Angifix(Isosorbide Mononitrate)

Therapeutic Group: Cardiovascular

Presentation

Each tablet contains Diluted Isosorbide Mononitrate BP equivalent to Isosorbide-5-Mononitrate 20 mg.

Description

Isosorbide-5-mononitrate is an active metabolite of isosorbide dinitrate. It is a vasodilator with effects on both arteries and vein and also coronary vessels. It causes reduction of preload and afterload and redistributes coronary flow to ischemic regions.

Indications

Treatment and prophylaxis of angina pectoris due to coronary artery disease.

Dosage & Administration

Adult: One tablet 2 to 3 times daily.
Use in children: Not recommended for the children.

Side Effects

Flushing, throbbing headache, palpitation, dizziness, sweating, skin rash.

Precautions

Severe hypotension, particularly upright posture, may occur with isosorbide mononitrate. This drug should therefore be used with caution in patients who may be volume depleted or who, for whatever reason, are already hypotensive. Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. This drug should Start with low doses Withdrawn should gradually.

Use in Pregnancy & Lactation

There are no adequate and controlled studies to date with Isosorbide-5-mononitrate in pregnant women, and the drug should be used during pregnancy only when the potential benefit justified possible risks to the fetus.
Execration of Isosorbide-5-mononitrate into human milk is unknown, so precaution should be taken when it is administered to a nursing mother.

Over Dose

Symptoms of over dosage : Most common symptoms are hypotension, throbbing headache, tachycardia, and flushing. Methemoglobinemia may occur with massive doses.

Treatment: Treatment consists of placing patients in recumbent position and administering fluids; alpha-adrenergic vasopressors may be required. Methemoglobinemia should be treated with methyline blue at a dose of 1-2 mg/kg IV slowly.

Commercial Pack

Angifix: Each box containing 5 blister strips of 10 tablets.