GNH USA

Europe — EMA

Isomel Sr

GNH USA supplies Isomel Sr (Isosorbide Mononitrate), a nitrate for chronic stable angina and angina pectoris.

Isosorbide Mononitrate

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What is Isosorbide Mononitrate?

Isosorbide Mononitrate, the active ingredient in Isomel Sr, is a nitrate presented as an oral tablet for oral use. It is employed to prevent and treat episodes of chronic stable angina and angina pectoris in adult patients. It is marketed across the European Union and is available through qualified pharmaceutical channels.

GNH USA supplies Isomel Sr as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for import and distribution.

What is Isosorbide Mononitrate used for?

Isosorbide Mononitrate is a nitrate used in the management of coronary artery disease and related anginal conditions. - Chronic stable angina: reduces the frequency and severity of angina attacks. - Angina pectoris: improves exercise tolerance and delays onset of chest pain. - Prophylaxis of angina episodes: provides long‑term prevention of symptomatic ischemia.

What are the side effects of Isosorbide Mononitrate?

Isomel Sr may cause a range of adverse reactions, most of which are dose‑related and reversible.

Common Side Effects: - Headache: mild to moderate throbbing pain. - Dizziness or light‑headedness. - Flushing: warmth and redness of the skin. - Hypotension: low blood pressure, especially on standing. - Nausea or gastrointestinal discomfort. - Palpitations: awareness of heartbeat.

Serious or Rare Side Effects: - Severe hypotension leading to syncope. - Acute myocardial infarction in susceptible patients. - Life‑threatening allergic reactions (anaphylaxis). - Tachycardia or arrhythmias. - Methemoglobinemia (rare blood disorder).

What precautions apply to Isosorbide Mononitrate?

Before initiating therapy with Isomel Sr, several safety considerations should be observed. - Blood pressure monitoring: check baseline and periodic readings. - Concomitant nitrate use: avoid combining with other nitrate preparations. - Phosphodiesterase‑5 inhibitors: do not use together due to risk of profound hypotension. - Hepatic or renal impairment: adjust dose and monitor organ function. - Abrupt discontinuation: taper gradually to prevent rebound angina. - Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

What does Isosorbide Mononitrate interact with?

Isomel Sr can interact with several drug classes; awareness helps prevent adverse events.

Major Interactions (Avoid): - Other nitrates (e.g., nitroglycerin): additive vasodilatory effect. - Phosphodiesterase‑5 inhibitors (e.g., sildenafil): risk of severe hypotension. - Potent antihypertensives (e.g., clonidine): may cause excessive blood pressure drop.

Moderate Interactions (Monitor Closely): - Diuretics: may enhance hypotensive response. - ACE inhibitors or ARBs: monitor blood pressure for additive effects. - Beta‑blockers: assess for bradycardia or excessive blood pressure reduction. - Calcium channel blockers: watch for combined vasodilatory impact. - Antiplatelet agents: monitor for bleeding tendency.

Frequently asked questions

What is Isomel Sr used for?+
Isomel Sr contains isosorbide mononitrate and is prescribed to prevent and treat episodes of chronic stable angina and angina pectoris, helping patients reduce chest pain during physical activity or stress.
How does Isosorbide Mononitrate work?+
The drug releases nitric oxide, which activates guanylate cyclase in vascular smooth muscle, raising cyclic GMP levels. This relaxes arteries and veins, lowering cardiac preload and afterload and improving the balance between myocardial oxygen supply and demand.
What is the usual dose of Isomel Sr?+
Dosing is individualized by the prescribing clinician based on the patient’s condition, response, and tolerability. The prescriber determines the appropriate strength, frequency, and any titration schedule.
Is Isomel Sr safe during pregnancy or breastfeeding?+
Safety data are limited. The product should only be used during pregnancy or lactation if the potential benefit justifies the potential risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.
How do I order Isomel Sr from GNH USA?+
Submit an enquiry on the Isomel Sr product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any required import documentation.
How does Isomel Sr compare with other anti‑anginal drugs?+
Isosorbide mononitrate offers once‑daily oral dosing and a longer half‑life compared with short‑acting nitrates like nitroglycerin. Unlike beta‑blockers, it does not affect heart rate directly, making it useful as an adjunct or alternative in patients who cannot tolerate beta‑blockade.
How should Isomel Sr be stored and handled?+
Store the tablets at room temperature, below 25 °C, in the original blister pack or container. Protect them from moisture, excessive heat, and direct sunlight to maintain stability.
How is Isomel Sr administered?+
Isomel Sr is taken orally, usually with a glass of water. It may be taken with or without food, but patients should follow the prescriber’s instructions regarding timing and any specific administration recommendations.
What are the most serious risks associated with Isomel Sr?+
Serious adverse events include severe hypotension, syncope, life‑threatening allergic reactions, and rare occurrences of myocardial infarction or methemoglobinemia. Patients should seek immediate medical attention if they experience fainting, chest pain, or signs of an allergic reaction.
Who should not use Isomel Sr?+
Patients with known hypersensitivity to isosorbide mononitrate or other nitrates, those who have taken phosphodiesterase‑5 inhibitors within the past 24‑48 hours, and individuals with severe hypotension or uncontrolled heart failure should avoid using Isomel Sr unless directed otherwise by a physician.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Isosorbide Mononitrate
Route
Oral Use
Manufacturer
Dexcel Pharma Gmbh
Origin
EU

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