Product image of Isosorbidedinitraat Cf (Isosorbide Dinitrate) supplied by GNH India

Isosorbidedinitraat Cf

Active Ingredient:
Isosorbide Dinitrate
Origin:
EU

Isosorbidedinitraat Cf (Isosorbide Dinitrate)

Isosorbide dinitrate, the active ingredient in Isosorbidedinitraat Cf, is a nitrate vasodilator presented as a tablet for oral and sublingual administration. It is used to relieve angina pectoris, prevent angina attacks, and manage certain cases of heart failure by reducing cardiac preload and afterload.
GNH India supplies Isosorbidedinitraat Cf as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Centrafarm B.V.

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Indications & Clinical Uses

Isosorbide dinitrate is an anti‑anginal nitrate that acts on the coronary circulation and myocardial oxygen demand.

  • Angina pectoris: provides rapid relief of chest pain by dilating coronary vessels and lowering cardiac workload.
  • Prophylaxis of angina: reduces the frequency of angina attacks when taken regularly.
  • Heart failure: improves symptoms by decreasing preload and afterload, facilitating better cardiac output.

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, reduced preload and afterload, and consequently lower myocardial oxygen consumption.

Side Effects

Isosorbide dinitrate may cause a range of adverse reactions, from mild to severe.

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.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure that can cause fainting.
  • Syncope: sudden loss of consciousness due to inadequate cerebral perfusion.
  • Allergic reaction: rash, itching, swelling, or difficulty breathing indicating possible hypersensitivity.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Blood pressure monitoring: check baseline and periodic readings to avoid excessive hypotension.
  • Avoid concurrent nitrates: combined use can precipitate profound vasodilation.
  • Caution with PDE5 inhibitors: co‑administration may cause dangerous drops in blood pressure.
  • Adjust in hepatic impairment: reduced clearance may require dose modification.
  • Use carefully in anemia: reduced oxygen‑carrying capacity can worsen symptoms.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Isosorbide dinitrate interacts with several drug classes that can modify its effect or safety profile.

Major Interactions (Avoid)

  • Other nitrates (e.g., nitroglycerin): additive vasodilatory effect leading to severe hypotension.
  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): risk of life‑threatening blood pressure fall.
  • Guanylate cyclase stimulators: synergistic vasodilation may be hazardous.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents (beta‑blockers, ACE inhibitors): may enhance blood pressure‑lowering effect.
  • Diuretics: combined effect on volume status can increase orthostatic symptoms.
  • Alcohol: can potentiate vasodilatory response and dizziness.

Frequently Asked Questions

Isosorbidedinitraat Cf contains isosorbide dinitrate, a nitrate vasodilator indicated for the relief of angina pectoris, the prevention of angina attacks, and the symptomatic management of certain types of heart failure. It works by lowering cardiac workload and improving blood flow to the heart muscle.

Isosorbide dinitrate 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, reducing preload and afterload, and ultimately decreasing the oxygen demand of the heart.

The specific dose of Isosorbidedinitraat Cf is determined by the prescribing clinician based on the patient’s condition, response, and tolerance. Typical regimens may start with a low dose and be titrated, but exact amounts should always follow the prescriber’s instructions.

Safety data for isosorbide dinitrate 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 professional.

To 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 (including any cold‑chain needs), and import documentation.

Isosorbidedinitraat Cf belongs to the nitrate class, offering rapid vasodilation and relief of chest pain. Compared with beta‑blockers, it directly reduces preload and afterload rather than heart rate. Unlike calcium‑channel blockers, its effect is primarily mediated by nitric oxide release. Choice of therapy depends on patient profile and tolerance.

Store the product at room temperature, preferably below 25 °C. Keep it in the original packaging to protect from moisture and light. Do not store in humid or excessively hot environments, and keep out of reach of children.

Isosorbidedinitraat Cf can be taken orally as a tablet or placed under the tongue for sublingual absorption. The route chosen depends on the clinical situation and prescriber recommendation. Swallow tablets with water; for sublingual use, allow the tablet to dissolve completely without chewing.

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

Contraindications include patients who are currently taking other nitrate preparations, those using phosphodiesterase‑5 inhibitors (e.g., sildenafil), individuals with severe anemia, and patients with uncontrolled hypotension. Clinicians should also avoid use in patients with known hypersensitivity to isosorbide dinitrate.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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