Doctor insights on:
Isosorbide Mononitrate Vs Dinitrate
How long they last: The main difference is how long they last. Most dinitrate products are designed to be taken at least 2 x a day where as most of the mononitrate products once a day. They both are quite effective at controlling angina when appropriately prescribed. Some side effects thought a bit less with mono v. Di, but that varies a lot from person to person. ...Read more
Isosorbide mononitrate extended-release (imdur) vs quick acting release (by kremers). Which one can develop tolerance more. Which one prescribed often?
Different targets: Either can develop tolerance, long acting a little more likely b/c in system longer. But imdur usually for prolonged venous-dilitation / cardiac perfusion effects and immediate / short formulation more common w/cardiac symptoms. Ask you cardiologist or pharmacist for more specific information. ...Read more
That's ok: Okay to do so but would make sure this is done under physician advice. ...Read more
Can you tell me how much time after ceasing dosage of isosorbide mononitrate does it take to clear your system?
Isosorbide mononitra: The half time is about 5hrs, it should be substantially gone at 24hrs. ...Read more
Does monoket or its genric isosorbide mononitrate come as extended release or just immediate release. What are the different strengths.
Monoket: Also known as imdur comes in 30 60 and 120 mg it is a once a day drug but some docs like myself will use it twice a day. ...Read more
Cardiologist wrote 10 mg. Pharmacy has only 20 mg. Can you split isosorbide mononitrate 20 mg (monoket brand name). Is this extended release? Thanks.
Yes: Yes you can split the tab.Get a more detailed answer ›
Any withdrawal when try to stop using fast acting isosorbide mononitrate. How to wean off 2.5 mg that I have been taking@3 pm every day for 3 months.
Nitrate: Usually no withdrawal problem with nitrates.Get a more detailed answer ›
Isosorbide mononitrate is causing itching for my mother after having cardiac catheterization and prescribed to her, is it normall? If not alternatives?
Can using 0.3ml lidocaine with 1:100, 000 epinephrine during dental work interacts with bystolic, (nebivolol) benicar/hct or isosorbide mononitrate medicine.?
Probably not: Although Lidocaine is a vasodilator, there is no clinical evidence of any drug interactions or special precautions needed. However, if during the injection, some of the anesthetic were to be introduced directly into a blood vessel, the Epinephrine could cause a minor and short acting increase in heart rate. ...Read more
I'm taking 45mg isosorbide mononitrate ER for coronary artery spasms 25mg metoprolol ER for high bp. Will I have to be on these the rest of my life?
Maybe (not). . .: You'll need to address this question w/your cardiologist & family doc. If you're overweight or obese, it's possible to come off blood pressure, cholesterol & diabetes medications by changing lifestyle, eating right, exercising regularly & losing weight. Just curious, but why didn't you mention Lisinopril in your question? Regardless, metoprolol & Isosorbide Mononitrate can help decrease spasm. ...Read more
Supply and demand: Angina is caused by heart muscle not getting enough blood to meet its needs, think supply vs demand. By relaxing smooth muscle in the walls of coronary arteries, nitrates increase blood flow. They also dilate the body's veins, so less blood returns to the heart, and the heart walls are less stretched outwards. This reduces tension on the heart wall muscle, and hence demand for oxygen/blood. ...Read more
Does prolonged usage of isosorbide mono nitrate (ismo) cause vertigo and dizziness? Please, need some answers?
No: No it doesn't. There's your answer.Get a more detailed answer ›
Need to take 30 mg ER imdur for angina. Would it cause low blood pressure. How effictive it is vs regular isosorbide regular release on blood pressure?
Nitrates: Both may cause some drop in blood pressure but usually not very much. Nitrates are not typically used for treatment of hypertension. The effects of the short and long acting isosorbide mono nitrate are similar; the difference is how often it has to be taken, i.e. Once vs. Twice a day. ...Read more
Isordil (isosorbide dinitrate): Isosorbide dinitrate is a prescription drugGet a more detailed answer ›
RU in the UK?: Isoket spray is not available in the usa. It's a form of Nitroglycerin and it's used under the tongue for rapid relief of angina spells. In the usa, we use Nitroglycerin as a tablet or a spray and we use Isosorbide Dinitrate tablets for longer lasting relief/prophylaxis of angina. ...Read more
In a patient with migraines, will their frequency increase if the patient takes isordil (isosorbide dinitrate)?
Isordil (isosorbide dinitrate) & Headaches: Isordil is nitroglycerine, a vasodilator for the heart (seldom other) which can cause headaches. It is dose dependent, the higher the most likely headache. You may take tylenol (acetaminophen) for it. If your migraines get worst talk to the cardiologist about it. ...Read more
Isosorbide dinitrate: "Allergic reactions to organic nitrates are extremely rare, but they do occur. The isosorbide dinitrate tablet is contraindicated in patients who are allergic to ISDN or any of its other ingredients." See: http://dailymed. Nlm. Nih. Gov/dailymed/drugInfo. Cfm? Setid=8bb91825-b63e-44aa-8edd-4326823f3009 ...Read more
Isordil (isosorbide dinitrate): How do you know you are tolerant to the drug? ...Read more
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