Product image of Isosorbide Mononitrate Kent Xl Tablets (Isosorbide 5 Mononitrate) supplied by GNH India

Isosorbide Mononitrate Kent Xl Tablets

Active Ingredient:
Isosorbide 5 Mononitrate
Origin:
EU

Isosorbide Mononitrate Kent Xl Tablets (Isosorbide 5 Mononitrate)

Isosorbide mononitrate, the active ingredient in Isosorbide Mononitrate Kent Xl Tablets, is a nitrate class medication presented as a tablet for oral administration. It is used to manage chronic stable angina and to alleviate symptoms of heart failure in adult patients. It also helps reduce the frequency of angina attacks and improves exercise tolerance.

GNH India supplies Isosorbide Mononitrate Kent Xl Tablets as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and healthcare providers worldwide, ensuring quality, regulatory conformity and reliable delivery across global markets.

Manufacturer / TM Owner

Kent Pharma Uk Limited

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Indications & Clinical Uses

Isosorbide mononitrate, a nitrate antianginal agent, is indicated for conditions where myocardial oxygen demand exceeds supply.

  • Chronic stable angina: reduces the frequency of angina episodes and improves exercise tolerance.
  • Heart failure: alleviates symptoms such as dyspnea and may improve functional capacity.
  • Ischemic heart disease: improves myocardial oxygen balance by decreasing 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 causes relaxation of arterial and venous vessels, leading to reduced preload and afterload, decreased myocardial oxygen consumption, and improved coronary blood flow.

Side Effects

Common Side Effects

  • Headache: mild to moderate, often transient.
  • Dizziness: related to blood pressure lowering.
  • Flushing: warm sensation of skin.
  • Nausea: occasional gastrointestinal upset.
  • Hypotension: mild drop in blood pressure.
  • Palpitations: awareness of heartbeat.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring medical attention.
  • Syncope: fainting episodes.
  • Angina worsening: paradoxical increase in chest pain.
  • Myocardial infarction: rare but serious cardiac event.
  • Severe allergic reaction: rash, swelling, or anaphylaxis.
  • Tachycardia: rapid heart rate.

Precautions & Warnings

Before initiating therapy, consider the following precautions:

  • Dose titration: start with a low dose and increase gradually to minimize hypotension.
  • Concomitant PDE‑5 inhibitors: avoid due to risk of profound hypotension.
  • Blood pressure monitoring: check regularly, especially after dose changes.
  • Hepatic or renal impairment: use with caution and adjust dose if needed.
  • Pregnancy and lactation: safety not established; use only if benefit outweighs risk.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture and light.

Avoid Interactions

Isosorbide mononitrate may interact with several medicines.

Major Interactions (Avoid)

  • Sildenafil, tadalafil, and other PDE‑5 inhibitors: risk of severe hypotension.
  • Other nitrates (e.g., nitroglycerin): additive vasodilatory effect causing dangerous blood pressure drop.
  • Alcohol: can enhance hypotensive effect.

Moderate Interactions (Monitor Closely)

  • Antihypertensives (ACE inhibitors, beta‑blockers): may increase overall blood pressure‑lowering effect.
  • Diuretics: may potentiate orthostatic hypotension.
  • Antiplatelet agents: monitor for increased bleeding tendency.

Frequently Asked Questions

Isosorbide Mononitrate Kent Xl Tablets contain the nitrate isosorbide mononitrate, which is prescribed to prevent episodes of chest pain (angina) in chronic stable angina and to relieve symptoms of heart failure by improving blood flow and reducing cardiac workload.

The drug releases nitric oxide after oral absorption. Nitric oxide activates guanylate cyclase, raising cyclic GMP levels in vascular smooth muscle. This leads to vasodilation, lowering preload and afterload, which reduces myocardial oxygen demand and improves coronary perfusion.

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

Safety data for isosorbide mononitrate in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

Enquiries can be submitted via the product page on 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 mononitrate is a long‑acting nitrate that provides sustained nitric‑oxide release, whereas other classes such as beta‑blockers or calcium‑channel blockers lower heart rate or contractility. Nitrates are particularly effective for relieving angina triggered by exertion, but they may cause tolerance if not dosed appropriately.

Store the tablets at ambient temperature below 25 °C, in the original container, protected from moisture and light. Keep them out of reach of children and do not use if the packaging is damaged.

The tablets are intended for oral administration. They should be swallowed whole with a glass of water, preferably at the same times each day to maintain steady blood levels. Patients should not crush, chew, or split the tablets unless directed by a healthcare professional.

Serious risks include severe hypotension, syncope, worsening angina, myocardial infarction, and rare allergic reactions such as anaphylaxis. Patients experiencing fainting, chest pain, or signs of an allergic response should seek immediate medical attention.

Individuals with known hypersensitivity to isosorbide mononitrate or any nitrate, those taking phosphodiesterase‑5 inhibitors, or patients with severe hypotension should avoid this medication. It is also contraindicated in patients with certain cardiovascular conditions where vasodilation could be harmful, as determined by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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