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Isosorbide dinitrate is a nitrate medication used to prevent and manage angina pectoris (chest pain) associated with coronary artery disease. It works by relaxing and widening blood vessels, improving blood flow to the heart muscle, thereby reducing its workload and oxygen demand.
Angina Pectoris: Prevention and long-term management of angina episodes.
Heart Failure: May be used in combination with other medications for the treatment of heart failure.
Dosage: The typical starting dose is 5 to 20 mg taken two or three times daily. Maintenance doses range from 10 to 40 mg two or three times daily. It's essential to follow your healthcare provider's specific dosing instructions. :contentReference[oaicite:0]{index=0}
Administration: Take the tablet orally with a full glass of water. To minimize the risk of developing tolerance, it's crucial to have a daily dose-free interval of at least 14 hours. Do not crush or chew the tablet; swallow it whole.
Avoid Concurrent Use with PDE5 Inhibitors: Do not use isosorbide dinitrate with medications for erectile dysfunction (e.g., sildenafil, tadalafil) as this combination can cause a significant drop in blood pressure. :contentReference[oaicite:1]{index=1}
Hypotension: Monitor blood pressure regularly, as this medication can cause low blood pressure, leading to dizziness or fainting. Rise slowly from sitting or lying positions to reduce the risk of dizziness.
Tolerance: Continuous use can lead to tolerance, reducing the medication's effectiveness. Ensure dosing schedules include a nitrate-free period each day to prevent this.
Common side effects may include:
Headache: Often occurs at the beginning of treatment; consult your doctor if it persists.
Dizziness or Lightheadedness: Especially when standing up quickly.
Flushing: Warmth, redness, or tingling sensation.
Seek immediate medical attention if you experience severe side effects such as:
Allergic Reactions: Rash, itching, swelling, severe dizziness, or difficulty breathing.
Worsening Chest Pain: Increased frequency or severity of angina attacks.
Irregular Heartbeat: Fast, slow, or pounding heartbeats.
Temperature: Store at room temperature, away from moisture and heat.
Keep Out of Reach of Children: Ensure that the medication is stored safely away from children.
Note: Always use isosorbide dinitrate as prescribed by a healthcare professional. Do not adjust the dose or discontinue use without consulting your doctor. Regular follow-up appointments are essential to monitor your condition and response to therapy.
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