What is Ismo

This drug has a generic name Isosorbide Mononitrate, which is prescribed mainly to prevent angina (chest pain). It belongs to a family of drugs known as nitrates. It dilates (widens) blood vessels, paving a clear passage for the blood to flow across the whole body and thereby helping heart to pump blood more easily. However, this drug cannot be helpful in treating the angina attack that has already begun. This medication may also be prescribed for some other conditions which are not listed here. The drug is sold under various trade names, some of these are Isosorb Mono, Ismo (made by ESP Pharma Inc.), and Imdur (made by Schering Corporation).

Important information about Isosorbide Mononitrate

Prohibit the use of Isosorbide Mononitrate if you are taking Sildenafil (Viagra, Revatio, or others) because ingesting both medicines at the same time can lead to critical conditions which might deteriorate.  You should avoid the intake if you are strictly allergic to it and other nitrate medicine which consists of isosorbide diMononitrate, or nitroglycerin. Also, avoid the ingestion of this drug, if you have early signs of a heart attack (chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, or general ill feeling).

It is extremely necessary to tell your doctor about any kind of diseases you have like congestive heart failure, low blood pressure, or kidney disease. One of the most important things that you must keep in your mind is that it can cause severe headaches initially when you start taking it. These kinds of headaches may become mild when you take the drugs in continuation. Consult your doctor if you need a headache medicine with Isosorbide Mononitrate.

Do not stop taking this medicine suddenly because it might cause some serious effects like increases the risk of an angina attack and other cardiac issues. It is a FDA pregnancy category C drug. It might be not known whether it would cause any harm to an unborn baby if taken while being pregnant. You must consult your doctor before using this medication because it can cause harmful effects if you are breast feeding.  

Before taking Isosorbide Mononitrate

Before taking Isosorbide Mononitrate (Isosorb Mono, Ismo, Imdur), you should take care about all the precautions mentioned above. Discuss all the conditions regarding this medicine with your doctor and clear your doubts.

Dosage information

You should take this medicine strictly according to your doctor’s advice. You may prefer the instructions given on the medicine leaflet. Do not alter the medicine dosage until your doctor advices you to do so. Also, do not take this medicine after the prescribed period is over. Always store the medicine in cool and dry place. In order to avoid dehydration, drink plenty of water. Watch out for causes of low blood pressure diarrhea, vomiting, heavy sweating, dialysis, low salt diet, or taking diuretics, and seek medical help immediately.

Note: Isosorbide Mononitrate dosage depends on lots of factors like age, sex, drug allergies, or seriousness of the condition, your doctor may fix the dosage by examining you properly.  Strictly follow the dosage instruction prescribed by your doctor.  

What if you miss a dose

If you miss a dose of Isosorbide Mononitrate, take it as soon as possible. But, skip the missed one if next dose time is almost up. Taking multiple doses within a short duration of time can harm your body.

What if you overdose

If you overdose, you should contact your doctor immediately and get emergency medical help to recover the situation. 

Things and activities to avoid

This drug may impact on your thinking capability and reflexes; hence you should avoid such things which require high alertness and mental awareness like driving etc. Avoid or limit the consumption of alcohol while using this medicine. Also, avoid getting up quickly from a sitting position because it can lead to dizziness in your body.

What are the Side Effects

Some common side effects of this drug are headache, dizziness, light headedness, nausea, and fluishing. If any of these effects persist in your body, then contact your doctor immediately. If you experience some serious ailments due to the intake of this medicine, stop the use and consult your doctor. 

Interaction with other drugs

There are some drugs which can interact with Isosorbide Mononitrate including blood pressure medicines, dihydroergotamine, ergotamine, Tadalafil, Vardenafil, beta blocker drugs (Atenolol, carvedilol, labetalol, metoprolol, or others), or heart disease medicines. These are not only the drugs that can interact with this medicine, there may be some others. Never start a new medication without your doctor permission.   

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