Nitroglycerin works very quickly to widen your blood vessels and help your heart pump blood during a heart attack. You need to take it every day in order for it to work. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. My blood pressure, cholesterol and pulse are all normal and I have no chest pains, shortness of breath or other heart problem symptoms. information and will only use or disclose that information as set forth in our notice of daily and increasing to 40 mg three times daily as necessary, given at 8 AM, 1 PM, and 6 PM), isosorbide mononitrate (starting at 30 mg/day in the morning and increasing to 120 mg/day as necessary), or a transdermal. Journals of the American College of Cardiology. Continue to take isosorbide even if you feel well. Symptoms of overdose may include: slow heartbeat, vision changes, severe nausea/vomiting, sweating, cold/clammy skin, bluish fingers/toes/lips. Disclaimer. Breastfeeding:There is data that nitrates are excreted in breast milk and may cause methemoglobinemia in infants. May also be prescribed off label for Esophageal Spasm. Along with its needed effects, a medicine may cause some unwanted effects. . The list below does not include all possible drug interactions with isosorbide mononitrate (Monoket). Alcohol will increase the risk of you experiencing side-effects such as feeling dizzy and light-headed. Vascular dilatation can precipitate venous pooling with decreased return to the heart, hypotension and reflex tachycardia. If you miss a dose, take it as soon as you remember. Once- versus twice-daily administration of controlled-release isosorbide-5-mononitrate 60 mg in the treatment of stable angina pectoris. Daily headaches are a common side effect. This medication may interfere with certain laboratory tests (including cholesterol levels), possibly causing false test results. It is important to take the drug at the same times each day. DUMQOL (DUtch Mononitrate Quality of Life) Study Group. Unless there is a specific reason you need the brand, the generic medication will be a better value. Isosorbide dinitrate (Isordil) is available as both a short-acting tablet and long-acting capsule. Isosorbide mononitrate: effectiveness, side effects, alternatives Contact your provider right away if you feel as if you are going to pass out and are experiencing an irregular heartbeat, nausea, vomiting, changes in vision, more sweating, or cold and clammy skin. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals.

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