Isosorbide Mononitrate

(eye soe SOR bide mon oh NYE trate)

U.S. Brand Names

Imdur®; Ismo®; Monoket®

Canadian Brand Names

Apo-ISMN®; Imdur®; PMS-ISMN

Mexican Brand Names

Elantan; Imdur 60; Mono Mack

Pharmacologic Category

Vasodilator

Reasons not to take this medicine

• If you have an allergy to isosorbide mononitrate or any other part of this medicine.

• Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.

• Do not use with sildenafil, tadalafil, or vardenafil. The combination may be dangerous.

• If you have any of the following conditions: Anemia, bleeding in the brain, glaucoma, or head trauma.

What is this medicine used for?

• This medicine is used to prevent or treat chest pain or pressure.

How does it work?

• Isosorbide relaxes blood vessels.

How is it best taken?

• Take this medicine with a full glass of water.

• Long-acting products: Do not chew or crush.

What do I do if I miss a dose? (does not apply to patients in the hospital)

• Take a missed dose as soon as possible.

• If it is almost time for the next dose, skip the missed dose and return to your regular schedule.

• Do not take a double dose or extra doses.

• Do not change dose or stop medicine. Talk with healthcare provider.

What are the precautions when taking this medicine?

• Wear disease medical alert identification.

• Check medicines with healthcare provider. This medicine may not mix well with other medicines.

• Avoid grapefruit and grapefruit juice.

• Avoid alcohol (includes wine, beer, and liquor).

• Tell healthcare provider if you are pregnant or plan on getting pregnant.

• Tell healthcare provider if you are breast-feeding.

What are some possible side effects of this medicine?

• Feeling dizzy. Rise slowly over several minutes from sitting or lying position. Be careful climbing.

• Flushing. Wearing layers of clothes or summer clothes and cool environment may help.

• Headache. Usually improves after taking the medicine regularly for a week.

What should I monitor?

• Change in condition being treated. Is it better, worse, or about the same?

• Check blood pressure and heart rate regularly.

• Follow up with healthcare provider.

Reasons to call healthcare provider immediately

• If you suspect an overdose, call your local poison control center or emergency department immediately.

• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.

• Chest pain or pressure lasting longer than 15 minutes. Get emergency medical care right away.

• Severe dizziness or passing out.

• Severe headache.

• Any rash.

• No improvement in condition or feeling worse.

How should I store this medicine?

• Store at room temperature.

• Protect from moisture. Do not store in a bathroom or kitchen.

General statements

• If you have a life-threatening allergy, wear allergy identification at all times.

• Do not share your medicine with others and do not take anyone else's medicine.

• Keep all medicine out of the reach of children and pets.

• Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).

• Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

• Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.



Created: 2006-10-13 13:22:51.0

Modified: 2008-05-15 08:39:24.0

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