What's Monoket (isosorbide mononitrate)?
Isosorbide mononitrate is within a group of medications referred to as nitrates. Isosorbide mononitrate dilates (widens) blood vessels, producing it simpler for blood to flow via them and much easier for that heart to pump.
Isosorbide mononitrate is used to prevent angina attacks (chest discomfort).
Isosorbide mononitrate won't deal with an angina assault that has already begun.
Isosorbide mononitrate could also be utilised for purposes not listed in this medication guide.
What exactly is essentially the most important information and facts I should really learn about Monoket (isosorbide mononitrate)?
Tend not to use isosorbide mononitrate if you are taking sildenafil (Viagra, Revatio). Serious, life-threatening unwanted side effects can happen when you consider isosorbide mononitrate whilst you are making use of sildenafil. You should not use this medication in case you are allergic to isosorbide mononitrate, isosorbide dinitrate, (Isordil, Dilatrate, Isochron), or nitroglycerin, or if you have early indicators of a heart attack (chest ache or heavy feeling, ache spreading towards the arm or shoulder, nausea, sweating, general ill feeling).
Before taking isosorbide mononitrate, tell your medical doctor for those who have congestive heart failure, reduced blood stress, or kidney disease.
Isosorbide mononitrate could cause extreme headaches, especially when you very first commence using it. These headaches may slowly come to be less severe as you continue to utilize the medicine. Usually do not stop taking isosorbide mononitrate. Request your physician ahead of utilizing any headache ache medicine.
Isosorbide mononitrate is not going to treat an angina attack that has currently begun.
Use isosorbide mononitrate regularly to avoid an angina assault. Get your prescription refilled before you run out of medication absolutely.
Really don't halt taking isosorbide mononitrate abruptly. Stopping abruptly could cause a extreme angina attack.
What should I focus on with my healthcare supplier just before taking Monoket (isosorbide mononitrate)?
Don't use isosorbide mononitrate when you are taking sildenafil (Viagra, Revatio). A harmful drug interaction could take place, top to severe side effects. You'll want to not use this medicine if you're allergic to isosorbide mononitrate, isosorbide dinitrate, (Isordil, Dilatrate, Isochron), or nitroglycerin, or if you have early signs of a heart assault (chest discomfort or heavy feeling, ache spreading towards the arm or shoulder, nausea, sweating, common ill feeling).
To make sure it is possible to safely take isosorbide mononitrate, inform your medical professional in the event you have any of those other circumstances:
- congestive heart failure;
- low blood pressure; or
- kidney condition.
FDA pregnancy class C. It is not identified whether or not isosorbide mononitrate will harm an unborn child. Tell your medical doctor in case you are pregnant or strategy to come to be pregnant while working with this medicine. It's not identified no matter whether isosorbide mononitrate passes into breast milk or if it could harm a nursing baby. Usually do not use this medication with out telling your health care provider in case you are breast-feeding a infant.
Isosorbide mononitrate may cause extreme headaches, especially when you initial start using it. These headaches could slowly develop into significantly less extreme as you continue to implement isosorbide mononitrate. Will not stop taking the medication. Inquire your health practitioner in advance of using any headache ache medicine.
How need to I take Monoket (isosorbide mononitrate)?
Take precisely as prescribed by your health care provider. Will not take in more substantial or more compact amounts or for longer than suggested. Follow the instructions on your prescription label.
Your health practitioner might occasionally transform your dose to make certain you get the very best final results.
Not all brands and kinds of isosorbide mononitrate are taken exactly the same quantity of times a day. Chances are you'll must consider the medicine only once day-to-day, inside the morning just after acquiring from bed. Or you may well will need a 2nd dose later in the day. Comply with your doctor's dosing instructions pretty carefully.
If feasible, attempt to rest or stay seated when you use this medicine. Isosorbide mononitrate may cause dizziness or fainting.
Consider this medicine with at least four ounces of water or other liquid. Usually do not crush, chew, or break an extended-release tablet. Swallow the pill entire. Breaking the pill may perhaps cause a lot of on the drug to become released at 1 time. This medicine may cause uncommon outcomes with sure medical tests. Inform any medical professional who treats you that you are employing isosorbide mononitrate.
Situations that may perhaps induce very reduced blood pressure incorporate: vomiting, diarrhea, heavy sweating, heart illness, dialysis, a very low salt food plan, or taking diuretics (water tablets). Tell your health care provider for those who possess a prolonged illness that causes diarrhea or vomiting.
Use isosorbide mononitrate on a regular basis to avoid an angina assault. Get your prescription refilled ahead of you run out of medication totally.
Tend not to quit taking isosorbide mononitrate all of a sudden. Stopping abruptly could result in a significant angina attack.
Do not change brands of isosorbide mononitrate without the approval of your health practitioner.
Shop at area temperature away from moisture, heat, and light. Continue to keep the bottle tightly closed when not in use.
What takes place if I miss a dose?
Take the missed dose when you try to remember. Skip the missed dose if it truly is almost time for the up coming scheduled dose. Usually do not take more medicine to generate up the missed dose.
What transpires if I overdose?
Look for emergency healthcare focus or get in touch with the Poison Support line at 1-800-222-1222. An overdose of isosorbide mononitrate may be fatal.
Overdose signs and symptoms may well include a extreme throbbing headache, fever, confusion, dizziness or spinning sensation, quickly or pounding heartbeats, vision challenges, nausea, vomiting, stomach pain, bloody diarrhea, problems breathing, sweating, cold or clammy skin, feeling light-headed, fainting, and seizure (convulsions).
What need to I keep away from when taking Monoket (isosorbide mononitrate)?
This medicine may perhaps impair your thinking or reactions. Be careful when you drive or do something that involves you to become alert.
Stay clear of receiving up as well speedy from a sitting or lying place, otherwise you could really feel dizzy. Get up slowly and regular by yourself to prevent a fall.
Consuming alcohol can raise specific uncomfortable side effects of isosorbide mononitrate.
Monoket (isosorbide mononitrate) negative effects
Get emergency health-related support when you have any of those signs of an allergic reaction: hives; difficulty breathing; swelling of one's face, lips, tongue, or throat. Phone your health practitioner at when when you have a critical side impact for instance:
speedy, slow, pounding, or uneven heart rate;
feeling like you might pass out;
problems breathing, blue-colored skin, exhausted feeling; or
worsening angina pain.
Significantly less significant negative effects may possibly include things like:
- headache, mild dizziness;
- warmth, redness, or tingling under your skin;
- nausea, vomiting, constipation, diarrhea;
- ache or stiffness in joints or muscle tissue;
- hot flashes; or
- dry mouth.
This is not a finish list of unwanted side effects and other folks may perhaps occur. Call your health care provider for healthcare assistance about uncomfortable side effects. You may report uncomfortable side effects to FDA at 1-800-FDA-1088.
See also: Monoket negative effects (in far more detail)
What other medications will influence Monoket (isosorbide mononitrate)?
Tell your doctor about all other medications you utilize, specifically:
blood stress medication;
dihydroergotamine (D.H.E. 45, Migranal) or ergotamine (Ergomar, Cafergot, and other people);
an erectile dysfunction medicine such as tadalafil (Cialis) or vardenafil (Levitra);
a beta blocker like atenolol (Tenormin, Tenoretic), carvedilol (Coreg), labetalol (Normodyne, Trandate), metoprolol (Dutoprol, Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal, InnoPran), sotalol (Betapace), and others;
heart or blood stress medicine for instance amlodipine (Norvasc, Caduet, Exforge, Lotrel, Tekamlo, Tribenzor, Twynsta, Amturnide), diltiazem (Cartia, Cardizem), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), and other individuals.
This checklist is just not total along with other medicines may possibly interact with isosorbide mononitrate. Inform your health practitioner about all medicines you utilize. This consists of prescription, over-the-counter, vitamin, and herbal merchandise. Really don't start a fresh medicine without having telling your physician.