Product image of Mononit 60 Retard (Isosorbide Mononitrate) supplied by GNH India

Mononit 60 Retard

Active Ingredient:
Isosorbide Mononitrate
Origin:
EU

Mononit 60 Retard (Isosorbide Mononitrate)

Isosorbide Mononitrate, the active ingredient in Mononit 60 Retard, is a nitrate (vasodilator) presented as a 60 mg extended‑release tablet for oral use. It treats angina pectoris and chronic stable angina by improving myocardial oxygen supply.

GNH India supplies Mononit 60 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‑related angina.

  • Angina pectoris prophylaxis: reduces frequency of chest pain episodes in patients with established angina.
  • Chronic stable angina: improves exercise tolerance and decreases symptom burden during daily activities.
  • Exercise‑induced angina: helps prevent angina attacks triggered by physical exertion.

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, producing vasodilation. This reduces both preload and afterload, lowers myocardial oxygen demand, and enhances coronary blood flow, thereby alleviating ischemic chest pain.

Side Effects

Isosorbide Mononitrate may cause a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

  • Headache: throbbing pain often occurring shortly after dosing.
  • Dizziness: light‑headed sensation, especially when standing quickly.
  • Flushing: warm, reddening of the face or neck.
  • Nausea: mild stomach upset or urge to vomit.
  • Hypotension: lower than normal blood pressure causing faintness.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure leading to syncope.
  • Reflex tachycardia: rapid heart rate in response to vasodilation.
  • Myocardial infarction: rare occurrence of heart attack.
  • Allergic reaction: rash, itching, swelling, or difficulty breathing.

Precautions & Warnings

Before prescribing Mononit 60 Retard, clinicians should consider several precautionary measures to ensure safe use.

  • Assess cardiovascular status: evaluate blood pressure and heart rate prior to initiation.
  • Avoid concurrent PDE‑5 inhibitors: co‑administration can cause profound hypotension.
  • Monitor for tolerance development: efficacy may diminish with prolonged use.
  • Adjust dose in renal impairment: consider reduced dosing in patients with decreased renal function.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Isosorbide Mononitrate interacts with several drug classes; awareness of these interactions helps prevent adverse events.

Major Interactions (Avoid)

  • Sildenafil and other PDE‑5 inhibitors: may cause severe hypotension.
  • Other nitrates (e.g., nitroglycerin): additive vasodilatory effect leading to dangerous blood‑pressure drops.
  • Antihypertensive agents (e.g., ACE inhibitors, beta‑blockers): can enhance blood‑pressure‑lowering effects.

Moderate Interactions (Monitor Closely)

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

Frequently Asked Questions

Mononit 60 Retard contains isosorbide mononitrate, a nitrate vasodilator indicated for the prophylaxis of angina pectoris and for the treatment of chronic stable angina. It helps reduce the frequency of chest pain episodes and improves exercise tolerance in patients with coronary artery disease.

Isosorbide mononitrate is converted in the body to nitric oxide, which activates guanylate cyclase in vascular smooth muscle. The resulting rise in cyclic GMP relaxes arteries and veins, lowering preload and afterload, decreasing myocardial oxygen demand, and increasing coronary blood flow to relieve ischemic chest pain.

The appropriate dose of Mononit 60 Retard is determined by the prescribing clinician based on the individual patient's condition, response, and tolerability. Physicians typically start with a low dose and may adjust it according to therapeutic goals and any side‑effects, but specific dosing regimens should not be assumed.

Safety data for isosorbide mononitrate in pregnancy and lactation are limited. The product should be used only if the potential benefit justifies any potential risk to the fetus or infant. Healthcare providers usually advise against routine use during pregnancy or breastfeeding unless absolutely necessary.

To order Mononit 60 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 required import documentation.

Mononit 60 Retard belongs to the nitrate class, which primarily reduces cardiac workload through vasodilation. Compared with beta‑blockers or calcium‑channel blockers, nitrates act more directly on vascular smooth muscle and are often used when other agents are insufficient or contraindicated. Each class has a distinct side‑effect profile, so choice depends on patient‑specific factors.

Mononit 60 Retard tablets should be stored at ambient temperature below 25 °C. Keep them in the original packaging, protect from moisture and direct sunlight, and ensure the container is tightly closed to maintain tablet integrity throughout its shelf life.

Mononit 60 Retard is taken orally as an extended‑release tablet. The tablet should be swallowed whole with a glass of water and not chewed, crushed, or broken, as altering the tablet can affect the controlled‑release mechanism and increase the risk of side effects.

The most serious risks include severe hypotension, which can lead to fainting or shock, and rare allergic reactions that may cause rash, swelling, or breathing difficulties. Patients should seek immediate medical attention if they experience sudden drops in blood pressure, chest pain, or signs of an allergic response.

Mononit 60 Retard is contraindicated in patients with known hypersensitivity to isosorbide mononitrate or other nitrates, those taking phosphodiesterase‑5 inhibitors (e.g., sildenafil) due to the risk of profound hypotension, and individuals with severe hypotension or cardiogenic shock. Clinicians should review a patient’s medication list and medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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