ISOSORBIDE MONONITRATE SUSTAINED-RELEASE - ORAL

ISOSORBIDE MONONITRATE SUSTAINED-RELEASE - ORAL

PHONETIC PRONUNCIATION: (EYE-soe-SOR-bide MON-oh-NYE-trate)

COMMON BRAND NAME(S): Imdur

GENERIC NAME(S): isosorbide mononitrate

Uses

USES: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). This medication belongs to a class of drugs known as nitrates. 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. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Other medications may be prescribed by your doctor for these conditions. Consult your doctor for more details.


How to use ISOSORBIDE MONONITRATE SUSTAINED-RELEASE - ORAL

HOW TO USE: Take this medication by mouth as directed by your doctor, usually once daily when you wake up. Swallow this medication whole with a half glass of water (4 ounces/120 milliliters) unless your doctor directs you otherwise. Do not crush or chew this medication. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. Do not stop taking it without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased. Although unlikely, when this medication is used for a long time, it may not work as well and may require different dosing. Tell your doctor if this medication stops working well (for example, you have more frequent or worsening chest pain).

Side Effects

SIDE EFFECTS: Headache, dizziness, lightheadedness, nausea, and flushing may occur as your body adjusts to this medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Headache is often a sign that this medication is working. Your doctor may recommend treating headaches with an over-the-counter pain reliever (such as acetaminophen, aspirin). If headaches continue or become severe, tell your doctor promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. An empty tablet shell may appear in your stool. This effect is harmless since your body has already absorbed the medication. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: fainting, fast/irregular/pounding heartbeat. A very serious allergic reaction to this drug is rare. 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. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

PRECAUTIONS: 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. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: low blood pressure. This drug may make you dizzy. Alcohol or marijuana can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults may be more sensitive to the side effects of this medication, especially dizziness and lightheadedness, which could increase the risk of falls. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Interactions

DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: drugs to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, tadalafil), riociguat. Some products have ingredients that could worsen your heart failure. 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). Isosorbide mononitrate is very similar to isosorbide dinitrate. Do not use medications containing isosorbide dinitrate while using isosorbide mononitrate. This medication may interfere with certain laboratory tests (including cholesterol levels), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

Overdose

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: slow heartbeat, vision changes, severe nausea/vomiting, sweating, cold/clammy skin, bluish fingers/toes/lips.

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Faq for ISOSORBIDE MONONITRATE SUSTAINED-RELEASE - ORAL

- Isosorbide Mononitrate Sustained-Release is primarily used to prevent chest pain (angina) in patients with certain heart conditions.

- Isosorbide Mononitrate Sustained-Release works by relaxing and widening blood vessels, which helps improve blood flow and reduce the workload on the heart.

- Isosorbide Mononitrate Sustained-Release should be taken exactly as prescribed by your doctor. It is usually taken once a day, preferably in the morning on an empty stomach. The tablet should be swallowed whole and should not be crushed or chewed.

- Common side effects may include headache, dizziness, lightheadedness, flushing, and nausea. These side effects usually go away as your body adjusts to the medication. However, if they persist or worsen, you should contact your doctor.

- It is generally not recommended to consume alcohol while taking Isosorbide Mononitrate Sustained-Release. Alcohol can increase the risk of side effects such as dizziness and lightheadedness.

- If you miss a dose, take it as soon as you remember. However, if it is close to the next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

- Yes, certain medications such as sildenafil, tadalafil, and vardenafil (commonly used for treating erectile dysfunction) may interact with Isosorbide Mononitrate Sustained-Release and cause a sudden and severe decrease in blood pressure. It is important to inform your doctor about all the medications you are taking.

- No, you should not abruptly stop taking Isosorbide Mononitrate Sustained-Release without consulting your doctor. Suddenly stopping the medication may worsen your condition. Your doctor will guide you on how to gradually reduce the dosage if needed.

- The onset of action varies from person to person. It may take several days of regular dosing before you start experiencing the full benefits of the medication. It is important to continue taking it as prescribed by your doctor.



Disclaimer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.