Product image of Isosorbidmononitrat Ismn Retard Pro Al (Isosorbide Mononitrate) supplied by GNH India

Isosorbidmononitrat Ismn Retard Pro Al

Active Ingredient:
Isosorbide Mononitrate
Origin:
EU

Isosorbidmononitrat Ismn Retard Pro Al (Isosorbide Mononitrate)

Isosorbide Mononitrate, the active ingredient in Isosorbidmononitrat Ismn Retard Pro Al, is a nitrate presented as an oral tablet for oral use. It is used to treat angina pectoris by improving myocardial oxygen supply in adults with coronary artery disease.

GNH India supplies Isosorbidmononitrat Ismn Retard Pro Al as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Aliud Pharma Gmbh

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Indications & Clinical Uses

Isosorbide Mononitrate belongs to the nitrate class and is indicated for conditions related to myocardial ischemia.

  • Chronic stable angina: reduces the frequency and severity of chest pain episodes.
  • Effort‑induced angina: improves exercise tolerance and delays onset of symptoms.
  • Angina prophylaxis: maintains coronary blood flow to prevent anginal attacks.

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, decreasing preload and afterload, and thereby enhancing myocardial oxygen delivery while reducing cardiac workload.

Side Effects

Isosorbide Mononitrate may cause a range of adverse reactions, some of which are common and others that are serious or rare.

Common Side Effects

  • Headache: throbbing pain often occurring shortly after dosing.
  • Dizziness: sensation of light‑headedness, especially when standing quickly.
  • Flushing: warm, reddened skin, typically on the face or neck.
  • Nausea: mild to moderate upset stomach.
  • Palpitations: awareness of heartbeat irregularities.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring medical attention.
  • Syncope: sudden loss of consciousness.
  • Allergic reaction: rash, itching, swelling, or difficulty breathing.
  • Myocardial infarction: rare but possible worsening of heart ischemia.
  • Life‑threatening tachycardia: rapid heart rate that may need emergency care.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Dose titration: start with a low dose and increase gradually to minimise hypotension.
  • Concomitant phosphodiesterase‑5 inhibitors: avoid due to risk of severe blood‑pressure fall.
  • Renal impairment: monitor renal function and adjust dose if necessary.
  • Hepatic impairment: use with caution, especially in severe liver disease.
  • Sudden discontinuation: taper gradually to prevent rebound angina.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Isosorbide Mononitrate can interact with several drug classes, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): may cause profound hypotension.
  • Other nitrates or nitric‑oxide donors: additive vasodilatory effect leading to dangerous blood‑pressure drops.
  • Antihypertensive agents (e.g., ACE inhibitors, beta‑blockers): can enhance hypotensive response.

Moderate Interactions (Monitor Closely)

  • Diuretics: may increase risk of electrolyte imbalance and low blood pressure.
  • Alcohol: can potentiate vasodilatory effects and dizziness.

Frequently Asked Questions

Isosorbidmononitrat Ismn Retard Pro Al contains isosorbide mononitrate, a nitrate that is prescribed to relieve and prevent episodes of angina pectoris in adults with coronary artery disease. It works by improving blood flow to the heart muscle, thereby reducing chest pain during physical activity or stress.

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. This causes relaxation of arteries and veins, lowering cardiac preload and afterload, and increasing oxygen delivery to the myocardium.

The specific dose and dosing schedule are determined by the prescribing clinician based on the patient’s clinical condition, response, and tolerability. Physicians typically start with a low dose and may adjust it gradually to achieve optimal symptom control while monitoring for side effects.

Safety data for isosorbide mononitrate in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. Healthcare providers should weigh potential benefits against possible risks before prescribing to pregnant or nursing women.

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 mononitrate belongs to the nitrate class, offering a longer‑acting oral option compared with short‑acting nitroglycerin. Unlike beta‑blockers or calcium‑channel blockers, nitrates primarily reduce cardiac preload and afterload through vasodilation, making them useful for patients who need additional symptom control or cannot tolerate other classes.

Store the tablets at ambient temperature, preferably below 25 °C. Keep them in the original container, protect from moisture, heat, and direct sunlight. Do not refrigerate or freeze the product, and ensure the packaging remains sealed until use.

The medication is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the prescribing physician’s instructions regarding timing and whether the dose should be taken in the morning or evening to minimise side effects.

The most serious risks include severe hypotension, syncope, and rare allergic reactions that may present as rash, swelling, or breathing difficulty. Patients should seek immediate medical attention if they experience sudden dizziness, fainting, or any signs of an allergic response.

Individuals with known hypersensitivity to isosorbide mononitrate or other nitrates should avoid this medication. It is also contraindicated in patients taking phosphodiesterase‑5 inhibitors, those with severe anemia, or patients with uncontrolled hypotension. Clinicians must assess each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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