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It is in the nitrate class of drugs. Isosorbide may not work as well after you have taken it for some time or if you have taken many doses. Prescription and OTC Aspirin relieves pain and inflammation and helps to thin the blood. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Take your next dose at the regular time. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. This document does not contain all possible drug interactions. Headache, dizziness, lightheadedness, nausea, and flushing may occur as your body adjusts to this medication. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. McGraw Hill; 2022. https://accessmedicine.mhmedical.com/search. Yet many herbal supplements may interact with heart disease medicines. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The tablet usually is taken two or three times daily. Isosorbide mononitrate. What should I know regarding pregnancy, nursing and administering Isosorbide Mononitrate to children or the elderly? You can take your doses either before or after meals. Does Viagra add to the risks of melanoma? The most common side-effect is headache. Herbal supplements can interact with medicines used to treat heart and blood vessel problems, such as high blood pressure and heart failure. If you buy any medicines, please check with a pharmacist that they are suitable for you to take with isosorbide mononitrate. Cardizem may also be used for purposes not listed in this medication guide. Trapidil is as effective as isosorbide-dinitrate for treating stable angina pectoris: a multinational, multicenter, double-blind, randomized study. Your provider might temporarily have you stop isosorbide mononitrate (Monoket) if this happens. In case of overdose, call the poison control helpline at 1-800-222-1222. I took this for 4 days, and my headaches were unbearable. Nitrates (eg, isosorbide dinitrate, isosorbide mononitrate, nitroglycerin). Ask your doctor before using aspirin together with alcohol. Minimally clinically significant. The dose is according to the body weight and severity of the condition. and transmitted securely. Along with its needed effects, a medicine may cause some unwanted effects. Talk to your provider if you notice your chest pain starts to get worse. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Does Isosorbide Mononitrate interact with other drugs you are taking? Yes, it's good for health but don't take it excesse in amount, use once daily for 1 month then stop it or take once a weekly. https://naturalmedicines.therapeuticresearch.com. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time. Glyceryl trinitrate (GTN) is commonly prescribed for this. The longer you take isosorbide mononitrate, the more your body can become used to it (called tolerance), and then it can have less of an effect. This information is aggregated and used to produce personalized reports that patients can reference. Profen and Metoclopramide drug interaction, Metoclopramide and Nitrostat drug interaction, Metoclopramide and Alfentanil drug interaction, Risperdal and Metoclopramide drug interaction. It can make you really dizzy. Is not subject to the Controlled Substances Act. Prices for isosorbide mononitrate (Monoket) start at just $29.86 with a GoodRx coupon. The American Society of Health-System Pharmacists, 4500 East-West Highway, Suite 900, Bethesda, Maryland. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. https://www.uptodate.com/contents/search. As precautionary measure, it is preferable to avoid the use of isosorbide mononitrate during pregnancy. 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. Using this medicine with any of the following medicines is not recommended. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Learn to reduce stress through mindful living. Severe postural hypotension with light-headedness and dizziness is frequently observed after the consumption of alcohol. May also be prescribed off label for Esophageal Spasm. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. Take them to your local pharmacy which will dispose of them for you. Please see a good cardiologist, get admitted, get checked thoroughly. National Library of Medicine Natural Medicines. 2021 May 11;39:28. doi: 10.11604/pamj.2021.39.28.22180. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. Now, youll enjoy a streamlined experience created specifically for healthcare providers. No you may not. The information on this page is written and peer reviewed by qualified clinicians. If you have any questions about this medicine ask your pharmacist. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Keep all medicines out of the reach and sight of children. 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. Do not use medications containing isosorbide dinitrate while using isosorbide mononitrate. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. health information, we will treat all of that information as protected health The authors assessed the occurrence of angina pectoris and headache by diary cards while taking into account the number of isosorbide dinitrate sublingual puffs and paracetamole tablets required. Isosorbide can only be used to prevent angina; it cannot be used to treat an episode of angina once it has begun. Which drugs or supplements interact with isosorbide mononitrate? prevention of anginal chest pain associated with coronary artery disease, prevent bleeding varicose vein in the esophagus. It will not treat an angina attack that has already begun. Accessed Sept. 7, 2022. Isosorbide mononitrate (Monoket) is not a medication you take if you think you are having a heart attack. B12 and folic acid is essential along with iron. Using this medicine with any of the following medicines is not recommended. https://naturalmedicines.therapeuticresearch.com. Lyrica and Metoclopramide drug interaction, Calcitriol and Metoclopramide drug interaction. Isosorbide mononitrate is used to prevent angina (chest pain) caused by coronary artery disease (heart disease). 1996 Dec;3(12):802-806. doi: 10.1097/00045391-199612000-00003. My blood pressure, cholesterol and pulse are all normal and I have no chest pains, shortness of breath or other heart problem symptoms. The narrowing makes it more difficult for blood to flow to your heart muscle. Never give it to other people even if their condition appears to be the same as yours. 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. Properly discard this product when it is expired or no longer needed. Let your provider know if they are excessive.