Monistac 20mg Tablet (ISOSORBIDE MONONITRATE)
Introduction to Monistac 20mg Tablet
Monistac 20mg Tablet is a medication primarily used to prevent chest pain, known as angina, which occurs due to narrowed heart arteries. It is not intended for trea... See More
What is Monistac tablet?
Monistac tablet (ISMN) is a medicine that helps relax blood vessels. This makes it easier for the heart to pump blood, which helps people with chest pain (angina) feel better and do more exercise. While it works well initially, its effects might lessen over time.
What is the usual dose of Monistac tablet?
This medicine usually starts at a low dose (30 or 60 mg) once a day in the morning. The doctor might increase it later to a higher dose (120 mg or sometimes 240 mg), but only after a few days. It's not meant for children.
How do I take Monistac tablet?
Take your Monistac tablet pill as directed, usually first thing in the morning, to help with chest pain. Headaches are normal; don't stop taking the medicine because of them. Don't drink alcohol with this medicine, as it can make you dizzy. There are no special foods to avoid.
For how long do I take Monistac tablet?
The duration of treatment with valproic acid varies depending on the condition being treated but is often long-term, especially for chronic conditions like epilepsy.
What is Monistac tablet used for?
Monistac tablet extended-release tablets help prevent chest pain (angina) caused by narrowed heart arteries. But, they won't help *during* a chest pain attack; you need different medicine for that. They work by slowly releasing medicine over time to keep chest pain from happening.
How long does it take for Monistac tablet to start working?
Monistac tablet extended-release tablets are for long-term heart pain (angina) control, not for sudden, severe attacks. They work slowly, so they can't help quickly enough when chest pain hits unexpectedly. You need faster-acting medicine for those emergencies.
Is Monistac tablet effective?
Monistac tablet helps chest pain. To work best, you need to take it regularly, especially first thing in the morning. Headaches are a common side effect, showing the medicine is working; you can take aspirin or acetaminophen for those headaches. However, low blood pressure is a possible serious side effect, sometimes causing a slow heartbeat and even *worse* chest pain.
How does one know if Monistac tablet is working?
Monistac tablet helps people with chest pain (angina). Doctors use a treadmill test to see how well it works. They measure how long someone can walk on a treadmill before and after taking the medicine. Studies show that taking Monistac tablet increases how long people can walk, meaning it improves their ability to exercise. This benefit was seen both with a single dose and after taking the medicine for several weeks.
How does Monistac tablet work?
Monistac tablet (ISMN) is a medicine that widens your blood vessels. This widening lowers blood pressure because there's less resistance to blood flow. It also helps blood flow more easily through your heart's arteries. However, if your blood pressure drops too much, it can sometimes cause your heart to beat slower (bradycardia) and even make chest pain (angina) worse.
Who should avoid taking Monistac tablet?
Monistac tablet is a heart medicine. It shouldn't be taken if you're allergic to similar medicines like nitroglycerin. It can cause dangerously low blood pressure, especially if you're dehydrated or stand up quickly. Taking it with certain other medicines, such as sildenafil (Viagra), can also cause severe low blood pressure. Headaches are a common side effect; reducing them might make the medicine less effective at treating chest pain. You might also feel dizzy when you stand up, especially after drinking alcohol.
Can I take Monistac tablet with vitamins or supplements?
There are no significant interactions reported between Monistac tablet and vitamins or supplements; however, patients should consult their healthcare provider before combining treatments.
Can I take Monistac tablet with other prescription drugs?
Monistac tablet widens blood vessels. Mixing it with other things that widen blood vessels, like alcohol, can make blood pressure drop too much, especially when standing up suddenly. Taking it with certain other heart medicines (calcium channel blockers) might also need a change in dosage for one or both. If you take very high doses for a long time, your body can get used to it, and stopping suddenly could be dangerous, even deadly.
Can Monistac tablet be taken safely while pregnant?
Monistac tablet is a medicine, and it's generally best to avoid it during pregnancy unless absolutely necessary. There haven't been enough studies on pregnant women to know for sure. Very high doses in pregnant rats did cause problems for their babies. So, doctors are cautious about using this medicine during pregnancy.
Can Monistac tablet be taken safely while breastfeeding?
We don't know if this medicine (ISMN) passes into breast milk. Since many medicines *do* pass into breast milk, it's best to be careful and talk to a doctor before taking it if you're breastfeeding.
Is Monistac tablet safe for the elderly?
For older adults, start Monistac tablet at a low dose. Their bodies might not process it as well as younger people's due to age-related changes in their heart, kidneys, and liver, or because they take other medicines. Be careful if they're dehydrated, take many medicines, or already have low blood pressure, as this medicine can lower it further, potentially causing dizziness, fainting, and a slowed heart rate, which could ironically worsen chest pain. Older people are more likely to fall because of low blood pressure, and this medicine might make angina worse for people with a specific heart condition (hypertrophic cardiomyopathy).
How should I store Monistac tablet?
Store Monistac tablet at room temperature, away from moisture and heat. Keep out of reach of children.
Does Monistac tablet make people tired or drowsy?
Drowsiness or lightheadedness may occur in some patients, particularly upon standing. If these symptoms are experienced frequently, patients should avoid driving or operating heavy machinery until they know how the medication affects them.
Does Monistac tablet cause stomach upset?
Yes, it can cause stomach upset, including nausea or vomiting, in some individuals. Taking it with food may help reduce this side effect.
Does Monistac tablet affect sleep?
It is not commonly associated with sleep disturbances. However, side effects like headaches or dizziness may indirectly affect sleep quality for some people.
Does Monistac tablet make it hard to think or concentrate?
Yes, it may cause dizziness, lightheadedness, or fatigue, which could make it harder to think or concentrate, especially when you first start taking the medication or after a dose increase.
Does Monistac tablet affect mood?
No, it is not known to directly affect mood. However, persistent side effects like headaches or dizziness might have an indirect impact on emotional well-being.
Does Monistac tablet interfere with sexual function?
It is not commonly associated with sexual dysfunction. However, if it causes significant side effects like fatigue or low blood pressure, it could potentially affect sexual activity indirectly.
Does Monistac tablet affect appetite?
It does not typically affect appetite, though nausea or stomach upset might temporarily reduce appetite in some individuals.
Does Monistac tablet cause weight gain?
No, weight gain is not a common side effect of Monistac tablet.
Does Monistac tablet cause headaches?
Monistac tablet can cause headaches in some people, but that usually means the medicine is working. The headaches might go away as you keep taking it. Don't change your dose without asking your doctor first. If you have a headache, you can take aspirin or acetaminophen to help.
Does Monistac tablet limit driving?
It can cause dizziness or lightheadedness, especially when you first start taking it or after a dose increase. Avoid driving or operating heavy machinery until you know how the medication affects you.
Is it safe to drink alcohol while taking Monistac tablet?
No, avoid alcohol. It can increase the risk of side effects, such as dizziness, fainting, and low blood pressure.
Is it safe to drink coffee or tea while taking Monistac tablet?
Yes, you can drink coffee or tea. However, excessive caffeine intake may increase your heart rate, so it's best to consume it in moderation.
Is it safe to exercise while taking Monistac tablet?
Monistac tablet tablets, a type of heart medicine, can help some people exercise longer. Lower doses helped for a short time, but higher doses (120mg and 240mg) kept that benefit going longer. It's important to note that this medicine isn't for chest pain that comes on suddenly.
What are Monistac tablet possible harms and risks?
The most common side effects were headaches (15-57% of people, often leading to stopping the medicine) and dizziness (4-11%). A serious side effect is dangerously low blood pressure, sometimes with a slow heart rate and worse chest pain. Less common side effects included things like dry mouth, fatigue, stomach problems (pain, upset stomach, constipation, diarrhea), muscle/nerve problems (pain, numbness, weakness), heart problems (irregular heartbeat, fast or slow heart rate), and changes in liver enzymes.
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