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Low Cost
Canada Imdur 60
mg #100 Discount Price $85
Canadian Medication Mailed
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ISOSORBIDE MONONITRATE (Ismo™, Imdur®, Monoket®) is a type of vasodilator. It relaxes blood vessels, increasing the blood and oxygen supply to your heart. It is effective in the long-term treatment of angina associated with coronary artery disease. Generic isosorbide mononitrate (Ismo™, Imdur®, Monoket®) is available.
What should my health care professional know before I take isosorbide mononitrate (Ismo™, Imdur®, Monoket®)?
They need to know if you have any of these conditions:
•anemia
•dizziness or fainting spells when rising from a sitting position
•glaucoma
•head injury, recent stroke, or bleeding in the brain
•low blood pressure, or low blood volume
•previous heart attack
•overactive thyroid
•stomach or intestinal disease
•an unusual or allergic reaction to isosorbide dinitrate (Ismo™, Imdur®, Monoket®), other medicines, foods, dyes, or preservatives
•pregnant or trying to get pregnant
•breast-feeding
How should I take this medicine (Ismo™, Imdur®, Monoket®)?
Take isosorbide (Ismo™, Imdur®, Monoket®) tablets by mouth. Follow the directions on the prescription label. Unless yourdoctor or health care professional tells you otherwise for the regular tablets (Ismo®), take the first dose when you get up in the morning and the second dose about 7 hours later. Swallow regular tablets with a drink of water. Unless your doctor or health care professional tells you otherwise for the sustained-release tablets (Imdur®), take once a day when you get up in the morning. Swallow sustained-release tablets whole; do not crush or chew. Take isosorbide mononitrate (Ismo™, Imdur®, Monoket®) on an empty stomach, 1 hour before or 2 hours after food. Take at regular intervals. Try to take your doses at the same time each day, and continue to take them even if you feel better. It can take several weeks or longer to see the full effects of this medicine. Do not stop taking except on your doctor's advice. Do not take your medicine more often than directed. Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
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What
if I miss a dose (Ismo™, Imdur®, Monoket®)?
If you miss a dose, take it as soon as you can. If it is almost time for your
next dose (less than 6 hours for regular tablets or 12 hours for
sustained-release tablets), take only that dose. Do not take double or extra
doses.
What
drug(s) may interact with isosorbide mononitrate (Ismo™,
Imdur®, Monoket®)?
•acetylcholine
•alcohol
•aspirin
•beta-blockers, often used for high blood pressure or heart problems
•histamine
•medicines for colds and breathing difficulties
•medicines for high blood pressure
•medicines for mental problems or psychotic disturbances
•medicines for pain
•sildenafil (Viagra®)
•tadalafil (Cialis®)
•vardenafil (Levitra®)
•water pills
Viagra® (sildenafil), Cialis® (tadalafil), or Levitra® (vardenafil) should not
be taken with this medication to avoid severe side effects including very low
blood pressure and other complications. Tell your doctor or health care
professional about all other medicines you are taking, including
non-prescription medicines, nutritional supplements, or herbal products. Also
tell your doctor or health care professional if you are a frequent user of
drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs.
These may affect the way your medicine works. Check with your health care
professional before stopping or starting any of your medicines.
What
side effects may I notice from taking isosorbide mononitrate
(Ismo™, Imdur®, Monoket®)?
Side effects that you should report to your doctor or health care professional
as soon as possible:
•bluish discoloration of lips, fingernails, or palms of hands
•dizziness or fainting
•dry mouth
•irregular heartbeat, palpitations
•low blood pressure
•skin rash
•sweating
•the feeling of extreme pressure in the head
•unusual tiredness or weakness
Side effects that usually do not require medical attention (report to your
doctor or health care professional if they continue or are bothersome):
•flushing of the face or neck
•headache
•nausea, vomiting
What should
I watch for while taking isosorbide mononitrate (Ismo™,
Imdur®, Monoket®)?
Check your heart rate and blood pressure regularly while you are taking
isosorbide mononitrate (Ismo™, Imdur®, Monoket®) . Ask your doctor or health
care professional what your heart rate and blood pressure should be and when you
should contact him or her. Tell your doctor or health care professional if you
feel your medicine is no longer having any effect. You may get dizzy. Do
not drive, use machinery, or do anything that needs mental alertness until you
know how isosorbide mononitrate (Ismo™, Imdur®, Monoket®) affects you. To
reduce the risk of dizzy or fainting spells, do not sit or stand up quickly,
especially if you are an older patient. Alcohol can make you more dizzy, and
increase flushing and rapid heartbeats. Avoid alcoholic drinks. Do not
stop taking isosorbide mononitrate (Ismo™, Imdur®, Monoket®) suddenly or
your symptoms may get worse. Ask your doctor or health care professional how to
gradually reduce the dose.
Where
can I keep my medicine (Ismo™, Imdur®, Monoket®)?
Keep out of the reach of children. Store between 15 and 30 degrees C (59
and 86 degrees F). Keep container tightly closed. Throw away any unused medicine
after the expiration date.
Last Updated:08/08/2005
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