Monicor 20mg 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.

Monicor 20mg 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 Monicor Tablet

Prevention of Angina (heart-related chest pain)

Benefits of Monicor Tablet

In Prevention of Angina (heart-related chest pain)

Monicor 20mg 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 Monicor Tablet

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 Monicor

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 Monicor Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Monicor 20mg Tablet is to be taken empty stomach.

How Monicor Tablet works

Monicor 20mg 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 Monicor 20mg Tablet may cause symptoms such as flushing, increased heart beat, nausea, thirst, chest pain and low blood pressure (Disulfiram reaction).

Pregnancy

CONSULT YOUR DOCTOR

Monicor 20mg 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.

Breast feeding

SAFE IF PRESCRIBED

Monicor 20mg 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

Monicor 20mg 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

Monicor 20mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Monicor 20mg Tablet is recommended.
However, talk to your doctor if you have any underlying kidney disease.

Liver

SAFE IF PRESCRIBED

Monicor 20mg Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Monicor 20mg Tablet may not be needed in these patients. Please consult your doctor.

What if you forget to take Monicor Tablet?

If you miss a dose of Monicor 20mg 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.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Monicor 20mg Tablet

₹1.94/Tablet

Isomin 20mg Tablet

Cipla Ltd

₹2.3/tablet

19% costlier

Isonorm 20 Tablet

Lupin Ltd

₹2.61/tablet

34% costlier

Solotrate 20mg Tablet

Zydus Cadila

₹3.05/tablet

57% costlier

Ihd 20mg Tablet

Stadmed Pvt Ltd

₹3.1/tablet

60% costlier

Monocard 20mg Tablet

Zen Pharma Pvt Ltd

₹3.29/tablet

70% costlier

View all substitutes

Quick tips

You have been prescribed Monicor 20mg 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.
Monicor 20mg 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 Monicor 20mg 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 Monicor 20mg 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 Monicor 20mg Tablet as it may cause low blood pressure.

Fact Box

Chemical Class

Nitrates

Habit Forming

Therapeutic Class

CARDIAC

Action Class

NO Donors

Interaction with drugs

Taking Monicor with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Sildenafil

Brand(s): Joy On, One Up, Confidence

Life-threatening

Tadalafil

Brand(s): Suvida Force, Tadagra, Tadafun

Life-threatening

Udenafil

Brand(s): Udzire

Life-threatening

Vardenafil

Brand(s): Edafil

Life-threatening

View all interactions

Patient concerns

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

User feedback

What are you using Monicor Tablet for?

Angina (heart*

100%

*Angina (heart-related chest pain)

How much was the improvement?

Excellent

100%

What were the side-effects while using Monicor 20mg Tablet?

No Side Effec*

100%

*No Side Effect

How do you take Monicor Tablet?

With food

100%

Please rate Monicor 20mg Tablet on price

Expensive

67%

Average

33%

FAQs

Q. Does Monicor 20mg Tablet affect heart rate?

Yes, Monicor 20mg Tablet may affect the heart rate. Monicor 20mg 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 Monicor 20mg Tablet?

You can take the forgotten dose of Monicor 20mg 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 Monicor 20mg 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 Monicor 20mg Tablet consult your doctor.

Q. What are the symptoms of an overdose of Monicor 20mg Tablet?

Taking more than the recommended dose of Monicor 20mg 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 Monicor 20mg 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 Monicor 20mg Tablet becoming ineffective (tolerance) after some time.

Q. Does Monicor 20mg Tablet lower BP?

Yes, Monicor 20mg 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 Monicor 20mg Tablet?

No, you should not take sildenafil along with Monicor 20mg 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:

Tata 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 everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. 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

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.
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.
Drugs.com. Isosorbide mononitrate Pregnancy and Breastfeeding Warnings. [Accessed 19 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:

Manufacturer/Marketer address

Wallace Pharmaceuticals Pvt. Ltd., 3rd Floor, Dempo Trade Centre Bldg., Patto Plaza, EDC Complex, Panaji 403001, Goa, India.

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.