Isonorm 20 Tablet (Isosorbide Mononitrate)

Description

Isonorm 20 MG Tablet is an effective medicine to prevent and treat the chest pain (angina) caused due to narrowing of blood vessels that carries blood to the heart. It also decreases the load on the heart ensuring effective pumping of blood.

Substitutes

List of substitutes for Isonorm 20 MG Tablet
Isomin 20 MG Tablet
Cipla Ltd.
Monopark 20 MG Tablet
Pfizer Ltd.
Monosorbitrate 20 MG Tablet
Abbott Healthcare Pvt. Ltd.
Nitrofix 20 MG Tablet
Micro Labs Ltd.
Vasotrate 20 MG Tablet
Torrent Pharmaceuticals Ltd.

Side effects

Major & minor side effects for Isonorm 20 MG Tablet
Bluish discoloration of lips, fingernails, palm, or hands
Irregular heartbeat
Low blood pressure
Dizziness and fainting
Headache
Nausea or Vomiting
Chest pain
Difficulty in breathing
Difficulty in swallowing
Hives and redness of skin
Burning, numbness, tingling in the arms and feet
Agitation and anxiety
Sleeplessnes

Uses of Isonorm 20 MG Tablet

What is it prescribed for?
Angina pectoris
This medicine is used for the prevention and treatment of angina (chest pain) caused due to reduced flow of blood and oxygen to the heart. It is not effective in treating chest pain that has already set in.

Dosage

Isonorm 10 Tablet
Isonorm 20 Tablet
Isonorm 60 SR Tablet

When not to use?

Allergy
This medicine is not recommended for use if you have a known history of allergy to Isosorbide-5-mononitrate or any other inactive ingredient present in the formulation.
Anemia
This medicine is not recommended for use if you have anemia or low levels of hemoglobin in the blood due to the increased risk of worsening the patient’s condition.
Obstructive heart disease
This medicine is not recommended for use if you have a condition where the blood vessels in the heart have blockage due to swelling or narrowing.
Head trauma/ Increased intracranial pressure
This medicine is not recommended for use in patients having a severe head injury or increased intracranial pressure due to the increased risk of worsening of the patient’s condition.
Medicine for erectile dysfunction
This medicine is not recommended for use if you are taking medicines for the treatment of erectile dysfunction. One of the most commonly used medicines for this condition is Viagra (sildenafil),

Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings
Other diseases
Report the incidence of all other diseases of the heart, lung, thyroid, kidney, liver etc to the doctor before receiving this medicine. All these conditions should be taken into consideration to ensure safe and effective use of this medicine.
Hypotension
Use of this medicine may cause a fall in blood pressure levels. This risk is especially higher in patients with a history of cardiovascular diseases. Close monitoring of blood pressure is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Driving and operating machinery
This medicine may cause symptoms such as dizziness, visual disturbances, fainting, weakness, etc. in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during or immediately after receiving this medicine.
Withdrawal symptoms
Abrupt discontinuation of this medicine may increase the risk of adverse effects. A gradual dose reduction is recommended to avoid these reactions. Do not stop the use of this medicine without consulting your doctor.
Nitrate free interval
The likelihood of development of drug tolerance is very high if this medicine is taken very regularly. A minimal amount of nitrate free time is required to avoid tolerance is 10-12 hr/day. The tolerance developed is in general for nitrates and may affect other medicines containing nitrates (cross-tolerance).
Pediatric use
This medicine is not recommended for use in patients less than 18 years of age since the safety and efficacy of use are not clinically established.

Dosage

Missed Dose
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for the next scheduled dose.
Overdose
Contact your doctor immediately if an overdose with this medicine is suspected. Symptoms of an overdose may include a severe headache, fever, nausea, vomiting, difficulty in breathing, excessive sweating, etc.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Consumption of alcohol during treatment with this medicine may increase the risk of severe side effects. These side effects may include confusion, dizziness, nausea, vomiting, weakness, and fainting. It is advised that you should avoid alcohol and not to perform activities which require high mental alertness like driving a vehicle and operating machinery when taking these medicines together.
Interaction with Medicine
Amitriptyline
Riociguat
Alprazolam
Flurazepam
Baclofen
Alteplase
Disease interactions
Heart Disease
This medicine should be used with caution in patients with a known history of acute myocardial infarction or congestive heart failure due to the increased risk of worsening the patient’s condition. Close monitoring of heart function and vital signs, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Hypotension
This medicine should be used with caution in patients suffering from hypotension (low blood pressure). Close monitoring of blood pressure levels is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Glaucoma
This medicine should be used with extreme caution in patients with a history of glaucoma (increased intraocular pressure) due to the increased risk of worsening of the patient’s condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Liver Disease
This medicine should be used with extreme caution in patients suffering from liver diseases due to an increase in the risk of serious adverse effects. Close monitoring of liver function is advised while taking this medicine. Report any symptoms of confusion or jaundice to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Kidney Disease
This medicine should be used with caution in patients with a history of kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Food interactions
Avoid or limit the use of licorice while taking this medicine. The risk of adverse effects is higher while using them together. Contact your doctor if you experience excessive sweating, dizziness, confusion after taking this medicine with licorice.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take this medicine exactly as instructed by the doctor. Do not take in larger or smaller quantities than prescribed. Do not discontinue the use of this medicine abruptly. There should be a sufficient time gap between the two dosages.
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