Product image of Molsidomin Stada (Molsidomine) supplied by GNH India

Molsidomin Stada

Active Ingredient:
Molsidomine
Origin:
EU

Molsidomin Stada (Molsidomine)

Molsidomine, the active ingredient in Molsidomin Stada, is a nitric oxide donor presented as an oral tablet for oral use. It is employed in the management of chronic stable angina and other forms of ischemic heart disease in adult patients.

GNH India supplies Molsidomin Stada as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring consistent quality and regulatory compliance across markets.

Manufacturer / TM Owner

Stadapharm Gmbh

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Indications & Clinical Uses

Molsidomin is used in the cardiovascular disease pathway to relieve myocardial ischemia.

  • Chronic stable angina: reduces frequency of angina attacks and improves exercise tolerance.
  • Ischemic heart disease: decreases myocardial oxygen demand through vasodilation.
  • Angina pectoris: alleviates chest pain associated with reduced coronary blood flow.

How It Works

  • Molsidomine is a prodrug that is metabolized to a nitric oxide‑releasing species after oral absorption. Hepatic conversion yields the active metabolite, which releases nitric oxide in vascular smooth muscle, activating soluble guanylate cyclase, increasing cyclic GMP levels, and causing smooth‑muscle relaxation. The resulting vasodilation lowers systemic vascular resistance and reduces myocardial oxygen consumption.

Side Effects

Molsidomin may be associated with several adverse reactions, ranging from mild to serious.

Common Side Effects

  • Headache: mild to moderate intensity, often transient.
  • Flushing: warmth and redness of the skin.
  • Dizziness: sensation of light‑headedness, especially on standing.
  • Nausea: mild gastrointestinal upset.
  • Hypotension: low blood pressure causing faintness.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure requiring medical intervention.
  • Syncope: sudden loss of consciousness.
  • Allergic reactions: rash, pruritus, or angioedema.
  • Myocardial infarction: rare occurrence despite anti‑anginal use.

Precautions & Warnings

When prescribing Molsidomin, clinicians should consider several precautionary measures to ensure patient safety.

  • Cardiovascular status: assess for existing hypotension before initiating therapy.
  • Concomitant nitrates: avoid co‑administration to prevent additive vasodilation.
  • Renal impairment: use with caution in patients with severe renal dysfunction.
  • Hepatic impairment: monitor liver function as metabolism occurs hepatically.
  • Elderly patients: start at lower doses and monitor for dizziness or falls.
  • Store at room temperature: keep below 25 °C, retain in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Molsidomin can interact with other medicines, influencing its efficacy or safety profile.

Major Interactions (Avoid)

  • Nitrates (e.g., nitroglycerin): combined use may cause profound hypotension.
  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): risk of severe blood pressure fall.

Moderate Interactions (Monitor Closely)

  • Antihypertensives (e.g., ACE inhibitors, beta‑blockers): may enhance blood‑pressure‑lowering effect.
  • Diuretics: potential additive hypotensive effect.
  • Alcohol: can increase risk of dizziness and hypotension.

Frequently Asked Questions

Molsidomin is an oral antianginal medication indicated for the treatment of chronic stable angina and other forms of ischemic heart disease. It helps reduce the frequency of chest pain episodes by improving coronary blood flow and lowering myocardial oxygen demand.

Molsidomine is a prodrug that is converted in the liver to a nitric oxide‑releasing compound. The released nitric oxide activates guanylate cyclase in vascular smooth muscle, increasing cyclic GMP levels, which leads to relaxation of the vessels, vasodilation, and reduced cardiac workload.

The dosage of Molsidomin is individualized by the prescribing clinician based on the patient’s clinical condition, response, and tolerance. The prescriber determines the appropriate strength, frequency, and duration of therapy according to current medical guidelines.

Safety data for molsidomine during pregnancy and lactation are limited. It is generally classified as a drug with unknown pregnancy category, and use is only recommended if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should consult their healthcare provider before use.

To order Molsidomin, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Molsidomin belongs to the nitric oxide donor class, offering vasodilation without the rapid tolerance seen with organic nitrates. Compared with traditional nitrates, it provides a more sustained effect and may be combined with other antianginal agents, though concurrent use with nitrates is generally avoided due to additive hypotensive risk.

Molsidomin tablets should be stored at room temperature, below 25 °C, in their original packaging. Protect them from moisture, direct sunlight, and extreme temperatures. Keep the container tightly closed and out of reach of children.

Molsidomin is taken orally as a tablet. The patient should swallow the tablet whole with a glass of water, preferably at the same times each day as directed by the prescriber. It may be taken with or without food, unless otherwise instructed.

The most serious risks include severe hypotension, syncope (fainting), and rare allergic reactions such as rash, angioedema, or anaphylaxis. Patients should seek immediate medical attention if they experience a sudden drop in blood pressure, loss of consciousness, or signs of a severe allergic response.

Molsidomin should be avoided in patients with known hypersensitivity to molsidomine or any component of the formulation, those taking concomitant nitrates, and individuals with severe hypotension or uncontrolled cardiovascular instability. Caution is also advised for patients with significant hepatic or renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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