Be sure to follow your provider's instructions about when to take isosorbide mononitrate (Monoket). Your doctor will prescribe you a short-acting nitrate for you to take if this happens. Never take extra doses or stop taking it suddenly unless your provider tells you to do so. This risk may be even higher for certain groups. Your doctor may tell you to take a pain reliever to treat your headaches. Also, it is not intended to be taken just before physical activities (such as exercise or sexual intercourse) to prevent chest pain. As precautionary measure, it is preferable to avoid the use of isosorbide mononitrate during pregnancy. Data were assessed for carryover and time effects. Take this medication by mouth as directed by your doctor, usually twice a day. For even more savings, use a GoodRx coupon and pay just a fraction of the retail price. Do not change the dosing times unless directed by your doctor. Synthroid (levothyroxine) Tylenol (acetaminophen) Vitamin B12 (cyanocobalamin) Vitamin C (ascorbic acid) Vitamin D3 (cholecalciferol) Isosorbide mononitrate disease interactions There are 7 disease interactions with isosorbide mononitrate which include: AMI anemia hemodialysis hypotension intracranial pressure hypertrophic cardiomyopathy glaucoma However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. ask your doctor about the safe use of alcoholic beverages while you are taking isosorbide. If you do not remember until your next dose is nearly due, then leave out the forgotten dose and take your next dose when it is due. Things to remember when you fill your prescription. It is usually caused by narrowing of your coronary arteries due to a build-up of a fatty substance called atheroma. Talk to your doctor if you are using marijuana (cannabis). HHS Vulnerability Disclosure, Help Important information about all medicines, Notes on Isosorbide mononitrate dose and side-effects info, https://patient.info/medicine/isosorbide-mononitrate-elantan-imdur-isotard-monomax-tardisc-xismox, Manufacturer's PIL, Isosorbide mononitrate 10 mg tablets, Carmil XL; Chemydur XL; Elantan LA; Imdur; Isib XL; Ismo; Isodur XL; Isotard XL; Modisal XL; Monomax SR; Monomil XL; Nyzamac SR; Relosorb XL; Tardisc XL; Trangina XL; Xismox XL; Zemon XL, Tablets, modified-release (longer-acting) tablets, and modified-release (longer-acting) capsules, Ask your doctor or pharmacist to recommend a suitable painkiller. In Canada - Call your doctor for medical advice about side effects. St. John's wort. Tell your doctor right away if you have any serious side effects, including: fainting, fast/irregular/pounding heartbeat. Mehta D. Botanical medicines. 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. isosorbide mononitrate prices. Dated October 2016. Sept. 26, 2022. Other medications may be prescribed by your doctor for these conditions. Isosorbide tablets are also used with other medications to treat heart failure. It will give you more information about nitrate medicines, and it will also provide you with a full list of side-effects which you could experience from taking isosorbide mononitrate. you should know that you may experience headaches every day during your treatment with isosorbide. This is called a medicine interaction. Isosorbide mononitrate belongs to the group of medicines called nitrates. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:Less commonAcid or sour stomachanxietyback painbelchingblemishes on the skinbloatedbreast painburning feeling in the chest or stomachburning, dry, or itching eyeschange in color visionchanges in visioncold sweatscongestionconstipationcontinuing ringing or buzzing or other unexplained noise in the earscough producing mucusdecreased interest in sexual intercoursedifficulty seeing at nightdifficulty with movingdischarge, excessive tearingdouble visiondrooping upper eyelidsdull ache or feeling of pressure or heaviness in the legsearacheexcess air or gas in the stomach or intestinesfeeling of constant movement of self or surroundingsfeeling of warmthfeeling unusually coldfrequent urge to defecatefrozen shoulderfull feelinghearing lossheartburnhyperventilationinability to have or keep an erectionincreased appetiteincreased sensitivity of the eyes to sunlightincreased sputumindigestionirritabilityitching skin near damaged veinslack or loss of strengthloss in sexual ability, desire, drive, or performancemuscle or bone painmuscle stiffness or weaknessnightmaresnoisy breathingpain or tenderness around the eyes and cheekbonespassing gaspimplespoor concentrationrashredness of the face, neck, arms, and occasionally, upper chestredness, pain, swelling of the eye, eyelid, or inner lining of the eyelidredness, swelling, or soreness of the tonguerestlessnessseeing doublesensation of spinningsleepiness or unusual drowsinesssmall clicking, bubbling, or rattling sounds in the lung when listening with a stethoscopesmall lumps under the skinsore mouth or tonguestiff neckstomach bloating, burning, cramping, or painstomach discomfort or upsetstraining while passing stoolstuffy nosesudden sweatingswollen feet and anklestender, swollen glands in the necktenderness in the stomach areaterrifying dreams causing sleep disturbancestooth disordertrouble swallowinguncontrolled twisting movements of the neckvoice changesweight losswhite patches in the mouth, tongue, or throatOther side effects not listed may also occur in some patients. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. About one-half of adults in the United States say they have used one or more supplements in the past 30 days. Before using this medication, tell your doctor or pharmacist your medical history, especially of: low blood pressure. Do not let anyone else take your medication. Natural Medicines. All rights reserved. Herbal supplements can interact with medicines used to treat heart and blood vessel problems, such as high blood pressure and heart failure. URL of this page: https://medlineplus.gov/druginfo/meds/a682348.html. Try to keep your regular appointments with your doctor. isosorbide mononitrate (Rx) Brand and Other Names: Imdur, Monoket, more. Erectile dysfunction medications (e.g., sildenafil (Viagra), vardenafil (Levitra), tadalafil (Cialis)) cannot be taken while you're taking isosorbide mononitrate (Monoket). Information is also available online at https://www.poisonhelp.org/help. Duplication for commercial use must be authorized by ASHP. https://naturalmedicines.therapeuticresearch.com. Take them to your local pharmacy which will dispose of them for you. Eur Heart J. While both isosorbide mononitrate (Monoket) and nitroglycerin (Nitrostat) are both nitrate vasodilators, they are not the same medication. Consult your doctor before breast-feeding. from the best health experts in the business. Ginkgo. Available for Android and iOS devices. You can develop a tolerance to isosorbide mononitrate (Monoket) over time, which means the dose you've been taking doesn't work as well. Accessed Sept. 7, 2022. Higher dosages are associated with stomach irritation and Take isosorbide exactly as directed. Trapidil is as effective as isosorbide-dinitrate for treating stable angina pectoris: a multinational, multicenter, double-blind, randomized study. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. Real test is coronary angiography. If you experience any other symptoms which you think may be due to the medicine, please speak with your doctor or pharmacist for further advice. (2) One in 3 patients never experienced headache from the given dosages. Are you looking for information on isosorbide dinitrate (Isordil) instead? This product may contain inactive ingredients, which can cause allergic reactions or other problems. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Receive price alerts, news, and other messages from GoodRx about isosorbide mononitrate (Monoket) and other healthcare topics and relevant savings offers. Headaches can be a sign that the medicine is working, and they might lessen with continued use of the medication. Journal of the American College of Cardiology. Accessed Sept. 7, 2022. What conditions does Isosorbide Mononitrate treat? DUMQOL (DUtch Mononitrate Quality of Life) Study Group. If you suffer headaches when taking Isosorbide mononitrate, be patient. Tell your doctor if this medication stops working well (for example, you have more frequent or worsening chest pain). It is used to treat and prevent a wide range of different conditions. Accessed Sept. 7, 2022. It works by relaxing and widening blood vessels so blood can flow more easily to the heart.This medication will not relieve chest pain once it occurs. Prescription only Prescribed for Angina, Heart Failure, Angina Pectoris Prophylaxis. Isosorbide mononitrate systemic 60 mg (A ID). Unable to load your collection due to an error, Unable to load your delegates due to an error. The effects of this exposure on a nursing infant are unknown. What happens if I stop taking isosorbide mononitrate (Monoket)? Get emergency help immediately if any of the following symptoms of overdose occur: bulging soft spot on the head of an infant, change in the ability to see colors, especially blue or yellow, feeling of constant movement of self or surroundings. Limited data from animal studies indicate no adverse effects on the pregnancy or the unborn child. This does not necessarily mean no interactions exist. No you may not. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Accessed Sept. 7, 2022. St. Joseph 81 mg Aspirin Enteric Safety-Coated. American Society of Health-System Pharmacists, Inc. Disclaimer, U.S. Department of Health and Human Services. the unsubscribe link in the e-mail. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. 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. Do not take two doses together to make up for a missed dose. Medicines containing Isosorbide Mononitrate. An official website of the United States government. The tablet usually is taken two or three times daily. There are a number of medications that your doctor can prescribe in place of isosorbide mononitrate (Monoket). Patients were randomized to either 60 mg 5-ISMN once daily (od) for two weeks or to 30 mg 5-ISMN od for one week followed by 60 mg 5-ISMN od for one week. If you buy any medicines, please check with a pharmacist that they are suitable for you to take with isosorbide mononitrate. This list covers only some interactions. Along with its needed effects, a medicine may cause some unwanted effects. Federal government websites often end in .gov or .mil. Some products that may interact with this drug include: drugs to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, tadalafil), riociguat. AHFS Patient Medication Information. FOIA It works by relaxing the blood vessels so the heart does not need to work as hard and therefore does not need as much oxygen. With any medication, there are risks and benefits. Danshen. Let your provider know if they are excessive. This is so your doctor can check on your progress. Murray MT. If you notice other effects not listed above, contact your doctor or pharmacist. The extended-release tablet usually is taken once daily in the morning. Cardizem may also be used for purposes not listed in this medication guide. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Isosorbide mononitrate dilates (widens) blood vessels, making it easier for blood to flow through them and easier for the heart to pump.Isosorbide mononitrate is used to prevent angina attacks (chest pain). Registered in England and Wales. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. https://naturalmedicines.therapeuticresearch.com. If you miss a dose, take it as soon as you remember. Reduction of blood-nitrate concentrations to low levels for 4 to 12 hours each day usually maintains effectiveness in such patients. Glyceryl trinitrate (GTN) is commonly prescribed for this. Is isosorbide mononitrate (Monoket) the same as nitroglycerin (Nitrostat)? There are 195 drugs known to interact with Background: Nitrates, although important for the management of angina pectoris, cause significant headache in many patients. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Alcohol, including beer, wine, and spirits, does raise your blood pressure if its consumed in excess. Cleophas TJ, Niemeyer MG, van Der Wall EE. All rights reserved. Daily headaches are a common side effect. No, that's not true all the time. Some of these medicine interactions can be risky. It relaxes blood vessels in your body (causing them to widen) and this reduces the strain on your heart, making it easier for your heart to pump blood around your body. Patient is a UK registered trade mark. Angina pain develops if part of your heart muscle does not get as much blood and oxygen as it needs. Mehta D. Herbal & dietary supplements. Medicines Complete BNF 84th Edition; British Medical Association and Royal Pharmaceutical Society of Great Britain, London. Some of the common derivatives include isosorbide dinitrate and isosorbide mononitrate, which are . Isosorbide mononitrate is used to prevent chest pain in patients with a certain heart condition (coronary artery disease).This medication belongs to a class of drugs known as nitrates. Follow directions about how much medicine to take. Of the total drug interactions, Advertising revenue supports our not-for-profit mission. Does Isosorbide Mononitrate interact with other drugs you are taking? Breastfeeding:There is data that nitrates are excreted in breast milk and may cause methemoglobinemia in infants. Keep this medication in the container it came in, tightly closed, and out of reach of children. Some conditions may become worse when the drug is suddenly stopped. other information we have about you. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.AvanafilRiociguatSildenafilTadalafilVardenafil. 2010; doi:10.1016/j.jacc.2009.07.074. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Saw palmetto might make your risk of bleeding higher if you also take a blood thinner, such as: It's not suggested to take St. John's wort if you take blood thinners. Theyre fast, easy-to-use and free! We study 23,548 Isosorbide mononitrate users. My blood pressure, cholesterol and pulse are all normal and I have no chest pains, shortness of breath or other heart problem symptoms. If you become pregnant while taking isosorbide, call your doctor. It took me a few weeks to adapt to it, but the effect on preventing chest pain was dramatic. Nitrates in the management of acute coronary syndrome. For haemoglobin formation vit. I would rather take the chance of a heart attack than have no quality of life. Your doctor may recommend treating headaches with an over-the-counter pain reliever (such as acetaminophen, aspirin). Please enable it to take advantage of the complete set of features! This medication belongs to a class of drugs known as nitrates. These headaches may be a sign that the medication is working as it should. The most common side-effect is headache. 5.0 out of 10 from a total of 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. It also may keep some medicines from working as well as they should, such as: If your health care provider tells you it's OK to use an herbal supplement along with medicine, be careful. Do infrared saunas have any health benefits? 19 are major, 174 are moderate, and 2 are minor. 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. Background: What are the side effects of Isosorbide Mononitrate ? Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. It is in the nitrate class of drugs. Classes: Nitrates, Angina Print Dosing & Uses AdultPediatricGeriatric Dosage Forms & Strengths tablet 10mg 20mg. The narrowing makes it more difficult for blood to flow to your heart muscle. Accessed Sept. 7, 2022. Isosorbide mononitrate (Monoket) is good for a specific type of chest pain (called angina), but it can cause headaches or dizziness after you take it. https://naturalmedicines.therapeuticresearch.com. This product is available in the following dosage forms: There is a problem with It might help to take isosorbide mononitrate and dinitrate after meals. Who should not take Isosorbide Mononitrate? B12 and folic acid is essential along with iron. To avoid this problem, get up slowly, resting your feet on the floor for a few minutes before standing up. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. To help you remember, take it at the same times each day. It is important to take the drug at the same times each day. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Do not take more or less of it or take it more often than prescribed by your doctor. What You Need to Know, Angina (a specific type of chest pain) caused by heart disease. It is unknown if this medication passes into breast milk. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Zhonghua Yi Xue Za Zhi (Taipei). 2017; doi:10.1016/j.jacc.2016.11.078. All rights reserved. The American Society of Health-System Pharmacists, 4500 East-West Highway, Suite 900, Bethesda, Maryland. Always consult your healthcare provider. Does Alcohol Raise Your Blood Pressure? It works by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its workload. Do not share this medication with others. Higher than recommend dosage of sublingual isosorbide dinitrate for treating angina pectoris: a case report and review of the literature. Imdur (isosorbide mononitrate) Extended Release and Isordil (isosorbide dinitrate) are vasodilators indicated for the prevention of angina pectoris due to coronary artery disease.. Side effects of Imdur and Isordil that are similar include headache and dizziness.. Side effects of Isordil that are different from Imdur include weakness and skin changes such as redness, tingling, or warmth. Isosorbide mononitrate has an average rating of Isosorbide mononitrate (Monoket) works slowly to help prevent chest pain. 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. May also be prescribed off label for Esophageal Spasm. That's why you need to talk with your health care provider before you take herbal supplements if you take prescription medicines. If your chest pain attacks happen more often, last longer, or become more severe at any time during your treatment, call your doctor. Enter your medication into the WebMD interaction checker, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Fitness vs. Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to similar drugs (such as isosorbide dinitrate, nitroglycerin); or if you have any other allergies. Before information highlighted below and resubmit the form. 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. Do not use medications containing isosorbide dinitrate while using isosorbide mononitrate. Do not store in the bathroom. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088). Be sure to mention any of the following: aspirin; beta blockers such as atenolol (Tenormin, Tenoretic), carteolol , labetalol (Trandate), metoprolol (Lopressor, Toprol-XL, in Dutoprol, in Lopressor HCT), nadolol (Corgard, in Corzide), propranolol (Hemangeol, Inderal, Innopran), sotalol (Betapace, Sorine, Sotylize), and timolol; calcium channel blockers such as amlodipine (Norvasc, in Amturnide, in Tekamlo), diltiazem (Cardizem, Cartia, Dilt-CD, others), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), and verapamil (Calan, Covera, Verelan); ergot-type medications such as bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (D.H.E. . This chest pain can feel more intense or painful than it was before you began taking isosorbide mononitrate (Monoket). "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Isosorbide mononitrate belongs to the group of medicines called nitrates. Some of these interactions can be life-threatening. Many common herbal supplements interact with common heart medicines. 67% of reviewers reported a positive effect, while 13% reported a negative effect. The .gov means its official. Aspirin has an average rating of Consult your doctor for more details. This is called tolerance, and it cannot be fixed by raising the dose of the medication. This medicine is for you. Please see a good cardiologist, get admitted, get checked thoroughly. My EKG showed Assess your symptoms online with our free symptom checker. Using this medicine with any of the following medicines is not recommended. What special precautions should I follow? Isosorbide mononitrate (Monoket) may interact with certain medications or supplements. Many people using this medication do not have serious side effects. isosorbide mononitrate, along with Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction. Isosorbide mononitrate (Monoket) can cause some serious health issues. It is components of vit. Nitrates, although important for the management of angina pectoris, cause significant headache in many patients. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Ask your doctor before using aspirin together with alcohol. But only about 25% of people who take herbal supplements tell their health care providers.