Product image of Imdur (Isosorbide Mononitrate) supplied by GNH India

Imdur

Active Ingredient:
Isosorbide Mononitrate
Origin:
EU

Imdur (Isosorbide Mononitrate)

Isosorbide Mononitrate, the active ingredient in Imdur, is a nitrate vasodilator presented as an oral tablet for oral use. It is employed to prevent angina pectoris and to manage chronic stable angina in adult patients.

GNH India supplies Imdur as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Topridge Pharma (Ireland) Limited

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Indications & Clinical Uses

Imdur belongs to the nitrate vasodilator class and is used in the management of angina‑related conditions.

  • Prevention of angina pectoris: reduces the frequency of angina attacks in patients with chronic stable angina.
  • Chronic stable angina: improves exercise tolerance and decreases myocardial oxygen demand.
  • Angina pectoris (symptomatic relief): alleviates chest pain during episodes of myocardial ischemia.

How It Works

  • Isosorbide Mononitrate is metabolized to release nitric oxide, which activates guanylate cyclase in vascular smooth muscle. The resulting increase in cyclic GMP leads to relaxation of arterial and venous vessels, producing vasodilation, lowering preload and afterload, and thereby reducing myocardial oxygen consumption.

Side Effects

Common Side Effects

  • Headache: mild to moderate throbbing sensation.
  • Dizziness: sensation of light‑headedness, especially on standing.
  • Flushing: warm feeling and reddening of the skin.
  • Hypotension: lower than normal blood pressure readings.
  • Nausea: mild gastrointestinal upset.
  • Palpitations: awareness of heartbeats.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring medical attention.
  • Syncope: sudden loss of consciousness.
  • Myocardial infarction: rare occurrence of heart attack.
  • Allergic reaction: rash, itching, swelling, or difficulty breathing.
  • Stevens‑Johnson syndrome: severe skin reaction, extremely rare.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Assess cardiovascular status: evaluate blood pressure and heart function prior to use.
  • Avoid concurrent PDE‑5 inhibitors: risk of profound hypotension.
  • Monitor for tolerance development: adjust therapy if efficacy diminishes.
  • Use with caution in hepatic or renal impairment: consider dose modification.
  • Store at ambient temperature: keep below 25°C, retain original packaging and protect from moisture.

Avoid Interactions

Isosorbide Mononitrate can interact with several drug classes.

Major Interactions (Avoid)

  • Sildenafil and other PDE‑5 inhibitors: may cause severe hypotension.
  • Other nitrates (e.g., nitroglycerin): additive vasodilatory effect leading to dangerous blood pressure drop.
  • Antihypertensive agents (ACE inhibitors, beta‑blockers): may enhance blood pressure lowering.

Moderate Interactions (Monitor Closely)

  • Diuretics: may increase risk of orthostatic hypotension.
  • Alcohol: can potentiate vasodilatory effects and dizziness.

Frequently Asked Questions

Imdur is prescribed to prevent episodes of angina pectoris and to manage chronic stable angina. By reducing the heart's oxygen demand, it helps patients experience fewer chest pain attacks and improves their ability to perform physical activities without discomfort.

Isosorbide Mononitrate releases nitric oxide after oral absorption. The nitric oxide activates guanylate cyclase, raising cyclic GMP levels in vascular smooth muscle. This cascade causes the blood vessels to relax, lowering blood pressure and decreasing the workload on the heart, which in turn lessens myocardial oxygen consumption.

The specific dose of Imdur is determined by the prescribing clinician based on the individual’s medical condition, response to therapy, and other medications. Patients should follow the dosage instructions provided by their healthcare professional and not adjust the dose on their own.

Safety data for Imdur in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss the risks with their healthcare provider.

To request Imdur, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Imdur belongs to the nitrate class, offering long‑acting vasodilation, whereas short‑acting nitrates like nitroglycerin provide rapid relief of acute attacks. Compared with beta‑blockers or calcium‑channel blockers, Imdur primarily reduces myocardial oxygen demand through vascular relaxation rather than heart‑rate control, making it a useful option in combination therapy.

Imdur tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original container, protect from moisture and direct sunlight, and ensure they are out of reach of children. Do not store in a refrigerator or freezer.

Imdur is taken orally, usually with a full glass of water. It can be taken with or without food, but patients should follow the specific timing instructions given by their prescriber to maintain consistent blood levels and minimize side effects.

The most serious risks include severe hypotension, syncope (fainting), and rare allergic reactions such as Stevens‑Johnson syndrome. Patients should seek immediate medical attention if they experience sudden dizziness, fainting, chest pain, or signs of an allergic reaction like rash, swelling, or breathing difficulty.

Imdur is contraindicated in patients with known hypersensitivity to isosorbide mononitrate or other nitrates, those who have recently used phosphodiesterase‑5 inhibitors, and individuals with severe hypotension or recent myocardial infarction. Clinicians should evaluate each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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