Mononitrato de isosorbida
Tardisc, Xismox
Revisado por Sid DajaniÚltima actualización por Michael Stewart, MRPharmSÚltima actualización 20 oct 2024
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Isosorbide mononitrate helps to prevent angina chest pain from developing.
It is not suitable to take to treat an angina attack - you should always carry with you a short-acting nitrate, such as glyceryl trinitrate (GTN), for if you get angina pain.
The most common side-effect is headache. This should pass after a few days.
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About isosorbide mononitrate
Tipo de medicamento | Un nitrato |
Utilizado para | Angina prevention; heart failure |
También llamado | Carmil® XL, Chemydur® XL, Elantan® LA, Imdur®, Isib® XL, Ismo®, Isodur® XL, Isotard® XL, Medomon® XL, Modisal® XL, Monomax® SR, Monomil® XL, Monosorb® XL, Nyzamac® SR, Relosorb® XL, Tardisc® XL, Trangina® XL, Xismox® XL, Zemon® XL, |
Disponible como | Tablets, modified-release (longer-acting) tablets, and modified-release (longer-acting) capsules |
Isosorbide mononitrate helps to prevent angina chest pain from developing. Angina pain develops if part of your heart muscle does not get as much blood and oxygen as it needs. It is usually caused by narrowing of your coronary arteries due to a build-up of a fatty substance called atheroma. The narrowing makes it more difficult for blood to flow to your heart muscle.
Isosorbide mononitrate works in two ways. It relaxes blood vessels in your body (causing them to widen) and this reduces the strain on your heart, making it easier for your heart to pump blood around your body. It also relaxes and widens blood vessels in your heart (coronary arteries) which increases the flow of blood to your heart muscle.
Isosorbide mononitrate is also sometimes prescribed alongside other medicines for people with heart failure. This is a condition where the heart does not beat as efficiently as it should.
Before taking isosorbide mononitrate
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking isosorbide mononitrate it is important that your doctor knows:
Si está embarazada o en periodo de lactancia.
Si tiene algún problema con el funcionamiento del hígado o de los riñones.
Si tiene la tensión baja.
Si un médico le ha dicho que tiene niveles bajos de hierro en la sangre (anemia) o niveles bajos de oxígeno en la sangre (hipoxemia).
Si tiene una glándula tiroides hipoactiva.
Si padece una enfermedad ocular llamada glaucoma.
Si ha sufrido recientemente un traumatismo craneal o un infarto de miocardio.
Si alguna vez ha tenido una reacción alérgica a un medicamento.
If you are taking other medicines, including those available to buy without a prescription, as well as herbal or complementary medicines. It is particularly important that you tell your doctor if you are using any medicines to help treat erectile dysfunction.
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How to take isosorbide mononitrate
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about nitrate medicines, and it will also provide you with a full list of side-effects which you could experience from taking isosorbide mononitrate.
Some brands of isosorbide mononitrate tablets should be taken two or three times a day. Longer-acting tablets and capsules are taken once daily in the morning. Your doctor will tell you which is the right dose for you, and this will also be printed on the label of the pack to remind you about what the doctor said to you. You can take your doses either before or after meals.
Swallow the tablet/capsule whole - do not chew or crush it before you swallow. This is because the tablets/capsules are specially made to release the medicine they contain in a controlled way.
If you forget to take a dose, take it as soon as you remember. If you do not remember until your next dose is nearly due, then leave out the forgotten dose and take your next dose when it is due. Do not take two doses together to make up for a missed dose.
Aproveche al máximo su tratamiento
Isosorbide mononitrate tablets and capsules are not suitable to take to treat the pain of an angina attack. Your doctor will prescribe you a short-acting nitrate for you to take if this happens. Glyceryl trinitrate (GTN) is commonly prescribed for this.
Intente acudir a las citas periódicas con su médico. Así podrá comprobar su evolución.
The longer you take isosorbide mononitrate, the more your body can become used to it (called tolerance), and then it can have less of an effect. To avoid this, if you are taking more than one dose a day, your doses may not be prescribed at equal intervals throughout the day. It is important that you follow the instructions your doctor gives to you about when to take your doses.
It is best not to drink alcohol while you are on isosorbide mononitrate. Alcohol will increase the risk of you experiencing side-effects such as feeling dizzy and light-headed.
Si va a someterse a una operación o a un tratamiento dental, no olvide comunicar a la persona que le realice el tratamiento qué medicamentos está tomando.
If you buy any medicines, please check with a pharmacist that they are suitable for you to take with isosorbide mononitrate.
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Can isosorbide mononitrate cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with isosorbide mononitrate. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common isosorbide mononitrate side-effects | ¿Qué puedo hacer si me ocurre esto? |
Dolor de cabeza | Pida a su médico o farmacéutico que le recomiende un analgésico adecuado. Este efecto secundario suele desaparecer al cabo de unos días. |
Sensación de mareo o cansancio | No conduzca ni utilice herramientas o máquinas mientras esté afectado |
Fast heartbeat; flushing | Si alguno de estos síntomas le resulta molesto, hable con su médico. |
Si experimenta cualquier otro síntoma que considere que puede deberse al medicamento, consulte a su médico o farmacéutico.
How to store isosorbide mononitrate
Mantenga todos los medicamentos fuera del alcance y de la vista de los niños.
Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.
Información importante sobre todos los medicamentos
Información importante sobre todos los medicamentos
No tome nunca más de la dosis prescrita. Si sospecha que usted u otra persona ha tomado una sobredosis de este medicamento, acuda al servicio de urgencias de su hospital. Llévese el envase, aunque esté vacío.
Este medicamento es para usted. Nunca se lo dé a otras personas aunque su enfermedad parezca ser la misma que la suya.
No guarde medicamentos caducados o que no desee. Llévelos a su farmacia local, que se encargará de eliminarlos por usted.
Si tiene cualquier duda sobre este medicamento pregunte a su farmacéutico.
Informar de los efectos secundarios de un medicamento o vacuna
Si experimenta efectos secundarios, puede notificarlos en línea a través del sitio web de la Tarjeta Amarilla.
Lecturas complementarias y referencias
- Manufacturer's PIL, Imdur 60 mg tablets; TopRidge Pharma Ltd, The electronic Medicines Compendium. Dated August 2017.
- Manufacturer's PIL, Isosorbide mononitrate 10 mg tablets; Dexcel Pharma Ltd, The electronic Medicines Compendium. Dated December 2017.
- Medicamentos BNF completa 89ª edición; Asociación Médica Británica y Real Sociedad Farmacéutica de Gran Bretaña, Londres.
Historia del artículo
La información de esta página ha sido redactada y revisada por médicos cualificados.
Fecha prevista para la próxima revisión: 16 oct 2027
20 Oct 2024 | Última versión

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