Product image of Isordil Titradose (Isosorbide Dinitrate) supplied by GNH India

Isordil Titradose

Active Ingredient:
Isosorbide Dinitrate
Origin:
EU

Isordil Titradose (Isosorbide Dinitrate)

Isosorbide Dinitrate, the active ingredient in Isordil Titradose, is an organic nitrate presented as an oral tablet for oral administration. It is employed in the prophylaxis and treatment of angina pectoris and in the long‑term management of chronic heart failure in adult patients.

GNH India supplies Isordil Titradose as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our distribution network adheres to stringent quality standards and regulatory requirements, ensuring reliable access to this anti‑anginal medication across multiple regions.

Manufacturer / TM Owner

Teofarma S.R.L.

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Indications & Clinical Uses

Isordil Titradose, an organic nitrate, is indicated for cardiovascular conditions where vasodilation reduces cardiac workload.

  • Angina pectoris: decreases frequency and severity of chest pain episodes.
  • Chronic heart failure: improves exercise tolerance and lowers myocardial oxygen demand.
  • Post‑myocardial infarction prophylaxis: helps prevent recurrent ischemic attacks.

How It Works

  • Isosorbide dinitrate is metabolized to release nitric oxide, which activates soluble guanylate cyclase in vascular smooth muscle. The resulting increase in cyclic GMP leads to relaxation of arterial and venous smooth muscle, producing vasodilation, reduced preload and afterload, and consequently lower myocardial oxygen consumption.

Side Effects

Common Side Effects

  • Headache: often transient, related to vasodilation.
  • Dizziness or light‑headedness: especially upon standing.
  • Flushing: warm sensation of the skin.
  • Hypotension: drop in blood pressure, may cause faintness.
  • Nausea: mild gastrointestinal upset.
  • Tachycardia: compensatory increase in heart rate.

Serious or Rare Side Effects

  • Severe hypotension: can lead to syncope or shock.
  • Syncope: sudden loss of consciousness.
  • Myocardial infarction: rare but possible with abrupt withdrawal.
  • Allergic reactions: rash, itching, or swelling.
  • Severe bradycardia: markedly slow heart rate.
  • Methemoglobinemia: rare blood disorder causing cyanosis.

Precautions & Warnings

Before initiating therapy, consider the following precautions:

  • Dose titration: start with a low dose and adjust gradually based on tolerance.
  • Concomitant PDE‑5 inhibitors: avoid due to risk of profound hypotension.
  • Blood pressure monitoring: check regularly, especially after dose changes.
  • Caution in anemia or increased intracranial pressure: monitor closely.
  • Pregnancy and lactation: safety not established; evaluate risk versus benefit.
  • Store at room temperature: keep in original container, protect from moisture and heat.

Avoid Interactions

Isordil Titradose may interact with several drug classes.

Major Interactions (Avoid)

  • Sildenafil, tadalafil, and other PDE‑5 inhibitors: can cause severe hypotension.
  • Other nitrates (e.g., nitroglycerin): additive vasodilatory effect leading to dangerous blood pressure drops.
  • Antihypertensive agents (ACE inhibitors, beta‑blockers): may enhance blood‑pressure‑lowering effects.

Moderate Interactions (Monitor Closely)

  • Alcohol: may increase vasodilatory response and dizziness.
  • Diuretics: can potentiate hypotensive effects.
  • Azole antifungals (e.g., ketoconazole): may raise plasma concentrations of isosorbide dinitrate.

Frequently Asked Questions

Isordil Titradose contains isosorbide dinitrate, an organic nitrate used to prevent and treat angina pectoris and to manage chronic heart failure. It works by dilating blood vessels, which reduces the heart's workload and oxygen demand, helping to relieve chest pain and improve cardiac efficiency.

Isosorbide dinitrate is converted in the body to nitric oxide, a potent vasodilator. Nitric oxide activates guanylate cyclase, raising cyclic GMP levels in smooth‑muscle cells. This cascade causes relaxation of arterial and venous walls, lowering preload and afterload, and consequently decreasing myocardial oxygen consumption.

The dosage of Isordil Titradose is individualized by the prescribing clinician. Treatment typically begins with a low oral dose that is gradually increased based on the patient’s response and tolerance. Exact dosing schedules and strengths should follow the prescriber’s instructions.

Safety data for isosorbide dinitrate in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any possible risk to the fetus or infant. Healthcare providers must assess each case and discuss potential risks with the patient.

To place an order, submit an enquiry on the Isordil Titradose product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details, and any necessary import documentation.

Isordil Titradose (isosorbide dinitrate) offers a longer duration of action compared with short‑acting nitrates like nitroglycerin, allowing for less frequent dosing. It provides consistent vasodilation and is often used for chronic management, whereas nitroglycerin is typically reserved for acute relief of angina attacks.

Store Isordil Titradose at room temperature, preferably below 25 °C. Keep the tablets in their original packaging, protect them from moisture, heat, and direct sunlight. Do not store in a refrigerator or freezer unless otherwise directed by the manufacturer.

Isordil Titradose is taken orally as a tablet. Swallow the tablet whole with a glass of water; it may be taken with or without food. Follow the prescriber’s dosing schedule and avoid crushing or chewing the tablet unless instructed otherwise.

The most serious risks include severe hypotension, which can lead to fainting or shock, and syncope. Abrupt discontinuation may precipitate a rebound increase in angina or myocardial infarction. Rarely, allergic reactions or methemoglobinemia can occur and require immediate medical attention.

Isordil Titradose is contraindicated in patients with known hypersensitivity to isosorbide dinitrate or other organic nitrates, those with severe hypotension, and individuals who have recently used phosphodiesterase‑5 inhibitors. Caution is also advised for patients with certain cardiac conditions, such as recent myocardial infarction, unless directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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