৳ 1/unit
Pack: ৳ 50
৳ 1/unit
Pack: ৳ 50
At a glance
Isosorbide Dinitrate is used to prevent angina (chest pain). It relaxes and widens blood vessels so blood can flow more easily to the heart.
Indications
- Prevention of angina pectoris (chest pain due to coronary artery disease)
Pharmacology
Isosorbide dinitrate relaxes vascular smooth muscles by stimulating cyclic-GMP. It dilates veins to promote peripheral pooling of blood and decreases venous return to the heart, reducing left ventricular end-diastolic pressure and pulmonary capillary wedge pressure (preload). Arteriolar relaxation reduces systemic vascular resistance, systolic arterial pressure, and mean arterial pressure (afterload).
Dosage
Adult Dose (Oral):
- Angina Pectoris: 5-20 mg every 8-12 hours (initial); maintenance: 10-40 mg every 8-12 hours
Child Dose: Safety and efficacy not established
Side effects
Common Side Effects:
- Dizziness
- Headache
- Lightheadedness
- Nausea
- Changes to heart rate
- Flushing (warmth, redness, tingly feeling)
Use in pregnancy
Use in Pregnancy: May be unsafe; animal studies have shown harmful effects; doctor will weigh benefits and risks.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Precautions & warnings
Precautions:
- Isosorbide Dinitrate does not usually affect your ability to drive
- May cause dizziness or sleepiness; do not drive or do anything requiring concentration until you know how it affects you
- Avoid alcohol (may increase dizziness)
- Headaches usually go away after a few days; inform doctor if persists
- May develop tolerance over time; follow prescribed dosing schedule
- Do not take erectile dysfunction medications (sildenafil, tadalafil) as they may cause low blood pressure
Overdose effects
Overdose: Severe hypotension, dizziness, headache, flushing, nausea, diarrhea; symptomatic treatment; gastric lavage; for hypotension, place patient in supine position and give IV fluids.
Storage conditions
Store in a cool and dry place, away from light & moisture; keep out of reach of children.