Product image of Ismo Retard (Isosorbide Mononitrate) supplied by GNH India

Ismo Retard

Active Ingredient:
Isosorbide Mononitrate
Origin:
EU

Ismo Retard (Isosorbide Mononitrate)

Isosorbide Mononitrate, the active ingredient in Ismo Retard, is an organic nitrate presented as an oral tablet for oral use. It is used to prevent and treat stable angina pectoris in adults.

GNH India supplies Ismo Retard as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Esteve Pharmaceuticals Gmbh

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Indications & Clinical Uses

Isosorbide Mononitrate is employed in the management of coronary artery disease and related angina syndromes.

  • Stable angina pectoris: reduces the frequency of angina attacks and improves exercise tolerance.
  • Chronic stable angina: provides prophylactic relief of chest pain during daily activities.
  • Angina due to coronary artery disease: decreases myocardial oxygen demand by lowering cardiac preload and afterload.

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, reduced preload and afterload, and consequently lower myocardial oxygen consumption.

Side Effects

Common side effects are generally mild and related to the vasodilatory action of the drug.

Common Side Effects

  • Headache
  • Dizziness
  • Flushing
  • Hypotension
  • Nausea
  • Palpitations

Serious or Rare Side Effects

  • Severe hypotension
  • Syncope (fainting)
  • Myocardial infarction
  • Life‑threatening arrhythmias
  • Anaphylactic or severe allergic reaction
  • Methemoglobinemia (rare)

Precautions & Warnings

Before initiating therapy, clinicians should evaluate cardiovascular status and consider concomitant medications.

  • Assess blood pressure: ensure baseline values are within safe limits before starting.
  • Avoid abrupt discontinuation: sudden stop may precipitate rebound angina.
  • Concomitant nitrate therapy: increases risk of profound hypotension.
  • Renal impairment: monitor renal function and adjust dose if needed.
  • Hepatic impairment: use with caution and observe for increased exposure.
  • Store at ambient temperature 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 organic nitrates: additive vasodilatory effect causing severe hypotension.
  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): risk of profound hypotension.
  • Sodium nitrite: potentiates hypotensive response.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: may enhance blood‑pressure‑lowering effect.
  • Diuretics: can increase the likelihood of orthostatic hypotension.
  • Alcohol: may augment vasodilatory side effects such as dizziness and flushing.

Frequently Asked Questions

Ismo Retard contains Isosorbide Mononitrate, which is prescribed to prevent and treat stable angina pectoris. By reducing myocardial oxygen demand, it helps lessen the frequency and severity of chest pain episodes in patients with chronic coronary artery disease.

The drug releases nitric oxide after oral absorption. Nitric oxide activates guanylate cyclase in vascular smooth muscle, raising cyclic GMP levels. This cascade relaxes both arteries and veins, lowering preload and afterload, which decreases the heart’s workload and oxygen consumption.

The exact dose of Ismo Retard is determined by the prescribing clinician based on the individual’s clinical condition, response, and tolerance. Physicians typically start with a low dose and may adjust it gradually, but specific dosing regimens should not be inferred without a medical prescription.

Safety data for Isosorbide Mononitrate during pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To place an order, 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.

Ismo Retard belongs to the organic nitrate class, offering once‑daily dosing and a longer half‑life compared with short‑acting nitrates like nitroglycerin. Unlike beta‑blockers or calcium‑channel blockers, its primary action is vasodilation, making it useful as a first‑line prophylactic agent or in combination therapy when other classes are insufficient.

Store Ismo Retard at ambient temperature below 25 °C, in its original packaging, and protect it from moisture and direct sunlight. Keep the container tightly closed and out of reach of children. No refrigeration is required for this oral tablet formulation.

Ismo Retard is taken orally, usually as a whole tablet swallowed with a glass of water. It is generally prescribed for once‑daily administration, but the exact timing and frequency are set by the prescriber according to the patient’s therapeutic plan.

Serious adverse events include severe hypotension, syncope, myocardial infarction, life‑threatening arrhythmias, and rare allergic reactions such as anaphylaxis. Patients should seek immediate medical attention if they experience sudden dizziness, fainting, chest pain, or any signs of an allergic response.

Ismo Retard is contraindicated in patients with severe hypotension, recent myocardial infarction, concurrent use of other organic nitrates or PDE‑5 inhibitors, and those with known hypersensitivity to Isosorbide Mononitrate or any excipients in the tablet. Clinicians must evaluate each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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