MONOTRATE OD 25MG TABLET

Uses and Benefits of MONOTRATE OD 25MG TABLET (ISOSORBIDE MONONITRATE)

Isosorbide mononitrate is mainly used to prevent episodes of chest pain (angina) related to coronary heart disease.

WHAT THIS MEDICINE IS USED FOR

• Prevention of angina (chest pain) in people with coronary artery disease
• Long-term management of angina, taken regularly as advised
• Sometimes used along with other heart medicines for angina control

HOW IT WORKS

• It relaxes the smooth muscles in blood vessel walls
• This widens (dilates) veins and arteries, especially veins
• Widening of vessels reduces the amount of work the heart has to do
• Less workload means the heart needs less oxygen, which prevents chest pain

WHAT IT IS NOT USED FOR

• It is not used to treat a sudden, ongoing heart attack
• It is not a rescue medicine for immediate relief of an acute angina attack (fast-acting nitrate forms are used for that)
• It is not used for high blood pressure treatment as a first-choice medicine
• It should not be used for pain unrelated to the heart

This medicine only works to prevent angina episodes when taken regularly; it does not cure the underlying heart disease. Your doctor will decide the right dose and timing based on your condition.

Side Effects of MONOTRATE OD 25MG TABLET (ISOSORBIDE MONONITRATE)

COMMON SIDE EFFECTS

• Headache, which may be noticeable when starting treatment
• Dizziness or light-headedness
• Flushing of the face and skin
• Nausea

LESS COMMON SIDE EFFECTS

• Weakness or tiredness
• Low blood pressure on standing up
• Fast heartbeat
• Blurred vision

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Fainting or severe dizziness
• Very low blood pressure with cold, clammy skin
• Severe or worsening chest pain
• Allergic reaction such as rash, swelling of face or lips, or difficulty breathing
• Irregular or very fast heartbeat

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use MONOTRATE OD 25MG TABLET (ISOSORBIDE MONONITRATE)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once or twice a day
• Swallow the tablet with water; do not crush or chew unless your doctor says it is fine
• Take at the same time(s) each day to keep a steady effect
• Do not stop suddenly without talking to your doctor, as this can worsen angina
• Avoid alcohol close to your dosing time, as it can increase dizziness
• Sit or lie down if you feel dizzy after taking a dose

IF YOU MISS A DOSE

• Take it as soon as you remember, unless it is almost time for your next dose
• If it is close to the next dose, skip the missed one and continue your normal schedule
• Do not take a double dose to make up for the missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep the tablets in their original strip or container
• Keep out of reach of children and pets
• Do not use beyond the expiry date printed on the pack

Safety Information and Precautions for MONOTRATE OD 25MG TABLET (ISOSORBIDE MONONITRATE)

This medicine is available only with a doctor's prescription in India. Do not self-medicate or share your medicine with others.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to isosorbide mononitrate or other nitrates
• Have severe low blood pressure or are in shock
• Have severe anaemia
• Have raised pressure inside the skull (increased intracranial pressure) from a head injury or bleed
• Are taking medicines for erectile dysfunction such as sildenafil, tadalafil, or vardenafil, or riociguat

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have low blood pressure or tend to feel dizzy on standing
• Have had a recent heart attack
• Have a heart valve problem such as aortic or mitral stenosis
• Have thyroid, liver, or kidney disease
• Are pregnant, planning pregnancy, or breastfeeding
• Are elderly, as you may be more sensitive to blood pressure effects

MEDICINES THAT CAN INTERACT

• Erectile dysfunction medicines (sildenafil, tadalafil, vardenafil) — dangerous drop in blood pressure
• Other blood pressure–lowering medicines
• Alcohol, which increases dizziness and low blood pressure risk
• Other nitrate medicines
• Certain medicines for pulmonary hypertension like riociguat

FREQUENTLY ASKED QUESTIONS

Can I take this medicine for sudden chest pain?

No, this form is for prevention, not for immediate relief; a fast-acting nitrate is used for sudden attacks.

Will this medicine make me dizzy?

It can cause dizziness, especially when standing up quickly, so rise slowly and avoid alcohol.

Can I stop this medicine on my own once I feel better?

• No, stopping suddenly can worsen your angina; always consult your doctor before changing or stopping the dose.
• Doctor ya pharmacist se salah lein.