Isonorm 60 SR Tablet

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Introduction

Isonorm 60 SR Tablet is used to prevent heart-related chest pain (angina). It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medicine will not treat an angina attack that has already begun.

Isonorm 60 SR Tablet should be taken empty stomach. Your doctor will decide the dose and how often you should take them. This may change from time to time depending on how well they are working. You should take this medicine as it has been prescribed and keep taking it, even if you feel well. This medicine helps to prevent chest pain in the future. If you stop taking it, your risk of chest pain will increase, especially if you stop taking them suddenly. Lifestyle changes such as diet, exercise, and not smoking may help this medication work better.

You can develop tolerance to this medicine over time, which means that the same dose becomes less effective. You have to stick to a really specific dosing schedule to prevent this from happening.

The most common side effects include headache, dizziness, changes to your heart rate, and flushing (warmth, redness, or a tingly feeling). If these symptoms bother you or do not go away, your doctor may suggest ways of preventing or reducing them. Some can be reduced by taking painkillers, drinking plenty of fluids, and avoiding alcohol. 

Before taking this medicine tell your doctor if you have low blood pressure, increased pressure in the eye (glaucoma), kidney disease, or heart failure. Also let your doctor know if you are taking any other medicines as some may affect, or be affected by, this medicine and some may be dangerous to take with it. You should not take any medicine for erectile dysfunction with this medicine. If you are pregnant or breastfeeding, ask your doctor if this medicine is suitable. Your doctor may regularly monitor your blood pressure and heart rate during the treatment with this medicine.

Uses of Isonorm Tablet PR

Benefits of Isonorm Tablet PR

In Prevention of Angina (heart-related chest pain)

Isonorm 60 SR Tablet reduces your risk of getting heart-related chest pain (angina attack). It does not treat an angina attack that has already begun and should not be used for this purpose. It works by relaxing and widening blood vessels in the heart. This makes it easier for blood to flow to the heart, so it gets more oxygen. This medicine thus helps to increase your ability to exercise and go about your daily life more easily and confidently. It should be taken regularly to be effective.

Side effects of Isonorm Tablet PR

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Isonorm

  • Headache
  • Dizziness
  • Flushing (sense of warmth in the face, ears, neck and trunk)
  • Orthostatic hypotension (sudden lowering of blood pressure on standing)

How to use Isonorm Tablet PR

Use it as advised by your doctor or check the label for directions before use. Isonorm 60 SR Tablet is to be taken empty stomach.

How Isonorm Tablet PR works

Isonorm 60 SR Tablet is a nitrate. It reduces the workload of the heart. As a result, the heart muscle does not need as much blood and oxygen supply.

Safety Advice

Alcohol
UNSAFE
Consuming alcohol while taking Isonorm 60 SR Tablet may cause symptoms such as flushing, increased heart beat, nausea, thirst, chest pain and low blood pressure (Disulfiram reaction).
Pregnancy
CONSULT YOUR DOCTOR
Isonorm 60 SR Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Isonorm 60 SR Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Isonorm 60 SR Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Isonorm 60 SR Tablet is safe to use in patients with kidney disease. No dose adjustment of Isonorm 60 SR Tablet is recommended.
However, talk to your doctor if you have any underlying kidney disease.
Liver
SAFE IF PRESCRIBED
Isonorm 60 SR Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Isonorm 60 SR Tablet may not be needed in these patients. Please consult your doctor.

What if you forget to take Isonorm Tablet PR?

If you miss a dose of Isonorm 60 SR Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Isonorm 60 SR Tablet
₹4.47/Tablet PR
₹6.79/Tablet PR
52% costlier
Monotrate SR 60 Tablet
Sun Pharmaceutical Industries Ltd
₹7.12/Tablet PR
59% costlier

Quick Tips

  • You have been prescribed Isonorm 60 SR Tablet for the prevention and treatment of heart-related chest pain (angina).
  • Eat healthy (low-fat, high-fiber, low-sodium diet), quit smoking, increase your physical activity, watch your weight and reduce stress.
  • Isonorm 60 SR Tablet may cause dizziness or sleepiness. Do not drive or do anything that requires concentration until you know how it affects you.
  • Do not consume alcohol while taking Isonorm 60 SR Tablet as it may cause increased dizziness.
  • It may cause headaches which usually go away after a few days of continued treatment. Inform your doctor if it persists.
  • You may develop tolerance to Isonorm 60 SR Tablet with time, meaning that the same dose may be less effective next time. Follow the prescribed dosing schedule to avoid this.
  • Stop taking medications (prescribed for erectile dysfunction) like sildenafil or tadalafil while on treatment with Isonorm 60 SR Tablet as it may cause low blood pressure.

Fact Box

Chemical Class
Nitrates
Habit Forming
No
Therapeutic Class
CARDIAC
Action Class
NO Donors

Interaction with Drugs

Taking Isonorm with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Joy On, One Up, Confidence
LIFE-THREATENING
Brand(s): Suvida Force, Tadagra, Tadafun
LIFE-THREATENING
Brand(s): Udzire
LIFE-THREATENING
Brand(s): Edafil
LIFE-THREATENING

Patient Concerns

arrow
What is heart attack? When heart attack coming?
Dr. Nabajit Talukdar
Cardiology
Related to chest pain angina commonly
Chest pain headache vetrigo Angina pain
Dr. Nabajit Talukdar
Cardiology
Get echo n ECG done
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Do you have any questions related to Isonorm 60 SR Tablet ?

User Feedback


FAQs

Q. Does Isonorm 60 SR Tablet affect heart rate?

Yes, Isonorm 60 SR Tablet may affect the heart rate. Isonorm 60 SR Tablet causes a decrease in blood pressure. This decrease in blood pressure further causes a decrease in the heart rate (bradycardia). In some cases, it may also cause an increase in the heart rate (tachycardia). Consult your doctor in case you do not feel well after taking this medicine or if you notice a change in your heart rate.

Q. What if I forget to take a dose of Isonorm 60 SR Tablet?

You can take the forgotten dose of Isonorm 60 SR Tablet if you remember it within 12 hours. However, if you remember it after 12 hours of the scheduled time, then skip the missed dose and continue with the next dose.

Q. Can I stop taking Isonorm 60 SR Tablet after sometime?

No, do not stop taking this medicine without talking to your doctor. Stopping it suddenly may increase your chances of having an anginal attack. If you have any concerns regarding Isonorm 60 SR Tablet consult your doctor.

Q. What are the symptoms of an overdose of Isonorm 60 SR Tablet?

Taking more than the recommended dose of Isonorm 60 SR Tablet may cause throbbing headache, reddening of the skin, chills along with sweating, nausea, vomiting, and a fast heartbeat. Seek emergency help and consult your doctor immediately if you take more than the recommended dose of this medicine.

Q. Can Isonorm 60 SR Tablet be taken at night?

Depending upon the dose, your doctor may recommend you to take this medicine once or twice daily. When a single dose is recommended, then it is preferred to be taken in the morning. If taking it twice a day, maintain a gap of 7 hours between the two doses. This helps decrease the chances of Isonorm 60 SR Tablet becoming ineffective (tolerance) after some time.

Q. Does Isonorm 60 SR Tablet lower BP?

Yes, Isonorm 60 SR Tablet can cause a fall in blood pressure. This medicine widens the blood vessels and decreases the resistance in them, causing a fall in blood pressure. This fall in blood pressure may in turn decrease the heartbeat which can lead to angina. This medicine should be avoided in people who already have low blood pressure. Discuss with your doctor if you have any concerns.

Q. Can I take sildenafil while taking Isonorm 60 SR Tablet?

No, you should not take sildenafil along with Isonorm 60 SR Tablet. Both these medicines lower blood pressure and belong to the same class. Taking these two medicines together may cause a severe decrease in blood pressure, fainting, and even a heart attack. Along with this, also avoid taking other medicines belonging to similar classes such as vardenafil and tadalafil.

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Disclaimer:

1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Opie LH, Horowitz JD. Nitrates and Newer Antianginals β-Blocking Agents. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. p. 47.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 744.
  3. Drugs.com. Isosorbide mononitrate Pregnancy and Breastfeeding Warnings. [Accessed 19 Mar. 2019] (online) Available from:External Link
  4. Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

Lupin Ltd, 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
Country of Origin: India

Expires on or after: September, 2021

A licensed vendor partner from your nearest location will deliver Isonorm 60 SR Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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