Follow directions about how much medicine to take. [2] Be sure to talk to your health care provider before you take any herbal supplements if you take prescription medicines. Erectile dysfunction medications (e.g., sildenafil (Viagra), vardenafil (Levitra), tadalafil (Cialis)) cannot be taken while you're taking isosorbide mononitrate (Monoket). Isosorbide tablets are also used with other medications to treat heart failure. 7.6 out of 10 from a total of Your doctor will probably tell you not to take isosorbide if you are taking one of these medications. Sept. 26, 2022. Otherwise, call a poison control center right away. 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. Use this medication regularly to get the most benefit from it. B12 and folic acid is essential along with iron. There are a number of medications that your doctor can prescribe in place of isosorbide mononitrate (Monoket). To use the sharing features on this page, please enable JavaScript. There may be variations in CSA schedules between individual states. While both isosorbide mononitrate (Monoket) and nitroglycerin (Nitrostat) are both nitrate vasodilators, they are not the same medication. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time. Thirty percent of the patients never experienced headache from the given dosages. If you have recently had a head injury or a heart attack. Before Take the missed dose as soon as you remember it. isosorbide mononitrate, along with If you are a Mayo Clinic patient, this could Accessed Sept. 7, 2022. To help you remember, take it at the same times each day. 41% of reviewers reported a positive effect, while 50% reported a negative effect. This drug may make you dizzy. other information we have about you. Danshen can interact strongly with some heart medicines, such as: Evening primrose may raise your risk of bleeding if you also take a blood thinner, such as: Garlic may raise your risk of bleeding if you also take a blood thinner, such as: Ginkgo biloba may raise your risk of bleeding if you also take a blood thinner, such as: If you take ginseng with warfarin, it may lessen how well warfarin works. Contact your provider right away if you feel as if you are going to pass out and are experiencing an irregular heartbeat, nausea, vomiting, changes in vision, more sweating, or cold and clammy skin. Your dose may need to be gradually decreased.
Isosorbide mononitrate: effectiveness, side effects, alternatives 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. 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. These side effects may go away during treatment as your body adjusts to the medicine. Don't drink alcohol while taking isosorbide mononitrate (Monoket). This form of skin cancer is mostly caused by PhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child Care, MBBS, Master in Healthcare Administration, Diploma in Occupational Health, What are the uses of Isosorbide Mononitrate. These headaches may be a sign that the medication is working as it should. Normal ecg doesn't rule out heart disease. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. Isosorbide mononitrate works in two ways. In: Current Medical Diagnosis & Treatment 2022. Medicines Complete BNF 84th Edition; British Medical Association and Royal Pharmaceutical Society of Great Britain, London. Aspirin relieves pain and inflammation and helps to thin the blood. Is it safe to drive while on this medicine? Unable to load your collection due to an error, Unable to load your delegates due to an error. All rights reserved. Instead, the best way to dispose of your medication is through a medicine take-back program. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Background: Your doctor may tell you to take a pain reliever to treat your headaches. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Glyceryl trinitrate (GTN) is commonly prescribed for this. Be sure to follow your provider's instructions about when to take isosorbide mononitrate (Monoket). Consult your doctor for more details. It can cause your blood pressure to become dangerously low. Registered in England and Wales. Take this medication by mouth as directed by your doctor, usually twice a day. It also may keep some medicines from working as well as they should, such as: If your health care provider tells you it's OK to use an herbal supplement along with medicine, be careful. It is not suitable to take to treat an angina attack - you should always carry with you a short-acting nitrate, such as glyceryl trinitrate (GTN), for if you get angina pain. If you become pregnant while taking isosorbide, call your doctor. 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. Vascular dilatation can precipitate venous pooling with decreased return to the heart, hypotension and reflex tachycardia. Does Viagra add to the risks of melanoma? The extended-release tablet usually is taken once daily in the morning.
Imdur, Monoket (isosorbide mononitrate) dosing, indications - Medscape Advertising revenue supports our not-for-profit mission. Natural Medicines. Isosorbide mononitrate is used to prevent chest pain in patients with a certain heart condition (coronary artery disease).This medication belongs to a class of drugs known as nitrates. I took this for 4 days, and my headaches were unbearable. 19 are major, 174 are moderate, and 2 are minor. What is the difference between the immediate-release (IR) and extended-release (ER) versions of isosorbide mononitrate (Monoket)? Browse all drugs on eHealthMe. 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. Profen and Metoclopramide drug interaction, Metoclopramide and Nitrostat drug interaction, Metoclopramide and Alfentanil drug interaction, Risperdal and Metoclopramide drug interaction. information highlighted below and resubmit the form. Minimally clinically significant. Consult your pharmacist or local waste disposal company. Learn to reduce stress through mindful living. Accessed Sept. 7, 2022. It is important to take the drug at the same times each day. Does Isosorbide Mononitrate interact with other medications? sharing sensitive information, make sure youre on a federal The most common side-effect is headache. It can cause your blood pressure to become dangerously low. Clin Res Cardiol. Cao HY, Wu HD, Song ZK, Tang ML, Yang S, Liu Y, Qin L. Pan Afr Med J. The American Society of Health-System Pharmacists, 4500 East-West Highway, Suite 900, Bethesda, Maryland. American Society of Health-System Pharmacists, Inc. Disclaimer, U.S. Department of Health and Human Services. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). If you have ever had an allergic reaction to a medicine. It might help to keep the room cool and use a fan. Copyright 2023 IBM Watson Health. You could also spray your face with cool water or sip non-alcoholic cold or iced drinks. If you notice other effects not listed above, contact your doctor or pharmacist. Your doctor will prescribe you a short-acting nitrate for you to take if this happens. Fish Oil (omega-3 polyunsaturated fatty acids), Email this report to a friend, doctor, or patient, isosorbide mononitrate consumer information. https://naturalmedicines.therapeuticresearch.com. Angina pain develops if part of your heart muscle does not get as much blood and oxygen as it needs. May also be prescribed off label for Esophageal Spasm. Dated August 2017. Ask your doctor before using aspirin together with alcohol. An official website of the United States government. Selected from data included with permission and copyrighted by First Databank, Inc. Should I avoid certain foods while taking Isosorbide Mononitrate? All rights reserved. It is not intended as medical advice for individual conditions or treatment. What happens if I stop taking isosorbide mononitrate (Monoket)? In the remainder of them there was a highly significant time effect: the overall numbers of headache attacks in the first period of active treatment versus the second were 2,380 vs 1,400 (P < 0.003). It can make you really dizzy. View World Anti-Doping Agency classifications, Prevention of Thromboembolism in Atrial Fibrillation, Prosthetic Heart Valves - Thrombosis Prophylaxis, Prosthetic Heart Valves - Mechanical Valves - Thrombosis Prophylaxis, Revascularization Procedures - Prophylaxis. Am J Ther. 2017; doi:10.1016/j.jacc.2016.11.078. Nitrates, although important for the management of angina pectoris, cause significant headache in many patients. Ask your pharmacist any questions you have about refilling your prescription.
Isosorbide Mononitrate - Uses, Side Effects, and More - WebMD Isosorbide mononitrate is very similar to isosorbide dinitrate. Saw palmetto might make your risk of bleeding higher if you also take a blood thinner, such as: It's not suggested to take St. John's wort if you take blood thinners.
This list covers only some interactions. Continue to take isosorbide even if you feel well. Isosorbide mononitrate, sold under many brand names, is a medication used for heart-related chest pain ( angina ), heart failure and esophageal spasms. tell your doctor and pharmacist if you are allergic to isosorbide; nitroglycerin tablets, patches, or ointment; any other medications, or any of the ingredients in isosorbide tablets, extended-release tablets, or extended-release capsules. ** The Controlled Substances Act (CSA) schedule information displayed applies to substances regulated under federal law. 55 ratings on Drugs.com. Tell your doctor right away if you have any serious side effects, including: fainting, fast/irregular/pounding heartbeat. Eur Heart J. The list below does not include all possible drug interactions with isosorbide mononitrate (Monoket). St. Joseph 81 mg Aspirin Enteric Safety-Coated. Never give it to other people even if their condition appears to be the same as yours. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. daily and increasing to 40 mg three times daily as necessary, given at 8 AM, 1 PM, and 6 PM), isosorbide mononitrate (starting at 30 mg/day in the morning and increasing to 120 mg/day as necessary), or a transdermal. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Alcohol or marijuana (cannabis) can make you more dizzy. include protected health information. Store in a cool, dry place, away from direct heat and light. If this worries you, talk to your doctor or pharmacist about other options. isosorbide mononitrate (Rx) Brand and Other Names: Imdur, Monoket, more. 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. It will not treat an angina attack that has already begun. Please see a good cardiologist, get admitted, get checked thoroughly. Alternative drugs to the conditions Isosorbide mononitrate treats: Angina High blood pressure Stable angina Chest pain Heart disease Heart attack Angina unstable Heart disease congenital Coronary heart disease Heart failure Pulse Heart rate irregular Coronary artery spasm Angioplasty 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. It also relaxes and widens blood vessels in your heart (coronary arteries) which increases the flow of blood to your heart muscle. If you have any questions about this medicine ask your pharmacist. This should pass after a few days. Do infrared saunas have any health benefits? Tachjian A, et al. Natural Medicines. Herbal supplements can strongly affect the body. Almost 70% of older adults use them.
Organic Nitrate - an overview | ScienceDirect Topics Call your doctor if you have any unusual problems while you are taking this medication. Make sure laboratory personnel and all your doctors know you use this drug. Does Isosorbide Mononitrate interact with other drugs you are taking? 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. Erectile dysfunction medications (e.g., sildenafil (Viagra), vardenafil (Levitra), tadalafil (Cialis)) cannot be taken while you're taking isosorbide mononitrate (Monoket). St. John's wort. Isosorbide mononitrate Alternatives Compared Isosorbide mononitrate Aspirin Nitroglycerin Prescription only Prescribed for Angina, Heart Failure, Angina Pectoris Prophylaxis. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. To view a report comparing 3 (or more) medications, please sign in or create an account. https://naturalmedicines.therapeuticresearch.com. Talk to your provider if you continue to feel dizzy or have a fast heart rate a week after starting isosorbide mononitrate (Monoket). However, you should not flush this medication down the toilet. Drug interactions may change how your medications work or increase your risk for serious side effects. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. 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.
Isosorbide mononitrate dose and side-effects info | Patient My cardiologist recommended I get on metropolol.
Isosorbide (C6H10O4), also called D-Isosorbide dinitrate, is a bio-product sourced from starch. It is in the nitrate class of drugs. 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). It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. 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 information eHealthMe analyzes includes: Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. May also be prescribed off label for Esophageal Spasm.
Isosorbide Mononitrate (Oral Route) - Mayo Clinic 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 The use of the Truven Health products is at your sole risk. Consult your doctor before breast-feeding. We comply with the HONcode standard for trustworthy health information. Some conditions may become worse when the drug is suddenly stopped.
Nitrate-induced headache in patients with stable angina pectoris Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. There are no data on passage of isosorbide mononitrate in human milk, but some excretion seems likely.
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