What drug must not be prescribed when a patient is on isosorbide mononitrate? Do not take
riociguat (Adempas®), sildenafil (Viagra®), tadalafil (Cialis®), or vardenafil (Levitra®)
while you are using this medicine. Using these medicines together may lower your blood pressure and cause blurred vision, dizziness, lightheadedness, or fainting.
What should you avoid when taking isosorbide?
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using
alcohol or tobacco
with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Which medication has a serious drug interaction with isosorbide?
You should not take erectile dysfunction medicine (
Viagra, Cialis, Levitra, Stendra, Staxyn, sildenafil, avanafil, tadalafil, vardenafil
) while you are taking isosorbide mononitrate. Taking these medicines together can cause a sudden and serious decrease in blood pressure.
Can you take nitroglycerin with isosorbide?
Interactions between your drugs
No interactions were found between isosorbide mononitrate and nitroglycerin
.
Can you take aspirin with isosorbide?
As a combination medication,
ASPIRIN+ISOSORBIDE MONONITRATE reduces the risk of further heart attack or stokes or of dying from one of these atherothrombotic events
.
Can isosorbide be taken with metoprolol?
Interactions between your drugs
No interactions were found between isosorbide mononitrate and Metoprolol Succinate ER
. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Which recommendation is appropriate for a patient receiving isosorbide mononitrate quizlet?
The recommended regimen of Ismo (isosorbide mononitrate) tablets is
20 mg (one tablet) twice daily, with the two doses given 7 hours apart
. For most patients, this can be accomplished by taking the first dose on awakening and the second dose 7 hours later.
Can you take amlodipine and isosorbide together?
No interactions were found between amlodipine and isosorbide mononitrate
. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Can you take lisinopril and isosorbide together?
Using isosorbide mononitrate and lisinopril together
may lower your blood pressure and slow your heart rate
. This can cause a throbbing headache, difficult or slow breathing, dizziness, fainting, and an irregular heartbeat. If you take both medications together, tell your doctor if you have any of these symptoms.
Can I take ibuprofen with isosorbide mononitrate?
Interactions between your drugs
No interactions were found between ibuprofen and isosorbide
.
What is the difference between nitroglycerin and isosorbide?
Isosorbide dinitrate is good for chest pain, but you have to be able to stick to your dosing schedule or it won’t work as well. Relieves chest pain.
Nitroglycerin is the fastest-working medicine to relieve chest pain, but make sure to sit down before taking it
.
Does isosorbide lower heart rate?
Compared to the findings after the placebo, the blood pressure level fell and
the heart rate increased after the ingestion of isosorbide dinitrate
. The changes were more striking with the patients standing than with them supine, and the larger dose of the drug produced greater changes than the smaller dose.
Does isosorbide lower diastolic blood pressure?
Sublingual isosorbide safely and
effectively lowers systolic and diastolic BP
in patients with severe, uncontrolled arterial hypertension.
Can you take Tylenol with isosorbide?
Interactions between your drugs
No interactions were found between isosorbide mononitrate and Tylenol
.
What medications contain nitrates?
- Nitroglycerin (such as Nitro-Dur, Nitrolingual, Nitrostat).
- Isosorbide (such as Dilatrate, Isordil).
- Nitroprusside (such as Nitropress).
- Amyl nitrite or amyl nitrate. These are sometimes called “poppers.” They are sometimes abused.
What does isosorbide mononitrate do to your heart?
Isosorbide mononitrate belongs to the group of medicines called nitrates. It works by
relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its workload
. When used regularly on a long-term basis, this helps prevent angina attacks from occurring.
What medications should not be taken with metoprolol?
A product that may interact with this drug is: fingolimod. Other medications can affect the removal of metoprolol from your body, which may affect how metoprolol works. Examples include
lumefantrine, propafenone, quinidine, SSRI antidepressants (such as fluoxetine, paroxetine), St. John’s wort
, among others.
What is the difference between isosorbide and metoprolol?
Metoprolol Succinate is a nitrate which relaxes the blood vessels and decreases the oxygen demand of the heart. Isosorbide Mononitrate is a long-acting beta blocker that works specifically on the heart. It works by slowing down the heart rate and makes the heart more efficient at pumping blood throughout the body.
What should I avoid while taking metoprolol?
Caffeine has the ability to decrease the effectiveness of certain drugs like metoprolol. It is therefore better to avoid the intake of
caffeine-containing foods and beverages
while taking metoprolol.
What is the side effects of isosorbide?
- Abnormal heart sound.
- absence of or decrease in body movement.
- arm, back, or jaw pain.
- black, tarry stools.
- bladder pain.
- bleeding after defecation.
- blood in the urine or stools.
- body aches or pain.
Which drugs are used to prevent angina episodes select all that apply?
- Aspirin. Aspirin and other anti-platelet medications reduce the ability of your blood to clot, making it easier for blood to flow through narrowed heart arteries.
- Nitrates. …
- Beta blockers. …
- Statins. …
- Calcium channel blockers. …
- Ranolazine (Ranexa).
Can isosorbide cause tachycardia?
Cardiovascular: angina pectoris, arrhythmias, atrial fibrillation, hypotension, palpitations, postural hypotension, premature ventricular contractions,
supraventricular tachycardia
, syncope. Dermatologic: pruritus, rash.
What should not be taken with amlodipine?
Tell your doctor if you’re taking any of these medicines before starting amlodipine:
antibiotics such as clarithromycin, erythromycin or rifampicin
. calcium channel blockers like diltiazem or verapamil. itraconazole or ketoconazole, antifungal medicines.
What should you avoid when taking amlodipine?
Amlodipine Interactions with Alcohol
Combined use of alcohol and amlodipine may lead to some severe side effects like dizziness or lightheadedness. It is best to avoid alcohol when you are on amlodipine.
Is amlodipine and isosorbide the same?
Imdur (isosorbide mononitrate) Extended Release and Norvasc (amlodipine)
are indicated for the prevention of angina pectoris. Norvasc is also prescribed for the treatment of high blood pressure. Imdur and Norvasc belong to different drug classes. Imdur is a vasodilator and Norvasc is a calcium channel blocker (CCB).
What drugs should not be taken with lisinopril?
- Diuretics, such as hydrochlorothiazide. …
- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin). …
- Aliskiren (Tekturna) and angiotensin-receptor blockers (ARBs) such as valsartan (Diovan). …
- Lithium.
When should lisinopril be avoided?
You should not use lisinopril if you are allergic to it, or if you: have a history of angioedema; recently took a heart medicine called sacubitril; or. are allergic to any other ACE inhibitor, such as benazepril, captopril, enalapril, fosinopril, moexipril, perindopril, quinapril, ramipril, or trandolapril.
When is lisinopril contraindicated?
Lisinopril is contraindicated in patients with hyperkalemia, a history of angioedema, renal failure with prior lisinopril use, bilateral renal artery stenosis, concomitant use with aliskiren in patients with diabetes mellitus, and during coadministration with a neprilysin inhibitor or within 36 hours of taking one.
When is the best time to take isosorbide mononitrate?
You should take this medicine
first thing in the morning
and follow the same schedule each day. This medicine works best if you have a “drug-free” period of time every day when you do not take it. Your doctor will schedule your doses during the day to allow for a drug-free time.
Is isosorbide a blood thinner?
What is isosorbide mononitrate?
Isosorbide mononitrate is a nitrate that dilates (widens) blood vessels
, making it easier for blood to flow through them and easier for the heart to pump.
Is isosorbide mononitrate for blood pressure?
Isosorbide mononitrate (ISMN) is
effective in the short-term for decreasing systolic blood pressure, pulse pressure, and pulse wave reflection in patients with systolic hypertension
.
Is there an alternative to isosorbide mononitrate?
In patients treated with maximal beta-blocking therapy,
nifedipine is an effective alternative to isosorbide
as a combination agent with propranolol. The salutary effects of nifedipine included afterload reduction with exercise and possible improvements in coronary blood supply.
Can you drink alcohol while taking isosorbide mononitrate?
Isosorbide Mononitrate Tablets and alcohol:
Do not drink alcohol
. It could increase the effect of Isosorbide Mononitrate Tablets and lower your blood pressure too much. If this happens, you may feel dizzy or faint.
Why does isosorbide mononitrate cause headaches?
Isosorbide mononitrate
stimulates cGMP production, which results in vascular smooth muscle relaxation
. Most often, when a patient experiences a drug-induced headache, the headache occurs relatively soon after initiation of the drug. The type of headache is usually tension or migraine.
Who should not take isosorbide?
Do not take Isosorbide Mononitrate Tablets if:
you are allergic (hypersensitive) to isosorbide mononitrate, isosorbide dinitrate or any of the other ingredients of Isosorbide Mononitrate Tablets
(see section 6). An allergic reaction may include a rash, itching or difficulty breathing.
Does isosorbide cause bradycardia?
Hypotension induced by isosorbide dinitrate
may be accompanied byparadoxical bradycardia
and increased angina pectoris.
