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 presented as an oral tablet for oral use. It is employed for the prophylaxis of angina pectoris in adult patients who require long‑term reduction of myocardial oxygen demand. This medication belongs to the anti‑anginal therapeutic class and works by providing sustained nitric‑oxide release to dilate coronary vessels.

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

Isosorbide Mononitrate is an anti‑anginal nitrate used in the management of coronary artery disease.

  • Stable angina: reduces the frequency of chest pain episodes.
  • Exercise‑induced angina: improves tolerance to physical activity.
  • Chronic angina pectoris: helps prevent ischemic attacks during daily life.

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 walls, producing vasodilation that lowers preload and afterload, thereby decreasing myocardial oxygen consumption and relieving anginal symptoms.

Side Effects

Isosorbide Mononitrate may cause a range of adverse reactions, most of which are dose‑related and reversible.

Common Side Effects

  • Headache: mild to moderate, often transient.
  • Dizziness or light‑headedness: related to blood pressure changes.
  • Flushing: warm sensation of skin, especially face.
  • Nausea or abdominal discomfort.
  • Palpitations: sensation of rapid or irregular heartbeat.
  • Hypotension: mild drop in blood pressure.

Serious or Rare Side Effects

  • Severe hypotension leading to syncope.
  • Acute myocardial infarction (rare).
  • Life‑threatening arrhythmias.
  • Anaphylactic or severe allergic reactions.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Persistent tachycardia unresponsive to therapy.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate cardiovascular status and consider patient‑specific factors.

  • Assess cardiovascular stability: ensure patient is not hypotensive before dosing.
  • Avoid abrupt discontinuation: taper to prevent rebound angina.
  • Use caution with other nitrates: risk of additive hypotension.
  • Monitor blood pressure regularly during dose adjustments.
  • Adjust dose in renal impairment: consider reduced clearance.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Isosorbide Mononitrate can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Other nitrates (e.g., nitroglycerin, isosorbide dinitrate): may cause profound hypotension.
  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil, tadalafil): risk of severe blood pressure drop.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents (ACE inhibitors, beta‑blockers, calcium channel blockers): additive blood pressure lowering.
  • Diuretics: may enhance orthostatic hypotension.
  • Alcohol: can increase vasodilatory effects and dizziness.

Frequently Asked Questions

Imdur contains isosorbide mononitrate, an oral nitrate that is prescribed to prevent episodes of angina pectoris. It helps reduce the frequency and severity of chest pain by improving blood flow to the heart muscle during everyday activities and physical exertion.

Isosorbide mononitrate is converted in the body to nitric oxide, a potent vasodilator. Nitric oxide activates guanylate cyclase, raising cyclic GMP levels in vascular smooth muscle, which relaxes the vessels, lowers cardiac preload and afterload, and consequently decreases the heart’s oxygen demand.

The dosage of Imdur is individualized by the prescribing clinician based on the patient’s clinical condition, response, and tolerance. Healthcare professionals determine the appropriate strength, frequency, and any titration schedule required for optimal therapeutic effect.

The safety of isosorbide mononitrate in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified 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, and any necessary import documentation.

Imdur belongs to the nitrate class, offering sustained nitric‑oxide release, whereas other anti‑anginals such as beta‑blockers or calcium‑channel blockers act through different mechanisms like heart‑rate reduction or calcium influx inhibition. Nitrates are particularly effective for patients needing vasodilation to relieve chest pain.

Imdur should be stored at temperatures below 25 °C, in its original packaging, and protected from moisture and direct sunlight. Maintaining these conditions helps preserve tablet integrity and potency throughout its shelf life.

Imdur is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the prescribing clinician’s instructions regarding timing and any specific administration guidelines.

The most serious risks include severe hypotension, syncope, life‑threatening arrhythmias, and rare allergic reactions such as anaphylaxis or Stevens‑Johnson syndrome. Patients should seek immediate medical attention if they experience fainting, rapid heartbeat, or signs of a severe allergic response.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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