Product image of Isoket (Isosorbide Dinitrate) supplied by GNH India

Isoket

Active Ingredient:
Isosorbide Dinitrate
Origin:
EU

Isoket (Isosorbide Dinitrate)

Isosorbide dinitrate, the active ingredient in Isoket, is a nitrate vasodilator presented as an oromucosal preparation for oromucosal use. It treats angina pectoris and heart failure in adult patients.

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

Manufacturer / TM Owner

Merus Labs Luxco Ii S.À R.L.

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Indications & Clinical Uses

Isoket belongs to the nitrate vasodilator class and is used in cardiovascular conditions where reduced myocardial oxygen demand is needed.

  • Angina pectoris: decreases the frequency and severity of chest pain episodes.
  • Chronic stable angina: provides prophylactic relief of anginal attacks.
  • Heart failure: improves exercise tolerance and reduces symptoms of congestive heart failure.

How It Works

  • Isosorbide dinitrate is enzymatically converted to nitric oxide after absorption. The nitric oxide activates guanylate cyclase, increasing cyclic GMP levels in vascular smooth muscle, which leads to relaxation of veins and arteries, reduced preload and afterload, and consequently lower myocardial oxygen consumption.

Side Effects

Isoket may cause a range of adverse reactions, which are grouped by frequency.

Common Side Effects

  • Headache: throbbing pain often occurring shortly after dosing.
  • Dizziness or light‑headedness: related to blood pressure lowering.
  • Flushing: warm sensation and reddening of the skin.
  • Nausea: mild gastrointestinal upset.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring medical attention.
  • Syncope: transient loss of consciousness.
  • Allergic reaction: rash, itching, or swelling that may indicate hypersensitivity.

Precautions & Warnings

Before prescribing Isoket, clinicians should consider several safety measures.

  • Monitor blood pressure: watch for excessive drops, especially after the first dose.
  • Avoid concurrent nitrates: combined use can cause profound hypotension.
  • Caution with phosphodiesterase‑5 inhibitors: risk of severe blood pressure reduction.
  • Adjust in renal impairment: dose may need modification in patients with reduced kidney function.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Isoket can interact with several drug classes, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Sildenafil, tadalafil, or other PDE‑5 inhibitors: may cause dangerous hypotension.
  • Other organic nitrates (e.g., nitroglycerin): additive vasodilatory effect.
  • Nitroprusside: synergistic blood pressure lowering.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents (e.g., ACE inhibitors, beta‑blockers): may enhance blood pressure reduction.
  • Diuretics: can increase the risk of dehydration and hypotension.
  • Alcohol: may potentiate vasodilatory effects and dizziness.

Frequently Asked Questions

Isoket contains isosorbide dinitrate, a nitrate vasodilator prescribed to relieve angina pectoris and to improve symptoms in patients with heart failure. It works by reducing the heart’s oxygen demand, helping to prevent chest pain episodes and enhance exercise capacity.

After absorption, isosorbide dinitrate is converted to nitric oxide, which activates guanylate cyclase in vascular smooth muscle. This raises cyclic GMP levels, causing veins and arteries to relax, lowering preload and afterload, and ultimately decreasing myocardial oxygen consumption.

The specific dose and dosing schedule of Isoket are determined by the prescribing clinician based on the individual’s condition, response, and tolerance. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety data for isosorbide dinitrate in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any potential risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To request Isoket, 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.

Isoket belongs to the nitrate class, offering rapid vasodilation and reduction of myocardial oxygen demand. Compared with beta‑blockers or calcium‑channel blockers, nitrates provide a distinct mechanism and are often used when those agents are insufficient or contraindicated.

Isoket should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and avoid exposing it to extreme temperatures.

Isoket is administered via the oromucosal route. The tablet or film is placed in the mouth and allowed to dissolve, ensuring rapid absorption through the mucous membranes. Patients should follow the specific administration instructions provided by their healthcare provider.

The most serious risks include severe hypotension, syncope, and rare allergic reactions such as rash or swelling. Patients should seek immediate medical attention if they experience fainting, a sudden drop in blood pressure, or signs of an allergic response.

Isoket should be avoided in patients who are concurrently using other nitrates, phosphodiesterase‑5 inhibitors, or have known hypersensitivity to isosorbide dinitrate. Individuals with severe anemia, recent myocardial infarction, or uncontrolled hypotension should also be evaluated carefully before use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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