How Effective is Isosorbide Mononitrate & What are its Side Effects?

When you are taking isosorbide mononitrate you should not take erectile dysfunction medicines such as Staxyn, tadalafil, Stendra, Viagra, avanafil, Cialis, Vardenafil, Levitra, etc. The blood pressure will have a sudden rise if you have the medicine with any of these supplements.

• Isosorbide mononitrate is a nitrate that effectively helps to widen or dilate blood vessels that eases clear and easy blood flow through arteries and veins resulting in easier heart pump.
• Isosorbide mononitrate is used to effectively prevent chest pain or angina attacks. Isosorbide mononitrate is not to treat an existing angina attack.
• If you experience any symptoms of heart attack get immediate medical assistance. In most cases, these symptoms would be pain spreading through shoulder or jaw, pressure or chest pain, general ill feeling, sweating, etc.
• Also, stopping isosorbide mononitrate suddenly can cause severe angina attack.
• When you first take isosorbide mononitrate it will cause headaches which will slowly reduce as you continue to take Isosorbide Mononitrate so do not stop taking this medicine and do not take headache medicine until you consult with your doctor.
• Regular usage of isosorbide mononitrate will effectively prevent angina attack, Therefore, it is important to refill your prescriptions from time to time so you do not run short of supplies.

Isosorbide mononitrate should not be taken if you:

• Have signs of heart attack especially with symptoms such as pain spreading from jaw to shoulder, chest pain, nausea, pressure, sweating, etc.
• Have allergic reaction to isosorbide dinitrate, isosorbide mononitrate or nitroglycerin.

You must inform you doctor if you have any of these medical conditions in order to make isosorbide mononitrate safe for you:

• Low blood pressure
• Kidney disease
• Congestive heart failure.

If you are planning to become pregnant or is pregnant at the moment, you must inform your doctor as it is unknown if isosorbide mononitrate can harm unborn child.

Also inform your doctor if you are breast feeding you child as it is unknown if the medicine passes through breast milk to the feeding baby

1. Treatment of Angina Pectoris Prophylaxis – Regular Adult Dosage

   Immediate Release

   • Take isosorbide mononitrate two times in a day orally at 20 milligrams with 7 hours apart from each intake
   • For small and saturated patients, 5 milligrams dosage two times a day would be the ideal dosage. It can be increased to 10 milligrams two times a day in the initial 2-3 days
   • Having asymmetric dosage with 7 hours apart from each intake will have a nitrate feel which will minimize tolerance
   • For elderly patients start with low end of dosage
   • 5 milligrams of dosage is very effective only when the medicine is taken the first time. 20 milligrams dosages two times a day are not been adequately studied yet.

   Isosorbide mononitrate is for the treatment and prevention of angina pectoris that occur mainly because of coronary artery disease. Starting this treatment will not give immediate relief from the condition as it will prevent gradually.

   Extended Release

   Isosorbide mononitrate has to be taken one time in the morning at 30-40 milligrams orally.

   Maximum isosorbide mononitrate dosage: One time to be taken in the morning at 240 milligrams orally

   • Swallow the tablet as it is with half glass of water instead of chewing or crushing
   • For elderly patients start with lesser dosage levels

   Isosorbide mononitrate is for the treatment and prevention of angina pectoris that occur mainly because of coronary artery disease. Starting this treatment will not give immediate relief from the condition as it will prevent gradually.

2. Treatment of Angina Pectoris – Regular Adult Dosage

   Immediate Release

   Take isosorbide mononitrate two times a day at 20 milligrams orally with 7 hours between each intake

   • For small and saturated patients, 5 milligrams dosage two times a day would be the ideal dosage. It can be increased to 10 milligrams two times a day in the initial 2-3 days
   • Having asymmetric dosage with 7 hours apart from each intake will have a nitrate feel which will minimize tolerance
   • For elderly patients start with low end of dosage
   • 5 milligrams of dosage is very effective only when the medicine is taken the first time. 20 milligrams dosages two times a day are not been adequately studied yet.

   Isosorbide mononitrate is for the treatment and prevention of angina pectoris that occur mainly because of coronary artery disease. Starting this treatment will not give immediate relief from the condition as it will prevent gradually.

   Extended Release

   Take isosorbide mononitrate one time in the morning at 30 to 60 milligrams orally

   Maximum isosorbide mononitrate dosage: One time in the morning at 240 milligrams orally

   • Swallow the tablet as it is with half glass of water instead of chewing or crushing
   • For elderly patients start with lesser dosage levels

   Isosorbide mononitrate is for the treatment and prevention of angina pectoris that occur mainly because of coronary artery disease. Starting this treatment will not give immediate relief from the condition as it will prevent gradually.

It is important to get immediate medical assistance if you experience any of these allergic reactions such as swelling of lips, face, throat or tongue, difficulty in breathing or hives.

If you experience any of these severe side effects of isosorbide mononitrate, call you physician for immediate medical assistance:

• Slow or fast heart rate
• Light headed feeling like passing out
• Fluttering in the chest or pounding heartbeats
• Worsening angina pain.

Isosorbide mononitrate intake can give the patient severe headaches which would gradually decrease on the course of taking this medicine as you are taking nitroglycerin. It is important to not stop taking this medicine and not take any medicine for headache as well. It is wise to tell your doctor about the condition and get a medicine for headache.

These are the other common side effects of isosorbide mononitrate:

• Flushing lie redness, warmth or tingly feeling
• Headache.