Monotate 50 mg (Tablet)

Unit Price: ৳ 4.00 (3 x 10: ৳ 120.00)
Strip Price: ৳ 40.00

Medicine Details

Indications

  • Prevention of angina pectoris
  • Treatment of coronary artery disease

Pharmacology

  • Relaxation of vascular smooth muscle
  • Dilatation of peripheral arteries and veins
  • Reduction of left ventricular end-diastolic pressure
  • Arteriolar relaxation
  • Reduction of systemic vascular resistance

Dosage & Administration

  • Usual oral dose of 20 mg, 2 times daily
  • Maintenance doses ranging from 20 mg to 120 mg
  • Dose adjustment under physician's direction

Interaction

  • Contraindicated with phosphodiesterase inhibitors
  • Contraindicated with riociguat
  • Additive effects with other vasodilators
  • Possible dose adjustment with calcium channel blockers

Contraindications

  • Allergic to isosorbide mononitrate
  • Contraindicated with phosphodiesterase inhibitors
  • Contraindicated with riociguat

Side Effects

  • Headache
  • Feelings of dizziness
  • Hypotension

Pregnancy & Lactation

  • Pregnancy Category B
  • Caution during nursing

Precautions & Warnings

  • Use with caution in hypotensive patients
  • Possible paradoxical bradycardia
  • Aggravation of angina in hypertrophic cardiomyopathy
  • Maintenance of prescribed dosing schedule
  • Headaches as a marker of drug activity
  • Light-headedness on standing
  • Possible interaction with alcohol

Overdose Effects

  • Symptoms: hypotension, throbbing headache, tachycardia, flushing
  • Treatment: recumbent position, fluid administration, methyline blue for methemoglobinemia

Therapeutic Class

  • Nitrates: Coronary vasodilators

Storage Conditions

  • Store at 20°C-30°C

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