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

Isomonat Retard

Active Ingredient:
Isosorbide Mononitrate
Origin:
EU

Isomonat Retard (Isosorbide Mononitrate)

Isosorbide mononitrate, the active ingredient in Isomonat Retard, is an organic nitrate presented as an oral formulation for oral use. It is employed to prevent angina pectoris and to manage chronic stable angina in adult patients.
GNH India supplies Isomonat Retard as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Cheplapharm Arzneimittel Gmbh

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Indications & Clinical Uses

Isomonat Retard is used within the anti‑anginal/vasodilator class to relieve myocardial ischemia.

  • Prevention of angina pectoris: reduces the frequency of anginal attacks in patients with known coronary artery disease.
  • Chronic stable angina: improves exercise tolerance and decreases chest pain episodes during daily activities.
  • Ischemic heart disease management: lowers myocardial oxygen demand by vasodilation, helping to stabilize symptoms.

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

Adverse reactions may occur with any nitrate therapy.

Common Side Effects

  • Headache: often transient and dose‑related.
  • Dizziness or light‑headedness.
  • Flushing of the skin.
  • Hypotension: mild to moderate blood pressure drop.
  • Nausea or gastrointestinal discomfort.
  • Palpitations or tachycardia.

Serious or Rare Side Effects

  • Severe hypotension leading to syncope.
  • Life‑threatening allergic reactions (anaphylaxis, angioedema).
  • Methemoglobinemia causing cyanosis.
  • Acute myocardial infarction in susceptible individuals.
  • Life‑threatening arrhythmias.
  • Persistent severe headache unresponsive to analgesics.

Precautions & Warnings

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

  • Blood pressure monitoring: check baseline and periodic readings to avoid excessive hypotension.
  • Cardiovascular assessment: ensure stable hemodynamics before use.
  • Avoid abrupt discontinuation: taper to prevent rebound angina.
  • Hepatic impairment: use with caution, adjust if necessary.
  • Renal impairment: monitor renal function and adjust dosing if required.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Isomonat Retard can interact with several drug classes, altering its safety profile.

Major Interactions (Avoid)

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

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents (ACE inhibitors, beta‑blockers, calcium channel blockers): may enhance blood‑pressure‑lowering effect.
  • Diuretics: can potentiate orthostatic hypotension.
  • Alcohol: may increase vasodilatory response and dizziness.
  • Azole antifungals (e.g., ketoconazole): possible increase in nitrate plasma levels.

Frequently Asked Questions

Isomonat Retard contains isosorbide mononitrate, an oral nitrate that is prescribed to prevent angina pectoris and to treat chronic stable angina. By dilating blood vessels, it reduces the heart’s workload and helps relieve chest pain associated with coronary artery disease.

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 blood pressure, and decreases myocardial oxygen demand.

The specific dose and dosing schedule of Isomonat Retard are determined by the prescribing clinician based on the patient’s medical condition, response to therapy, and other individual factors. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

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 possible risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To request Isomonat Retard, 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.

Isomonat Retard (isosorbide mononitrate) is a long‑acting organic nitrate, offering once‑daily dosing and steady plasma levels. Compared with short‑acting nitrates, it provides more consistent symptom control and fewer dosing fluctuations, while other classes such as beta‑blockers or calcium‑channel blockers act via different mechanisms.

Isomonat Retard should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture and direct sunlight to maintain stability and potency throughout its shelf life.

Isomonat Retard is taken orally, usually with a glass of water. The tablet should be swallowed whole and not crushed or chewed, unless the prescribing information states otherwise. Dosing time (e.g., morning) is guided by the prescriber to fit the patient’s routine.

Serious risks include severe hypotension, syncope, life‑threatening allergic reactions, methemoglobinemia, and rare cardiac events such as myocardial infarction or serious arrhythmias. Patients should seek immediate medical attention if they experience fainting, chest pain, or signs of an allergic reaction.

Isomonat Retard is contraindicated in patients with known hypersensitivity to isosorbide mononitrate or other organic nitrates, those who have taken phosphodiesterase‑5 inhibitors within 24 hours, and individuals with severe hypotension or uncompensated heart failure unless specifically directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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