Patient Leaflet Updated 27-Dec-2017 | Dexcel Pharma Ltd
Isosorbide Mononitrate Tablets 10, 20 and 40 mg
Isosorbide Mononitrate Tablets 10mg
Isosorbide Mononitrate Tablets 20mg
Isosorbide Mononitrate Tablets 40mg
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you.
1. What Isosorbide Mononitrate Tablets are and what they are used for
2. What you need to know before you take Isosorbide Mononitrate Tablets
3. How to take Isosorbide Mononitrate Tablets
4. Possible side effects
5. How to store Isosorbide Mononitrate Tablets
6. Content of the pack and other information
Isosorbide Mononitrate Tablets belong to a group of medicines called nitrate vasodilators. These work by relaxing the blood vessels of the heart, reducing the strain on the heart making it easier to pump blood.
Isosorbide Mononitrate Tablets are used to prevent angina pectoris. Angina usually feels like a tight pain in the chest, neck or arm area. The pain comes from the heart muscle and is a sign that part of it is not getting enough oxygen for the amount of work it is doing.
Do not take Isosorbide Mononitrate Tablets if:
Do not take Isosorbide Mononitrate Tablets if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Isosorbide Mononitrate Tablets.
Talk to your doctor or pharmacist before taking Isosorbide Mononitrate Tablets if you:
Do not take Isosorbide Mononitrate Tablets if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Isosorbide Mononitrate Tablets.
Other medicines and Isosorbide Mononitrate Tablets: Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines that you buy without a prescription and herbal medicines. This is because Isosorbide Mononitrate Tablets can affect the way some medicines work and some medicines can have an effect on Isosorbide Mononitrate Tablets.
Do not take Isosorbide Mononitrate Tablets if you are taking the following medicines:
Do not take Isosorbide Mononitrate Tablets if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Isosorbide Mononitrate Tablets.
Isosorbide Mononitrate Tablets and alcohol: Do not drink alcohol. It could increase the effect of Isosorbide Mononitrate Tablets and lower your blood pressure too much. If this happens, you may feel dizzy or faint.
Pregnancy, breast-feeding and fertility: If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Driving and using machines: Isosorbide Mononitrate Tablets may give you headache, blurred vision or make you feel dizzy or tired, make sure you are not affected before you drive or operate machinery.
Isosorbide Mononitrate Tablets contains lactose: If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Adults
You must not take Isosorbide Mononitrate Tablets for a sudden attack of angina. If you have a sudden attack, take a glyceryl trinitrate tablet (follow the instructions given on the label).
Patients with kidney or liver disease: A lower dose may be given.
Elderly: Dose should be reduced especially in patients with kidney or liver disease.
Children: Do not give these tablets to children.
If you take more Isosorbide Mononitrate Tablets than you should: If you take more Isosorbide Mononitrate tablets than you should, take to a doctor or go to a hospital straight away. Take the medicine pack with you so the tablets can be identified.
Signs of an overdose: pulsing headache, over excited, flushing, feeling or being sick, cold sweats, sweating, feeling dizzy or spinning sensation, restlessness, warm flushed skin, blurred vision fainting or passing out, fast heart beat or fall in blood pressure. Increase pressure in the brain with confusion and neurological deficits can sometimes occur. Methaemoglobinaemia, which manifests in symptoms such as bluish discoloration of the skin and mucous membranes (cyanosis); respiratory depression; seizures; irregular heart rate or rhythm.
If you stop taking Isosorbide Mononitrate Tablets: Do not stop taking Isosorbide Mononitrate Tablets without first talking to your doctor. You should keep taking your medicine until your doctor tells you to stop. Do not stop taking it just because you feel better. If you stop taking the tablets your condition may get worse.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
The following side effects may happen with this medicine:
The above problems usually disappear with time.
Other possible side effects:
Seek immediate medical help if you have any of the following symptoms:
Very common side effects (may affect up to 1 in 10 people):
Common side effects (may affect up to 1 in 10 people):
They may occur for the first few days of treatment or after your dosage has been increased.
Uncommon side effects (may affect up to 1 in 100 people):
Rare (may affect up to 1 in 1,000 people):
Very rare side effects (may affect up to 1 in 10,000 people):
Reporting of side effects: If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Do not throw away any medicine via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help to protect the environment.
What Isosorbide Mononitrate Tablets contain: The active substance is isosorbide mononitrate. Each tablet contains either 10mg, 20mg or 40mg of the active substance. The other ingredients are lactose monohydrate, compressible sugar, sodium starch glycollate, magnesium stearate and colloidal silicon dioxide.
Isosorbide Mononitrate Tablets 10mg are white round tablets with an embossment "IM 10" on one side.
Isosorbide Mononitrate Tablets 20mg/40mg are white round tablets, scored on one side with an embossment "ISMN 20"/"ISMN40".
Pack sizes are 28, 50, 56, 60, 100 or 500 tablets. Not all pack sizes may be marketed.
This leaflet was last revised in December 2017.
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