Product image of Isosorbide Dinitrate Chemidex Pharma (Isosorbide Dinitrate) supplied by GNH India

Isosorbide Dinitrate Chemidex Pharma

Active Ingredient:
Isosorbide Dinitrate
Origin:
EU

Isosorbide Dinitrate Chemidex Pharma (Isosorbide Dinitrate)

Isosorbide Dinitrate, the active ingredient in Isosorbide Dinitrate Chemidex Pharma, is an organic nitrate presented as an oral tablet for oral use. It is used to relieve chest pain in angina and to improve symptoms in chronic heart failure patients.

GNH India supplies Isosorbide Dinitrate Chemidex Pharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for import. It offers flexible shipping options and supports post‑delivery technical assistance.

Manufacturer / TM Owner

Chemidex Pharma Limited

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Indications & Clinical Uses

Isosorbide Dinitrate is an organic nitrate that acts on the coronary circulation to relieve myocardial ischemia.

  • Angina pectoris: reduces the frequency and severity of chest pain episodes.
  • Chronic heart failure: improves exercise tolerance and alleviates dyspnoea.
  • Prophylaxis of angina attacks: provides sustained nitrate therapy to prevent angina episodes.

How It Works

  • Isosorbide dinitrate 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 smooth muscle, producing vasodilation. This reduces both preload and afterload, decreasing myocardial oxygen demand and improving coronary blood flow. The effect is dose‑dependent and is enhanced by avoidance of nitrate tolerance through drug‑free intervals.

Side Effects

Isosorbide dinitrate may cause a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

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

Serious or Rare Side Effects

  • Severe hypotension
  • Methemoglobinemia
  • Syncope
  • Allergic skin reactions
  • Rapid heart rate (tachycardia)
  • Paradoxical worsening of chest pain

Precautions & Warnings

When prescribing Isosorbide Dinitrate, clinicians should observe several precautionary measures to ensure safe use.

  • Dose titration: start with a low dose and adjust based on clinical response.
  • Avoid concurrent use with phosphodiesterase‑5 inhibitors: may cause profound hypotension.
  • Monitor blood pressure: check regularly for excessive drops.
  • Assess for nitrate tolerance: schedule nitrate‑free intervals each day.
  • Pregnancy and lactation: use only if benefits outweigh risks, as safety data are limited.
  • Store at ambient temperature: keep below 25 °C in the original container, protect from moisture and light.

Avoid Interactions

Isosorbide Dinitrate interacts with several drug classes; awareness of these interactions helps prevent adverse events.

Major Interactions (Avoid)

  • Sildenafil, tadalafil, vardenafil: concurrent use can cause severe hypotension.
  • Other organic nitrates or nitroglycerin: additive vasodilatory effect leading to dangerous blood pressure fall.
  • Antihypertensive agents (e.g., ACE inhibitors, beta‑blockers): may potentiate blood pressure lowering.

Moderate Interactions (Monitor Closely)

  • Diuretics: may enhance hypotensive effect, monitor volume status.
  • Alcohol: can increase vasodilatory response, advise moderation.
  • Selective serotonin reuptake inhibitors: rare reports of increased headache, monitor.

Frequently Asked Questions

Isosorbide Dinitrate Chemidex Pharma is an oral nitrate medication indicated for the relief of angina pectoris and for improving symptoms in patients with chronic heart failure. It works by reducing myocardial oxygen demand and enhancing coronary blood flow, thereby helping to prevent chest pain episodes.

The drug is converted in the body to nitric oxide, which activates guanylate cyclase in vascular smooth muscle. This raises cyclic GMP levels, causing relaxation of arteries and veins. The resulting vasodilation lowers both preload and afterload, decreasing the heart’s workload and oxygen consumption.

Dosage is individualized and must be determined by a qualified prescriber based on the patient’s clinical condition, response, and tolerance. The prescribing physician will decide the appropriate strength, frequency, and titration schedule for each patient.

Safety data for use during pregnancy and lactation are limited. The drug should only be used when the potential benefit justifies any potential risk to the fetus or infant, and the decision should be made by the treating physician in consultation with the patient.

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.

Isosorbide Dinitrate belongs to the organic nitrate class, offering rapid vasodilation and symptom relief. Compared with beta‑blockers or calcium‑channel blockers, nitrates act primarily by reducing preload, which can be advantageous in patients who need quick angina control, but they may cause tolerance if used continuously without drug‑free intervals.

Store the product at ambient temperature, preferably below 25 °C. Keep it in the original packaging, protect it from moisture and direct light, and ensure the container is tightly closed to maintain stability throughout its shelf life.

The medication is taken orally, usually as a tablet, with a glass of water. It may be prescribed as a single daily dose or divided doses, depending on the therapeutic plan set by the prescriber. Patients should follow the dosing schedule and avoid crushing or chewing the tablet unless instructed otherwise.

Serious adverse events include severe hypotension, which can lead to dizziness, fainting, or shock, and rare cases of methemoglobinemia, a condition that reduces oxygen delivery in the blood. Prompt medical attention is required if symptoms such as profound weakness, cyanosis, or sudden chest pain occur.

Patients with known hypersensitivity to organic nitrates, those experiencing severe hypotension, or individuals concurrently using phosphodiesterase‑5 inhibitors (e.g., sildenafil) should avoid this medication. It is also contraindicated in patients with certain forms of cardiogenic shock or uncontrolled heart failure unless specifically directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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