Isonorm 60 SR Tablet 10's

Monotus 10mg Tablet is used in the treatment of Angina (heart-related chest pain)

Consuming alcohol while taking Isonorm 60 SR Tablet may cause symptoms such as flushing, increased heart beat, nausea, thirst, chest pain and low blood pressure (Disulfiram reaction).

Isonorm 60 SR Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

• You have been prescribed Isosorbide Mononitrate for the prevention and treatment of heart-related chest pain (angina).
• Eat healthy (low-fat, high-fibre, low-sodium diet), quit smoking, increase your physical activity, watch your weight, and reduce stress.
• Isosorbide Mononitrate may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
• Do not consume alcohol while taking Isosorbide Mononitrate as it may cause increased dizziness.
• It may cause headaches which usually go away after a few days of continued treatment. Inform your doctor if it persists.
• You may develop tolerance to Isosorbide Mononitrate with time, meaning that the same dose may be less effective next time. Follow the prescribed dosing schedule to avoid this.
• Stop taking sildenafil or Tadalafil like medication while on treatment with Isosorbide Mononitrate as it may cause low blood pressure.

Isosorbide Mononitrate : Headache, Dizziness, Increased heart rate, Flushing of face, Orthostatic hypotension (sudden lowering of blood pressure on standing)

Isonorm 60 SR Tablet is to be taken empty stomach.

Monotus 10mg Tablet is a nitrate. It reduces the workload of the heart. As a result, the heart muscle does not need as much blood and oxygen supply.

Q. Does Monotus affect heart rate?
Yes,Monotus may affect the heart rate.Monotus causes a decrease in the blood pressure. This decrease in blood pressure further causes a decrease in the heart rate (bradycardia). In some cases, it may also cause an increase in the heart rate (tachycardia). Consult your doctor in case you do not feel well after taking this medicine or if you notice a change in your heart rate.

Q. What if I forget to take a dose of Monotus?
You can take the forgotten dose of Monotus if you remember it within 12 hours. However, if you remember it after 12 hours of the scheduled time, then skip the missed dose and continue with the next dose.

Q. Can I stop taking Monotus after sometime?
No, do not stop taking this medicine without talking to your doctor. Stopping it suddenly may increase your chances of having anginal attack. If you have any concerns regarding Monotus consult your doctor.

Q. What are the symptoms of overdose of Monotus?
Taking more than the recommended dose of Monotus may cause throbbing headache, reddening of the skin, chills along with sweating, nausea, vomiting and a fast heartbeat. Seek emergency help and consult your doctor immediately if you take more than the recommended dose of this medicine.

Q. Can Monotus be taken at night?
Depending upon the dose, your doctor may recommend you to take this medicine once or twice daily. When single dose is recommended, then it is preferred to be taken in the morning. If taking it twice a day, maintain a gap of 7 hours between the two doses. This helps decrease the chances of Monotus becoming ineffective (tolerance) after sometime.

Q. Does Monotus lower BP?
Yes,Monotus can cause a fall in blood pressure. This medicine widens the blood vessels and decreases the resistance in them, causing a fall in blood pressure. This fall in blood pressure may in turn decrease the heartbeat which can lead to angina. This medicine should be avoided in people who already have low blood pressure. Discuss with your doctor if you have any concerns.

Q. Can I take sildenafil while taking Monotus?
No, you should not take sildenafil along with Monotus. Both these medicines lower blood pressure and belong to the same class. Taking these two medicines together may cause severe decrease in blood pressure, fainting and even heart attack. Along with this, also avoid taking other medicines belonging to similar class such as vardenafil and tadalafil.

Isonorm 60 SR Tablet is safe to use in patients with kidney disease. No dose adjustment of Isonorm 60 SR Tablet is recommended.
However, talk to your doctor if you have any underlying kidney disease.