Isosorbide Tablets

Indicated to target angina and developed to alleviate chest pain, this nitrate is utilized to support cardiac vasomotor function.

Strengths: 20 · 30 · 40 · 60mg

Medicine details

Conditions
Alternative names

Imdur; Monosorb; Isotard

Therapeutic class

Nitrate vasodilator

Pharmacological class

Organic nitrate

Minor side effects

headache; flushing; dizziness

Moderate side effects

tachycardia; postural hypotension; nausea

Dosage forms

Tablet; Prolonged-release tablet

Administration route

Oral use

Prescription status

POM

Manufacturer

AstraZeneca

Onset Time

30–60 minutes

Duration

8–12 hours

Storage instructions

Store in original packaging below 25°C.

Drug interactions

sildenafil; tadalafil; alcohol

Age restrictions

Consult specialist regarding paediatric use.

Contraindications

hypersensitivity to nitrates; concurrent use of phosphodiesterase-5 inhibitors; severe hypotension; cardiogenic shock

Precautions and warnings

avoid sudden change in posture to prevent dizziness; may impair ability to drive; do not discontinue abruptly

Serious side effects

syncope — requires immediate medical attention; myocardial ischaemia — requires immediate medical attention; severe hypotension — requires immediate medical attention

Patient summary

Indicated to target angina and developed to alleviate chest pain, this nitrate is utilized to support cardiac vasomotor function.

Mechanism of action

Isosorbide mononitrate is a vasodilator that acts by releasing nitric oxide, which stimulates guanylyl cyclase. This increases cellular cGMP concentrations, resulting in smooth muscle relaxation in blood vessels, thereby reducing cardiac workload and oxygen demand.

Pregnancy and breastfeeding

Pregnancy: Use only if benefit outweighs risk. Breastfeeding: Suitable with caution.

Isosorbide Tablets

Indicated to target angina and developed to alleviate chest pain, this nitrate is utilized to support cardiac vasomotor function.

Editorial Notes

  • Active ingredient(s): Isosorbide Mononitrate
  • Listed indication(s): Angina Pectoris

Usually available as

  • 180 tablets - 20 mg1398-20-mg-16780
  • 120 tablets - 30 mg1398-30-mg-16785
  • 120 tablets - 40 mg1398-40-mg-16774