Product image of Monotab (Isosorbide Mononitrate) supplied by GNH India

Monotab

Active Ingredient:
Isosorbide Mononitrate
Origin:
EU

Monotab (Isosorbide Mononitrate)

Isosorbide mononitrate, the active ingredient in Monotab, is an organic nitrate presented as an oral tablet for oral use. It is used to prevent angina pectoris episodes and to treat chronic stable angina in adult patients.

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

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

  • Monotab belongs to the organic nitrate class and is used in the management of coronary artery disease.
  • Prophylaxis of angina pectoris: reduces the frequency of angina attacks during daily activities.
  • Chronic stable angina: improves exercise tolerance and decreases symptom burden.
  • Angina pectoris: provides symptomatic relief by enhancing myocardial oxygen supply.

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, lowering preload and afterload, and thereby improving myocardial oxygen delivery while reducing cardiac workload.

Side Effects

Common Side Effects

  • Headache: mild to moderate, often transient.
  • Dizziness or light‑headedness, especially on standing.
  • Flushing of the face or neck.
  • Nausea or upset stomach.
  • Palpitations or rapid heartbeat.

Serious or Rare Side Effects

  • Severe hypotension leading to fainting.
  • Syncope or sudden loss of consciousness.
  • Allergic reactions such as rash, itching, or swelling.
  • Myocardial infarction in susceptible individuals.
  • Life‑threatening arrhythmias.

Precautions & Warnings

Before initiating therapy, consider the following precautions:

  • Cardiovascular assessment: evaluate blood pressure and heart rate.
  • Monitor for hypotension: especially when standing quickly.
  • Avoid abrupt discontinuation: taper to prevent rebound angina.
  • Use with caution in hepatic impairment: dose adjustment may be needed.
  • Use with caution in renal impairment: monitor renal function.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Isosorbide mononitrate may interact with several drug classes.

Major Interactions (Avoid)

  • Other organic nitrates: additive vasodilatory effect causing severe hypotension.
  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil): risk of profound blood pressure drop.
  • Strong antihypertensive agents: may produce excessive blood pressure reduction.

Moderate Interactions (Monitor Closely)

  • Diuretics: can enhance hypotensive response.
  • ACE inhibitors or ARBs: may require blood pressure monitoring.
  • Beta‑blockers: additive effect on heart rate and blood pressure.
  • Alcohol: can increase vasodilatory side effects.
  • Tobacco smoking: induces metabolism, potentially reducing efficacy.

Frequently Asked Questions

Monotab contains isosorbide mononitrate and is prescribed to prevent episodes of angina pectoris and to treat chronic stable angina. It helps reduce chest pain by improving blood flow to the heart muscle during physical activity or stress.

Isosorbide mononitrate releases nitric oxide in the bloodstream, which activates guanylate cyclase in smooth muscle cells. This raises cyclic GMP levels, causing the muscles to relax, dilating blood vessels, lowering cardiac preload and afterload, and enhancing oxygen delivery to the heart.

The specific dose of Monotab is determined by the prescribing healthcare professional based on the patient’s condition, response, and tolerance. Dosage adjustments are made individually, and patients should follow the prescriber’s instructions without self‑adjusting the amount.

The safety of isosorbide mononitrate in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and this decision must be made by a qualified healthcare provider.

To request Monotab, 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.

Monotab (isosorbide mononitrate) is an organic nitrate that provides sustained nitric‑oxide release, whereas short‑acting nitrates like nitroglycerin act quickly but require more frequent dosing. Compared with beta‑blockers, Monotab primarily reduces cardiac workload through vasodilation rather than heart‑rate control.

Monotab tablets should be stored at temperatures below 25 °C, in their original container, protected from moisture and direct sunlight. Keep the product out of reach of children and do not use if the packaging is damaged.

Monotab is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the prescribing clinician’s guidance on timing and any specific instructions related to meals.

Serious risks include severe hypotension, syncope, life‑threatening arrhythmias, and allergic reactions such as rash or swelling. Patients should seek immediate medical attention if they experience fainting, chest pain that does not improve, or signs of an allergic response.

Monotab should be avoided in patients with known hypersensitivity to isosorbide mononitrate or other organic nitrates, those who have taken phosphodiesterase‑5 inhibitors within 24 hours, and individuals with severe hypotension or certain cardiovascular conditions unless specifically directed by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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