Product image of Nyzamac Sr (Isosorbide Mononitrate) supplied by GNH India

Nyzamac Sr

Active Ingredient:
Isosorbide Mononitrate
Origin:
EU

Nyzamac Sr (Isosorbide Mononitrate)

Isosorbide Mononitrate, the active ingredient in Nyzamac Sr, is a nitrate presented as an oral tablet for oral use. It is employed to prevent angina pectoris episodes in adult patients with coronary artery disease. The medication provides sustained vasodilation, improving myocardial oxygen supply and reducing the frequency of chest pain attacks.

GNH India supplies Nyzamac Sr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company ensures quality compliance with EU standards and provides reliable logistics for global distribution.

Manufacturer / TM Owner

Ethypharm

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Indications & Clinical Uses

Isosorbide Mononitrate is a long‑acting nitrate used in the management of coronary artery disease.

  • Chronic stable angina: reduces the frequency of angina attacks and improves exercise tolerance.
  • Angina prophylaxis during physical exertion: prevents chest pain episodes associated with increased cardiac workload.
  • Management of angina in patients undergoing stress testing: minimizes ischemic symptoms during diagnostic procedures.

How It Works

  • Isosorbide Mononitrate is metabolized to release nitric oxide, which activates guanylate cyclase in vascular smooth muscle. The resulting increase in cyclic guanosine monophosphate leads to relaxation of arterial and venous vessels, decreasing preload and afterload. This vasodilatory effect improves coronary blood flow and reduces myocardial oxygen demand, thereby preventing angina episodes.

Side Effects

Isosorbide Mononitrate may cause several adverse reactions, ranging from mild to serious.

Common Side Effects

  • Headache: throbbing pain often occurring after the first dose.
  • Dizziness: light‑headed sensation, especially when standing quickly.
  • Flushing: warmth and redness of the face or neck.
  • Hypotension: noticeable drop in blood pressure causing weakness.

Serious or Rare Side Effects

  • Severe hypotension: marked blood pressure reduction that may lead to fainting.
  • Allergic reactions: rash, itching, swelling or angioedema requiring medical attention.

Precautions & Warnings

Before prescribing Nyzamac Sr, clinicians should consider several precautionary measures to ensure safe use.

  • Blood pressure assessment: verify baseline systolic and diastolic values to avoid excessive hypotension.
  • Concomitant PDE‑5 inhibitors: avoid co‑administration with sildenafil, tadalafil or similar agents due to risk of severe hypotension.
  • Orthostatic monitoring: advise patients to rise slowly to reduce dizziness or fainting.
  • Hepatic impairment: adjust therapy cautiously in patients with moderate to severe liver disease.
  • Store at ambient temperature: keep tablets in the original container, protect from moisture and heat.

Avoid Interactions

Isosorbide Mononitrate can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Phosphodiesterase‑5 inhibitors (e.g., sildenafil, tadalafil): may cause profound hypotension.
  • Rifampin and other strong enzyme inducers: reduce plasma levels and diminish therapeutic effect.
  • Alcohol: potentiates vasodilatory action, increasing risk of low blood pressure.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents (beta‑blockers, ACE inhibitors): additive blood‑pressure‑lowering effect.
  • Diuretics: may enhance electrolyte disturbances and volume depletion.
  • Nicorandil: combined nitrate effect can increase risk of severe hypotension.

Frequently Asked Questions

Nyzamac Sr contains isosorbide mononitrate, a long‑acting nitrate that is prescribed to prevent episodes of angina pectoris in adults with coronary artery disease. By reducing the frequency and severity of chest pain, it helps patients maintain daily activities and improves overall quality of life.

Isosorbide mononitrate is converted in the body to nitric oxide, a potent vasodilator. Nitric oxide activates guanylate cyclase, raising cyclic GMP levels in smooth‑muscle cells. This causes relaxation of arteries and veins, lowering cardiac preload and afterload, which decreases myocardial oxygen demand and prevents angina.

The specific dose of Nyzamac Sr is individualized by the prescribing clinician based on the patient’s condition, response, and tolerability. Dosage may be started at a low level and adjusted as needed, but the exact regimen should always follow the healthcare professional’s instructions.

Isosorbide mononitrate is generally classified as a pregnancy category C medication, indicating that risk cannot be ruled out. It should only be used if the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should consult their physician, as the drug may pass into breast milk.

To request Nyzamac Sr, visit the product page on gnhindia.com and submit an enquiry with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will ask for trade or institutional credentials. The sales team will then provide pricing, availability, shipping details and any necessary import documentation.

Nyzamac Sr (isosorbide mononitrate) provides a longer duration of action than short‑acting nitrates like nitroglycerin, allowing once‑daily dosing for chronic angina prophylaxis. Nitroglycerin is typically used for acute relief of chest pain. Both share a similar vasodilatory mechanism, but isosorbide mononitrate offers more stable plasma levels and fewer dosing fluctuations.

Nyzamac Sr tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in areas with high humidity or direct sunlight to maintain potency.

Nyzamac Sr is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the prescriber’s guidance on timing relative to meals. Swallow the tablet whole; do not crush, chew, or split unless specifically instructed by a healthcare professional.

The most serious risks include severe hypotension, which can lead to fainting or shock, and rare allergic reactions such as rash, swelling, or angioedema that may require emergency treatment. Patients should seek immediate medical attention if they experience sudden dizziness, fainting, or signs of an allergic response.

Nyzamac Sr should be avoided in patients with known hypersensitivity to isosorbide mononitrate or any other nitrate. It is also contraindicated in individuals taking phosphodiesterase‑5 inhibitors (e.g., sildenafil) due to the risk of dangerous blood‑pressure drops, and in patients with severe hypotension or recent severe head injury.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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