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Chest pain and heart rhythm

Isosorbide mononitrate

Also sold as: Imdur, Monoket

Prescription neededChest pain and heart rhythm
Comes as:TabletCapsule

Usual adult dose

To prevent angina: 20 mg two times a day with the doses given in the daytime only (for example 8 am and 2 pm), or a long-acting tablet 30 to 60 mg once a day in the morning (up to 120 mg). It does not treat a sudden attack.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • headache
  • flushing
  • dizziness
  • nausea

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • fainting
  • very low blood pressure

Do not take it, or take care, if

  • Taking sildenafil or similar medicines
  • Very low blood pressure
  • Severe anaemia
  • Severe narrowing of the aortic heart valve

Interactions

Medicines that can react with this one.

Serious1 medicineDo not take these together unless your doctor says so.
  • Sildenafil

    Nitrates with sildenafil can cause a dangerous fall in blood pressure; never combine.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

Isosorbide dinitrate
  • Glyceryl trinitrate
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.