug Information Please note that only the generic name of each medication is listed below. You can develop a tolerance to isosorbide mononitrate (Monoket) over time, which means the dose you've been taking doesn't work as well. Learn to reduce stress through mindful living. Stopping isosorbide mononitrate (Monoket) suddenly can cause you to have a worsening of your chest pain. Review/update the Both versions of isosorbide mononitrate (Monoket) contain the same active ingredient. Results: 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). Isosorbide mononitrate should not be used in patients with severe anaemia, severe hypotension, closed angle glaucoma or severe hypovolaemia.Isosorbide mononitrate may give rise to postural hypotension and syncope in some patients. All Rights Reserved. https://naturalmedicines.therapeuticresearch.com. DUMQOL (DUtch Mononitrate Quality of Life) Study Group. Consult your doctor for more details. Try our Symptom Checker Got any other symptoms? 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 is used to treat and prevent a wide range of different conditions. It works to relax your blood vessels. It will not treat an angina attack that has already begun. Prescription only Prescribed for Angina, Heart Failure, Angina Pectoris Prophylaxis. 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. Store in a cool, dry place, away from direct heat and light. 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). If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. The tablet usually is taken two or three times daily. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. B12 and folic acid is essential along with iron. Take this medication by mouth as directed by your doctor, usually twice a day. Older adults may be more sensitive to the side effects of this medication, especially dizziness and lightheadedness, which could increase the risk of falls. Isosorbide Mononitrate - Medicine.com Sept. 26, 2022. Isosorbide comes as a tablet, an extended-release (long-acting) tablet, and an extended-release capsule to take by mouth. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Can cause dizziness, especially when you change positions, Interacts with erectile dysfunction medications. Alcohol can make the side effects from isosorbide worse. Enter other medications to view a detailed report. Natural Medicines. https://naturalmedicines.therapeuticresearch.com. Call your doctor if you have any unusual problems while you are taking this medication. Evening primrose. Herbal medications in cardiovascular medicine. information submitted for this request. Side effects : headache, mild dizziness 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). If you notice any other effects, check with your healthcare professional.Call your doctor for medical advice about side effects. This site complies with the HONcode standard for trustworthy health information: verify here. Data were assessed for carryover and time effects. While both isosorbide mononitrate (Monoket) and nitroglycerin (Nitrostat) are both nitrate vasodilators, they are not the same medication. Talk to your doctor if you are using marijuana (cannabis). Accessed Sept. 7, 2022. Ginkgo. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Change positions slowly until your body is used to the medication. The use of the Truven Health products is at your sole risk. Natural Medicines. Of the total drug interactions, If you have an eye condition called glaucoma. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. 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. Prescription and OTC This medication performs a vasodilatory function and is therefore used as a treatment for high blood pressure. You may opt-out of email communications at any time by clicking on other information we have about you. Real test is coronary angiography. 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. Along with its needed effects, a medicine may cause some unwanted effects. All rights reserved. Background: Nitrates, although important for the management of angina pectoris, cause significant headache in many patients. Isosorbide may cause other side effects. Overview of herbal medicines and dietary supplements. . These products are provided 'AS IS' and 'as available' for use, without warranties of any kind, either express or implied. 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. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. Imdur vs. Isordil - RxList https://naturalmedicines.therapeuticresearch.com. Isosorbide mononitrate. You may report side effects to Health Canada at 1-866-234-2345. Isosorbide-2,5-dinitrate and isosorbide-5-mononitrate, the low-potent organic nitrates, are directly metabolized in the endoplasmic reticulum of the vascular smooth muscle cells via cytochrome P450 enzymes, resulting in direct production of nitric oxide (Mnzel et al., 2005).In contrast, the highly potent organic nitrates such as glyceryl trinitrate (GTN) and pentaerythritile tetranitrate . 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. 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. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. A randomized, double-blind, cross-over study. Natural Medicines. Botanical medicine A modern perspective. 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. The narrowing makes it more difficult for blood to flow to your heart muscle. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Selected from data included with permission and copyrighted by First Databank, Inc. Epub 2006 Mar 22. Nitrates | Prescribing information | Angina | CKS | NICE Clin Res Cardiol. People with kidney problems should be able to take the usual dose of isosorbide mononitrate (Monoket). Never give it to other people even if their condition appears to be the same as yours. Egton Medical Information Systems Limited. Do infrared saunas have any health benefits? I took this for 4 days, and my headaches were unbearable. 41% of reviewers reported a positive effect, while 50% reported a negative effect. Patient is a UK registered trade mark. Isosorbide Manufacturing: An In-Depth Look at Production Costs and 8.0 out of 10 from a total of Even if the medication is working, you may experience some unwanted side effects. Do not use medications containing isosorbide dinitrate while using isosorbide mononitrate. Organic Nitrate - an overview | ScienceDirect Topics Accessibility Herbal supplements can interact with medicines used to treat heart and blood vessel problems, such as high blood pressure and heart failure. UpToDate 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. (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 medicine is available only with your doctor's prescription. You can start a phase IV clinical trial to monitor Isosorbide mononitrate safety and effectiveness. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. Each day, take the first dose when you wake up, then take the second dose 7 hours later. See also: nitroglycerin side effects in more detail. Synthroid (levothyroxine) Tylenol (acetaminophen) Vitamin B12 (cyanocobalamin) Vitamin C (ascorbic acid) Vitamin D3 (cholecalciferol) Isosorbide mononitrate disease interactions There are 7 disease interactions with isosorbide mononitrate which include: AMI anemia hemodialysis hypotension intracranial pressure hypertrophic cardiomyopathy glaucoma To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location one that is up and away and out of their sight and reach. All rights reserved. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. 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. The dose is according to the body weight and severity of the condition. 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. List of Antianginal agents (antianginal drugs) - Drugs.com If you are a Mayo Clinic patient, this could You could also spray your face with cool water or sip non-alcoholic cold or iced drinks. These side effects may go away during treatment as your body adjusts to the medicine. 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. These headaches may be a sign that the medication is working as it should. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. In: Current Medical Diagnosis & Treatment 2022. Below is the list of medicines, which contains Isosorbide Mononitrate as ingredient. These side effects may go away during treatment as your body adjusts to the medicine. Methods: