Isobide 20 mg 20 capsules

Isobide 20 mg 20 capsules:

Isosorbide dinitrate 20 mg  capsules.

What is isosorbide dinitrate and what is it used for:

• It is a vasodilator and is used in long-term treatment and prevention of coronary and angina circulatory disorders and rehabilitation treatment after myocardial infarction.

How to take isosorbide dinitrate:

• For adults over 18 years: The usual dose is one tablet twice daily.
• Do not exceed 240 mg daily.
• Do not open or crush.
• Swallow whole with water.
• Do not stop the medication if not authorized by your healthcare provider.
• Do not use after expiry date.

Do not take isosorbide dinitrate:  

• Hypersensitivity to isosorbide dinitrate.
• Acute circulatory failure (shock, vascular collapse).
• Severe low blood pressure.
• Bleeding.
• You are taking a phosphodiesterase inhibitor (such as sildenafil, tadalafil, vardenafil).

Warnings and precautions:

• Use with caution in patients with increased intraocular pressure.
• Alcohol should be avoided during treatment.
• There is a possibility of accelerated hemolysis (rupture of red blood cells) if you have a G6PD deficiency

Possible side effects: 

• Headache.
• Water flow - drainage.
• Low blood pressure.

Other medicines and isosorbide dinitrate:

• Using phosphodiesterase inhibitors (such as sildenafil, tadalafil, and vardenafil) can make low blood pressure worse.
• Orthostatic hypotension (low blood pressure on movement) may occur with combined use of calcium channel blockers (eg, amlodipine), antihypertensive agents, phenothiazines, and tricyclic antidepressants (amitriptyline, imipramine, doxepillin).
• Alcohol use may cause severe low blood pressure and collapse.