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 episodes of angina pectoris in patients with coronary artery disease.

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, a nitrate vasodilator, is used in the management of coronary artery disease‑related chest pain.

  • Angina pectoris (stable): reduces the frequency of chest pain episodes.
  • Exercise‑induced angina: improves tolerance to physical activity.
  • Prevention of angina attacks: maintains symptom control during daily life.

How It Works

  • Isosorbide mononitrate is metabolized to nitric oxide, which activates guanylate cyclase in vascular smooth muscle. The resulting increase in cyclic GMP leads to relaxation of veins and arteries, lowering preload and afterload, and thereby decreasing myocardial oxygen demand.

Side Effects

Common Side Effects

  • Headache: often transient and dose‑related.
  • Dizziness or light‑headedness: due to vasodilation.
  • Flushing: warm sensation of skin.
  • Nausea or upset stomach.
  • Palpitations: awareness of heartbeat.
  • Low blood pressure (orthostatic): may cause faintness.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring medical attention.
  • Syncope: sudden loss of consciousness.
  • Myocardial infarction (rare): chest pain worsening.
  • Allergic reactions: rash, itching, swelling.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis: severe skin reactions.

Precautions & Warnings

Before initiating therapy, consider the following precautions.

  • Dose titration: start with a low dose and increase gradually as tolerated.
  • Concomitant PDE‑5 inhibitors: avoid due to risk of profound hypotension.
  • Blood pressure monitoring: watch for symptomatic drops.
  • Renal or hepatic impairment: assess function and adjust if needed.
  • Pregnancy and lactation: use only if clearly indicated after risk‑benefit evaluation.
  • Store at ambient temperature: keep below 25 °C, protect from moisture and keep in original packaging.

Avoid Interactions

Isosorbide mononitrate may interact with several drug classes.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): can cause severe hypotension.
  • Other nitrates (e.g., nitroglycerin, isosorbide dinitrate): additive vasodilatory effect.

Moderate Interactions (Monitor Closely)

  • Antihypertensives (ACE inhibitors, beta‑blockers): may enhance blood‑pressure lowering.
  • Diuretics: increase risk of dehydration and hypotension.
  • Alcohol: can potentiate vasodilatory response and dizziness.

Frequently Asked Questions

Imdur contains isosorbide mononitrate, a nitrate vasodilator that is prescribed to prevent episodes of angina pectoris in patients with coronary artery disease. It helps reduce the frequency and severity of chest pain by improving blood flow to the heart.

After oral administration, isosorbide mononitrate is converted to nitric oxide. The nitric oxide activates guanylate cyclase, increasing cyclic GMP levels in vascular smooth muscle, which leads to relaxation of veins and arteries, lowering cardiac workload and oxygen demand.

The appropriate dose of Imdur is determined by the prescribing healthcare professional based on the individual’s clinical condition, response, and tolerance. Patients should follow the prescriber’s instructions and not adjust the dose without medical advice.

Safety of isosorbide mononitrate in pregnancy or while breastfeeding has not been definitively established. It should be used only if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by a qualified clinician.

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 and any necessary import documentation.

Imdur belongs to the nitrate class, which provides rapid vasodilation and is effective for angina prophylaxis. Compared with beta‑blockers or calcium‑channel blockers, nitrates act primarily by reducing preload, and they can be combined with other agents when monotherapy is insufficient.

Imdur should be stored at ambient temperature, preferably below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date.

Imdur is taken orally, usually with a full glass of water. It may be taken with or without food, but patients should follow the specific instructions provided by their prescriber to maintain consistent blood levels.

The most serious risks include severe hypotension, syncope, and rare allergic reactions such as Stevens‑Johnson syndrome. Patients should seek immediate medical attention if they experience fainting, a sudden drop in blood pressure, or severe skin rash.

Imdur is contraindicated in patients with known hypersensitivity to isosorbide mononitrate or other nitrates, those who have taken phosphodiesterase‑5 inhibitors within the past 24‑48 hours, and individuals with severe anemia or uncontrolled hypotension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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