Isosorbide mononitrate (Monoket) is not a medication you take if you think you are having a heart attack. What You Need to Know, Angina (a specific type of chest pain) caused by heart disease. If your chest pain attacks happen more often, last longer, or become more severe at any time during your treatment, call your doctor. Isosorbide - StatPearls - NCBI Bookshelf Headache, dizziness, lightheadedness, nausea, and flushing may occur as your body adjusts to this medication. Highly clinically significant. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time. Isosorbide mononitrate, sold under many brand names, is a medication used for heart-related chest pain ( angina ), heart failure and esophageal spasms. Herbal supplements can interact with medicines used to treat heart and blood vessel problems, such as high blood pressure and heart failure. Healthcare data is obtained from a number of sources including the Food and Drug Administration (FDA). information and will only use or disclose that information as set forth in our notice of But only about 25% of people who take herbal supplements tell their health care providers. Pricing based on most commonly-filled versions: 180 tablets of isosorbide mononitrate 10mg. My cardiologist recommended I get on metropolol. Thirty percent of the patients never experienced headache from the given dosages. . The herb licorice may lower warfarin levels and can add to digoxin's effects. To provide you with the most relevant and helpful information, and understand which Lifestyle changes such as dietary changes, exercise, and not smoking may help this drug work better. 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 2010; doi:10.1016/j.jacc.2009.07.074. Watch for any symptoms that you may be having a drug interaction, such as: Mayo Clinic does not endorse companies or products. Isosorbide mononitrate should not be used in patients with severe anaemia, severe hypotension, closed angle glaucoma or severe hypovolaemia.Isosorbide mononitrate may give rise to postural hypotension and syncope in some patients. (1) Starting on a low dosage was associated with a reduced frequency and severity of headache and did not notably influence the beneficial effect on angina pectoris. Yet significantly fewer patients had headache on low dosage than on high dosage (45 vs 57, P < 0.02). 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. Herbal supplements are natural, so they must be safe, right? Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Do not double the dose to catch up. Your health care provider and pharmacist can help you stay away from unsafe interactions. Nitrates | Prescribing information | Angina | CKS | NICE Although not all of these side effects may occur, if they do occur they may need medical attention. 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. Unable to load your collection due to an error, Unable to load your delegates due to an error. Ask your pharmacist for a list of the ingredients. Many common herbal supplements interact with common heart medicines. Some of these medicine interactions can be risky. privacy practices. 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. My blood pressure, cholesterol and pulse are all normal and I have no chest pains, shortness of breath or other heart problem symptoms. Isosorbide mononitrate Interactions - Drugs.com If you notice any other effects, check with your healthcare professional. Although unlikely, when this medication is used for a long time, it may not work as well and may require different dosing. Results: What conditions does Isosorbide Mononitrate treat? Some of these interactions can be life-threatening. Headaches can be a sign that the medicine is working, and they might lessen with continued use of the medication. Review/update the This product is available in the following dosage forms: There is a problem with Keep all medications away from children and pets. In a randomized, double-blind, crossover study, 89 patients with stable angina pectoris were studied to compare two different dosage strategies of isosorbide-5-mononitrate (5-ISMN). 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. Now, youll enjoy a streamlined experience created specifically for healthcare providers. Sildenafil ( Viagra ), tadalafil ( Cialis ), avanafil ( Stendra ),and vardenafil ( Levitra) increase the blood pressure lowering effects of isosorbide mononitrate and may cause excessive reductions in blood pressure. Saw palmetto. We asked 34 people what they think about isosorbide mononitrate (Monoket): Get Isosorbide mononitrate (Monoket) for as low as $29.86, 180 tablets of isosorbide mononitrate 10mg. Isosorbide mononitrate and isosorbide dinitrate - NHS For these reasons, before you start taking isosorbide mononitrate it is important that your doctor knows: Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. Dehydration in Buspar, how severe and when it was recovered? Other medications may be prescribed by your doctor for these conditions. Generic alternatives may be available. Enter other medications to view a detailed report. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. Mehta D. Herbal & dietary supplements. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. For haemoglobin formation vit. Saper RB. If tolerance is suspected during the use of transdermal patches they should be left off for 8-12 hours (usually overnight) in each 24 hours; in the case of modified-release tablets of isosorbide dinitrate (and . It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. 55 ratings on Drugs.com. (2) One in 3 patients never experienced headache from the given dosages. I took this for 4 days, and my headaches were unbearable. This side-effect usually disappears after a few days, Do not drive and do not use tools or machines while affected, If either of these becomes troublesome, speak with your doctor. Last Revised - 09/15/2019. All rights reserved. This is not a complete list of possible side effects. This does not necessarily mean no interactions exist. We study millions of patients and 5,000 more each day. Otherwise, call a poison control center right away. This site complies with the HONcode standard for trustworthy health information: verify here. People with kidney problems should be able to take the usual dose of isosorbide mononitrate (Monoket). To help you remember, take it at the same times each day. prevention of anginal chest pain associated with coronary artery disease, prevent bleeding varicose vein in the esophagus. Epub 2006 Mar 22. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. It is unknown if this medication passes into breast milk. Glyceryl trinitrate (GTN) is commonly prescribed for this. Isosorbide mononitrate belongs to the group of medicines called nitrates. It works and leaves the body quickly, so it needs to be taken twice a day. Do not take a double dose to make up for a missed one. The Swedish Multicentre Group. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Store in a cool, dry place, away from direct heat and light. Many herbal supplements can interact with prescription drugs. Be sure to follow your provider's instructions about when to take isosorbide mononitrate (Monoket). If you notice other effects not listed above, contact your doctor or pharmacist. A very serious allergic reaction to this drug is rare. What is the difference between the immediate-release (IR) and extended-release (ER) versions of isosorbide mononitrate (Monoket)? It works to relax your blood vessels. Of the total drug interactions, B complex. Take care, thanks. Instead, the best way to dispose of your medication is through a medicine take-back program. We comply with the HONcode standard for trustworthy health information. It took me a few weeks to adapt to it, but the effect on preventing chest pain was dramatic. 1998 Oct;61(10):577-83. For details see our conditions. Patient does not provide medical advice, diagnosis or treatment. Talk to your pharmacist for more details. Your dose may need to be gradually decreased. The extended-release capsule usually is taken once daily. 2005 - 2023 WebMD LLC. This is called a medicine interaction. If you are a Mayo Clinic patient, this could 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. URL of this page: https://medlineplus.gov/druginfo/meds/a682348.html. 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. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. Please upgrade your browser or download modern browsers from here! So get a ct scan brain apart from cardiology workup. Some brands of isosorbide mononitrate tablets should be taken two or three times a day. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Truven Health does not assume any responsibility or risk for your use of the Truven Health products.