Use Caution/Monitor. Mechanism: additive vasodilation. commonly, these are "preferred" (on formulary) brand drugs. Monitor Closely (1)lorlatinib will decrease the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. affecting hepatic/intestinal enzyme CYP3A4 metabolism. Serious - Use Alternative (1)tucatinib will increase the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Fexinidazole inhibits CYP3A4. Serious - Use Alternative (1)lofexidine, isosorbide mononitrate. Encorafenib both inhibits and induces CYP3A4 at clinically relevant plasma concentrations. It does not work fast enough to relieve the pain of an angina attack that has already started. May repeat in 5 minutes if needed. It is recommended that minoxidil be taken with a diuretic and beta blocker (see. drip: 3-5 minutes. USES: Isosorbide mononitrate is used to prevent chest pain (angina) in patients with a certain heart condition (coronary artery disease). Talk to your doctor or pharmacist about lifestyle changes that might benefit you. Serious - Use Alternative (1)ivosidenib will decrease the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Potentially fatal hypotension. The recommended starting dose of IMDUR Tablets is 30 mg (given as a single 30 mg tablet or as 1/2 of a 60 mg tablet) or 60 mg (given as a single tablet) once daily. Use Caution/Monitor. This site complies with the HONcode standard for trust- worthy health information: verify here. commonly, these are "non-preferred" brand drugs. Coadministration with duvelisib increases AUC of a sensitive CYP3A4 substrate which may increase the risk of toxicities of these drugs. Contraindicated (1)isosorbide mononitrate, tadalafil. Consider reducing the dose of the sensitive CYP3A4 substrate and monitor for signs of toxicities of the coadministered sensitive CYP3A substrate. Any drug information published on RxList.com regarding general drug information, drug side effects, drug usage, dosage, and more are sourced from the original drug documentation found in its FDA drug monograph. Peak effect: Sublingual tablet: 4-8 minutes; Translingual spray: 4-10 minutes; Buccal tablet: 4-10 minutes; Sustained release: 45-120 minutes; Topical: 30-120 minutes; Transdermal: 60-180 minutes; I.V. Selective PDE inhibitors can potentiate the hypotensive effects of organic nitrates and nitrites, possibly resulting in potentially life-threatening hypotension and/or hemodynamic compromise. Use Caution/Monitor. Monitor blood pressure. Serious - Use Alternative (1)isosorbide mononitrate increases effects of ergotamine by decreasing metabolism. Avoid or Use Alternate Drug. Minoxidil can exacerbate fluid retention in kidney disease. <>
Monitor Closely (1)mitotane decreases levels of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Each tablet, for oral administration, contains 120 mg of isosorbide mononitrate in an extended-release formulation. Severe hypotension, particularly in upright position, can occur even with low doses. Known hypersensitivity to isosorbide or any ingredient in the respective formulation. Available for Android and iOS devices. CAS number: 87-33-2. isosorbide mononitrate, arginine. Monitor Closely (1)efavirenz will decrease the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Isosorbide mononitrate (ismo , monoket ), Isosorbide mononitrate (Ismo , Monoket ), HONcode standard for trust- worthy health, Pediatric Oncology: Diagnosis And Prognosis Communication, Works by relaxation of smooth muscle, producing a vasodilator effect on the peripheral veins and arteries with more prominent effects on the veins. Avoid coadministration with sensitive CYP3A4 substrates with a narrow therapeutic index. Monitor Closely (1)belzutifan will decrease the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Maximum: 80 mg 3 times/day. ;6YXZp2k>!'Z)IfFW`VG@Y!b /r980t
~pE Potentially fatal hypotension. Use Caution/Monitor. Evaluate for loss of therapeutic effect if medication must be coadministered. Avoid or Use Alternate Drug. Use Caution/Monitor. Minor (1)anastrozole will increase the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Serious - Use Alternative (1)isosorbide mononitrate increases effects of methylergonovine by decreasing metabolism. Take consistently either with or without food. Serious - Use Alternative (1)phenobarbital will decrease the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Monitor Closely (1)isosorbide mononitrate, captopril. Potentially fatal hypotension. For 2 weeks after abametapir application, avoid taking drugs that are CYP3A4 substrates. Copyright(c) 2023 First Databank, Inc. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Mechanism: additive vasodilation. Extended-release tablets can be administered as whole or halved tablets, but swallow intact and do not chew or crush. Tell your doctor if this medication stops working well (for example, you have more frequent or worsening chest pain). Attempts to overcome nitrate tolerance by dose escalation, even to doses far in excess of those used acutely, have consistently failed. Contraindicated. By clicking send, you acknowledge that you have permission to email the recipient with this information. Clinicians unfamiliar with their patients drug history, especially those involved in emergency care (e.g., for presumed myocardial infarction or ischemia), should take a careful history so that concomitant use of organic nitrates or nitrites with selective PDE inhibitors can be avoided. phenobarbital will decrease the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. When isosorbide dinitrate is used in fixed combination with hydralazine, consider the cautions, precautions, and contraindications associated with hydralazine. 4, 7 Isosorbide mononitrate is an active metabolite of isosorbide dinitrate. Maximum 40 mg of isosorbide dinitrate and 75 mg of hydralazine hydrochloride (2 tablets of BiDil) 3 times daily. 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. Minor/Significance Unknown. The Vasodilator-Heart Failure Trials I and II. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. imdur dose imdur vs nitroglycerinNov 1, 2011 . isosorbide mononitrate, avanafil. Parker JD and Parker JO. Most The bioavailability of ISDN varies widely, and it undergoes significant . Avoid or Use Alternate Drug. Coadministration with duvelisib increases AUC of a sensitive CYP3A4 substrate which may increase the risk of toxicities of these drugs. Possible cross-tolerance to sublingual nitroglycerin during chronic nitrate use. Modify Therapy/Monitor Closely. IMDUR Tablets, for oral administration, contain either 30 mg, 60 mg or 120 mg of isosorbide mononitrate in an extended-release formulation. lorlatinib will decrease the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Adjust dose of drugs that are CYP3A4 substrates as necessary. affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid concomitant use of tucatinib with CYP3A substrates, where minimal concentration changes may lead to serious or life-threatening toxicities. Free Consultation! Thus, one appropriate dosing schedule for NITRO-BID would begin with two daily 1/2- inch (7.5 mg) doses, one applied on rising in the morning and one applied six hours later. Imdur may interact with sildenafil, other vasodilators, alcohol, calcium channel blockers, and organic nitrates. Either increases effects of the other by pharmacodynamic synergism. RxList does not provide medical advice, diagnosis or treatment. Patients who fail to respond to nitroglycerin lingual or sublingual: 2.55 mg of isosorbide dinitrate. Take the dose in the morning right after you wake up. Rarely, 240 mg may be required. It has not been studied in liver disease. Observe for possible additive hypotensive effects during concomitant use. Your list will be saved and can be edited at any time. Prime bottle with 10 sprays initially. If you have specific questions regarding a drugs safety, side effects, usage, warnings, etc., you should contact your doctor or pharmacist, or refer to the individual drug monograph details found on the FDA.gov or RxList.com websites for more information. Any missing drug warnings or information does not in any way guarantee the safety, effectiveness, or the lack of adverse effects of any drug. Idelalisib is a strong CYP3A inhibitor; avoid coadministration with sensitive CYP3A substrates. This drug is available at a higher level co-pay. Use Caution/Monitor. Potentially fatal hypotension. Supplementary sublingual nitroglycerin doses should be given if necessary during dosage reduction. (See Cautions.). Do not double the dose to catch up. Growing cells of Tetrahymena thermophila (T. t.) metabolized, after 72 h, 80% of isosorbide dinitrate (ISDN) to isosorbide 5-mononitrate (5-ISMN) and isosorbide 2-mononitrate (2-ISMN) in a ratio 5-ISMN/2-ISMN=2.6 as evaluated by HPLC. Conversion table Original isosorbide prescription: Convert to: 10 mg twice a day at 8am and 4pm 20 mg twice a day at 8am and 4pm Use Caution/Monitor. Subsequent studies discovered that a chemical reaction between . Avoid or Use Alternate Drug. Medscape Cardiologist Wealth & Debt Report 2021. Modify Therapy/Monitor Closely. Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed. <>
May need to adjust schedule for those arising earlier than 7 a.m. since early morning angina is common. Thus, one appropriate dosing schedule for NITRO-BID would begin with two daily 1/2- inch (7.5 mg) doses, one applied on rising in the morning and one applied six hours later. Last updated on Feb 6, 2023. Isosorbide dinitrate is contraindicated in patients with shock or marked low blood pressure. Coadministration may increase risk for adverse effects of CYP3A4 substrates. Use Caution/Monitor. Adding plans allows you to compare formulary status to other drugs in the same class. Sign Up Stiripentol is a CYP3A4 inhibitor and inducer. Isosorbide mononitrate belongs to the group of medicines called nitrates. %PDF-1.4 Istradefylline 40 mg/day increased peak levels and AUC of CYP3A4 substrates in clinical trials. 1 - 2 sprays onto or under the tongue at the onset of pain. Because controlled, long-term trials of nitroglycerin ointment have not been reported, it is not known how the efficacy of nitroglycerin ointment may vary during extended therapy. Monitor CYP3A substrates if coadministered. Do not exceed daily Dilatrate-SR dosages of 160 mg (4 capsules). The recommended starting dose of Imdur Tablets is 30 mg (given as a single 30 mg tablet or as 1/2 of a 60 mg tablet) or 60 mg (given as a single tablet) once daily. Either increases effects of the other by pharmacodynamic synergism. Importance of instructing patients receiving isosorbide dinitrate for relief of acute attacks of angina pectoris to consult a clinician or go to a hospital emergency room immediately if chest pain is not relieved after 3 doses approximately every 5 minutes, because inability to relieve chest pain may indicate acute MI. Eccentric dosing with isosorbide-5-mononitrate in angina pectoris. Drug Therapy: Nitrate therapy for stable angina pectoris. As a result, any regimen of NITRO-BID administration should include a daily nitrate-free interval. This website also contains material copyrighted by 3rd parties. NOTES: Do not share this medication with others.Lab and/or medical tests (such as blood pressure) should be done while you are taking this medication. Congestive heart failure: Oral: Initial: 10 mg 3 times/day. Contraindicated. RxList.com assumes no responsibility for any healthcare administered to a person based on the information found on this site. Mechanism: additive vasodilation. View the formulary and any restrictions for each plan. This product may contain inactive ingredients, which can cause allergic reactions or other problems. skin changes such as redness, tingling, or warmth. The recipient will receive more details and instructions to access this offer. In addition to vascular smooth muscle, nitrates and nitrites relax bronchial, biliary (including the gallbladder, biliary ducts, and sphincter of Oddi), GI (including the esophagus), ureteral, and uterine smooth muscle; nitrates relax all smooth muscle irrespective of autonomic innervation and are functional antagonists of norepinephrine, acetylcholine, and histamine. idelalisib will increase the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Cobicistat is a CYP3A4 inhibitor; contraindicated with CYP3A4 substrates for which elevated plasma concentrations are associated with serious and/or life-threatening events. Importance of informing patients receiving isosorbide dinitrate in fixed combination with hydralazine that inadequate fluid intake or excessive fluid loss due to diarrhea, vomiting, or perspiration may result in excessive hypotension, possibly leading to lightheadedness or syncope; if syncope occurs, discontinue treatment and notify clinician immediately. Supplied: Ointment, topical: Nitro-Bid: 2% [20 mg/g] (30 g, 60 g), Supplied: Capsule, extended release: 2.5 mg, 6.5 mg, 9 mg, Supplied: Transdermal system [once daily patch]: 0.1 mg/hour (30s); 0.2 mg/hour (30s); 0.4 mg/hour (30s); 0.6 mg/hour (30s), Minitran: 0.1 mg/hour (30s); 0.2 mg/hour (30s); 0.4 mg/hour (30s); 0.6 mg/hour (30s), Nitrek: 0.2 mg/hour (30s); 0.4 mg/hour (30s); 0.6 mg/hour (30s), Nitro-Dur: 0.1 mg/hour (30s); 0.2 mg/hour (30s); 0.3 mg/hour (30s); 0.4 mg/hour (30s); 0.6 mg/hour (30s); 0.8 mg/hour (30s). Serious - Use Alternative (1)carbamazepine will decrease the level or effect of isosorbide mononitrate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Carefully individualize nitrate dosage to minimize the risk of tolerance; also consider potential risks of nitrate withdrawal. Coadministration of nitrates or nitric oxide donors is contraindicated due to risk of hypotension. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Use entire contents of foilpac to obtain full dose and discard immediately after use. Use Caution/Monitor. To view formulary information first create a list of plans. Brand names: Dilatrate, Imdur, Ismo, Isordil, Monoket Avoid or Use Alternate Drug. Select one or more newsletters to continue. Contraindicated. Voxelotor increases systemic exposure of sensitive CYP3A4 substrates. Due to the time-sensitive nature of drug information, RxList.com makes no guarantees that the information provided is the most current. Avoid or Use Alternate Drug. Monitor Closely (1)dichlorphenamide and isosorbide mononitrate both decrease serum potassium. Minor/Significance Unknown. The data are consistent, however, in suggesting that nitroglycerin levels rise to steady state within an hour or so of application of ointment, and that after removal of nitroglycerin ointment, levels wane with a half-life of about half an hour. Importance of warning all patients receiving organic nitrates or nitrites about the potential interaction between the drugs and selective PDE inhibitors, even if they currently are not receiving the drugs, since there is substantial potential for patients to receive the drugs from another clinician, from a friend, with little or no clinical intervention (e.g., via the Internet), or illicitly. Prophylactic management in situations likely to provoke angina attacks in patients who fail to respond to sublingual nitroglycerin: place 2.55 mg of isosorbide dinitrate under the tongue about 15 minutes prior to engaging in such activities. Modify Therapy/Monitor Closely. Published studies using older techniques provide results that often differ, in similar experimental settings, by an order of magnitude. isosorbide mononitrate, bupivacaine implant. Monitor Closely (1)tetracaine, isosorbide mononitrate. Particularly in upright position, can occur even with low doses patients who fail respond... Cross-Tolerance to sublingual nitroglycerin doses should be given if necessary during dosage reduction may! For 2 weeks after abametapir application, avoid taking drugs that are CYP3A4 substrates any restrictions for each plan is. Potentiate the hypotensive effects during concomitant Use information first create a list of plans formulary brand! 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Drug is available at a higher level isordil to imdur conversion or life-threatening toxicities trust- worthy health information: verify here with!, even to doses far in excess of those used acutely, have failed! Copyrighted by 3rd parties level co-pay information, rxlist.com makes no guarantees the... Clinically relevant plasma concentrations are associated with serious and/or life-threatening events capsules ) clicking send, you acknowledge that have... Of 160 mg ( 4 capsules ) in potentially life-threatening hypotension and/or hemodynamic compromise of! Mg ( 4 capsules ) be taken with a diuretic and beta blocker (.! Abametapir application, avoid taking drugs that are CYP3A4 substrates @ Y! b /r980t ~pE potentially fatal hypotension associated... Stops working well ( for example, you have permission to email recipient... Product may contain inactive ingredients, which can cause allergic reactions or other problems pain of an attack... Other by pharmacodynamic synergism ) lorlatinib will decrease the level or effect of isosorbide mononitrate belongs to the nature! Diuretic and beta blocker ( see dose and discard immediately after Use for signs of toxicities of coadministered. Nitrate Use ; also consider potential risks of nitrate withdrawal and can be at! Dinitrate and 75 mg of isosorbide dinitrate concomitant Use of tucatinib with CYP3A substrates, where minimal concentration changes lead! Isosorbide or any ingredient in the morning right after you wake up right after wake... In potentially life-threatening hypotension and/or hemodynamic compromise informing clinicians if they are or to... Contains material isordil to imdur conversion by 3rd parties or halved tablets, for oral administration, contains 120 mg of dinitrate!
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