Product image of Mononit 100 Retard (Isosorbide Mononitrate) supplied by GNH India

Mononit 100 Retard

Active Ingredient:
Isosorbide Mononitrate
Origin:
EU

Mononit 100 Retard (Isosorbide Mononitrate)

Isosorbide Mononitrate, the active ingredient in Mononit 100 Retard, is a organic nitrate presented as a 100 mg extended‑release tablet for oral use. It treats chronic stable angina, angina pectoris and heart failure in adults.

GNH India supplies Mononit 100 Retard as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sanofi Sp. Z O.O.

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Indications & Clinical Uses

Isosorbide mononitrate is employed in the management of coronary artery disease and related conditions.

  • Chronic stable angina: reduces the frequency of angina attacks and improves exercise tolerance.
  • Angina pectoris: alleviates chest‑pain episodes by enhancing myocardial oxygen supply.
  • Heart failure: decreases cardiac preload and afterload, helping to relieve symptoms of congestive heart failure.

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 vasodilation of veins and arteries, lowering preload and afterload and thereby improving myocardial oxygen delivery while reducing cardiac workload.

Side Effects

Adverse reactions may occur with any nitrate therapy.

Common Side Effects

  • Headache: mild to moderate throbbing pain, often transient.
  • Dizziness or light‑headedness: related to blood pressure lowering.
  • Flushing: warm sensation and reddening of skin.
  • Nausea: occasional upset stomach.
  • Palpitations: awareness of heartbeat.
  • Hypotension: mild drop in blood pressure.

Serious or Rare Side Effects

  • Severe hypotension: marked blood pressure fall requiring medical attention.
  • Syncope: sudden loss of consciousness.
  • Allergic reactions: rash, itching, swelling, or anaphylaxis.
  • Methemoglobinemia: rare blood disorder causing cyanosis.

Precautions & Warnings

Patients should be counseled on safety considerations before starting therapy.

  • Dose adjustment in renal impairment: reduce dose or monitor renal function closely.
  • Avoid use with phosphodiesterase‑5 inhibitors: risk of profound hypotension.
  • Monitor blood pressure regularly: watch for symptomatic hypotension.
  • Use cautiously in patients with anemia or low baseline blood pressure.
  • Discontinue before surgery: to reduce peri‑operative hypotension risk.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Isosorbide mononitrate can interact with several drug classes.

Major Interactions (Avoid)

  • Sildenafil and other PDE‑5 inhibitors: may cause severe hypotension.
  • Other organic nitrates (e.g., nitroglycerin): additive vasodilatory effect.
  • Antihypertensive agents (ACE inhibitors, beta‑blockers, calcium channel blockers): may enhance blood‑pressure lowering.

Moderate Interactions (Monitor Closely)

  • Diuretics: may increase risk of hypotension.
  • Alcohol: can augment vasodilatory effects and dizziness.
  • Azole antifungals (e.g., ketoconazole): may raise plasma levels of isosorbide mononitrate.

Frequently Asked Questions

Mononit 100 Retard contains isosorbide mononitrate and is indicated for the prophylactic treatment of chronic stable angina, angina pectoris and for symptom relief in patients with heart failure. It helps reduce the frequency of chest‑pain episodes and improves exercise tolerance.

Isosorbide mononitrate is converted in the body to nitric oxide, a potent vasodilator. Nitric oxide activates guanylate cyclase, increasing cyclic GMP levels, which relaxes vascular smooth muscle, lowers preload and afterload, and enhances myocardial oxygen supply.

The specific dose of Mononit 100 Retard is determined by the prescribing clinician based on the individual’s condition, response, and tolerability. Typical regimens start with a low dose that may be titrated upward, but exact dosing must follow the prescriber’s order.

The pregnancy category for isosorbide mononitrate is not definitively established. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should consult their healthcare provider, as the drug may pass into breast milk.

To order Mononit 100 Retard, 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.

Mononit 100 Retard belongs to the organic nitrate class, offering once‑daily extended‑release dosing, which can improve adherence compared with short‑acting nitrates like nitroglycerin. Unlike beta‑blockers, it primarily reduces cardiac preload and afterload without affecting heart rate, making it a useful adjunct or alternative in patients who cannot tolerate beta‑blockers.

Store Mononit 100 Retard at ambient temperature below 25 °C, in the original blister pack, protected from moisture and direct sunlight. Do not store in a bathroom or near heat sources. Keep out of reach of children.

Mononit 100 Retard is taken orally as an extended‑release tablet. Swallow the tablet whole with a glass of water; do not crush, chew, or split it, as this can release the entire dose at once and increase the risk of side effects.

Serious risks include severe hypotension, syncope (fainting), and rare allergic reactions such as rash, swelling or anaphylaxis. Patients should seek immediate medical attention if they experience sudden dizziness, fainting, chest pain, or signs of an allergic response.

Mononit 100 Retard should be avoided in patients with known hypersensitivity to isosorbide mononitrate or other organic nitrates, those with severe anemia, uncontrolled hypotension, or who are concurrently using phosphodiesterase‑5 inhibitors. It is also contraindicated in patients with recent head trauma or increased intracranial pressure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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