Isomack retard 20mg 20 cap

Isomack retard 20mg 20 cap

Description:

Isomack retard 20mg 20 cap is a prescription cardiovascular medicine containing a prolonged-release form of isosorbide mononitrate, a nitrate vasodilator used in the prevention and long-term management of angina pectoris (chest pain) due to coronary artery disease. The "retard" formulation indicates sustained/extended release, providing a gradual and prolonged effect to help reduce the frequency and severity of angina attacks. It is intended for adult patients and must be used under medical supervision.

Indications:

• Prevention and long-term management of angina pectoris (chronic stable angina).
• Reduction of frequency, intensity, and duration of angina attacks caused by coronary artery disease.
• Adjunctive therapy in patients with ischemic heart disease as prescribed by a cardiologist or physician.

Active Ingredients / Key Components:

• Isosorbide mononitrate – 20 mg per prolonged-release capsule.
• Excipients and capsule components: exact excipient composition and concentrations , please check the product leaflet or the manufacturer’s official website. Refer to the package leaflet for full list of inactive ingredients.

Dosage & Administration / How to Use:

• Use only as directed by your doctor. Do not change your dose or stop the medicine without medical advice.
• Typical adult dose (for chronic angina prevention) is usually 20 mg to 40 mg once or twice daily, depending on clinical condition and physician judgment. The exact dose and schedule must be individualized by the prescribing doctor.
• Swallow the capsule whole with a sufficient amount of water. Do not crush, chew, or open the capsule, as this will affect the prolonged-release properties.
• Usually taken at the same time(s) each day, with or without food, as advised by your doctor.
• Ensure a nitrate-free interval each day if recommended by your physician to reduce the risk of tolerance (reduced effect over time).
• If you miss a dose, take it as soon as you remember unless it is almost time for the next dose. Do not double the dose to make up for a missed one.
• Not recommended for use in children unless specifically prescribed by a specialist.

Clinical Benefits:

• Helps prevent episodes of angina pectoris by dilating blood vessels and improving blood flow to the heart muscle.
• Reduces the frequency and severity of chest pain attacks associated with coronary artery disease.
• Decreases the workload and oxygen demand of the heart, supporting better cardiovascular function.
• Provides sustained, prolonged-release action for more stable symptom control over the dosing interval.

Warnings & Contraindications:

• Contraindicated in patients with known hypersensitivity or allergy to isosorbide mononitrate, other nitrates, or any component of the formulation.
• Do not use in patients with severe hypotension (very low blood pressure), acute circulatory failure, cardiogenic shock (unless adequate blood pressure support is available), or severe anemia, unless specifically managed by a specialist.
• Contraindicated in patients with increased intracranial pressure (e.g., head trauma, cerebral hemorrhage) unless strictly supervised.
• Must NOT be taken together with phosphodiesterase-5 (PDE5) inhibitors such as sildenafil, tadalafil, vardenafil (used for erectile dysfunction or pulmonary hypertension), as this combination can cause a dangerous drop in blood pressure.
• Use with caution in patients with low blood pressure, volume depletion, hypertrophic cardiomyopathy, aortic or mitral valve stenosis, or other serious heart conditions. Close medical monitoring is required.
• May cause dizziness or lightheadedness, especially when standing up quickly. Avoid driving or operating machinery until you know how the medicine affects you.
• Alcohol can enhance the blood pressure-lowering effect and increase the risk of side effects; avoid or limit alcohol consumption.
• Consult your doctor before use if pregnant, planning pregnancy, or breastfeeding. The doctor will assess potential benefits and risks.
• Consult your doctor before use if you have liver disease, kidney disease, severe anemia, glaucoma, or any chronic medical condition.
• Not intended to diagnose, treat, cure, or prevent any disease without proper medical supervision. This is a prescription-only medicine and should be used strictly under a healthcare provider’s guidance.
• Keep out of reach of children.

Side Effects:

• Common side effects: headache (often at the start of therapy), flushing, dizziness, lightheadedness, weakness, nausea, and palpitations. Headaches usually improve with continued use or dose adjustment.
• Less common side effects: low blood pressure (hypotension), fainting, reflex tachycardia (increased heart rate), vomiting, or skin rash.
• Serious side effects (seek immediate medical attention): severe or persistent dizziness or fainting, very slow or very fast heartbeat, severe hypotension, difficulty breathing, or signs of severe allergic reaction (swelling of face, lips, tongue, or throat; severe rash; difficulty breathing).
• If chest pain worsens, becomes more frequent, or does not improve as expected, contact your doctor immediately or seek emergency care.

Storage Instructions:

Store in a cool, dry place away from direct sunlight and moisture. Keep the blister pack or container tightly closed. Do not store above the temperature recommended on the package (exact temperature range not available in the provided information; refer to the product leaflet). Keep out of reach of children.

Specifications:

• Active ingredient: isosorbide mononitrate 20 mg per capsule (prolonged-release).
• Form: oral prolonged-release capsule.
• Pack size: 20 capsules per pack.
• Intended use: prescription cardiovascular medicine for prevention of angina pectoris in adults, under medical supervision.

Disclaimer:
All pharmacy products are intended for general use only and do not replace professional medical advice, diagnosis, or treatment. Always consult a healthcare provider before use. Results may vary, and no specific outcomes are guaranteed. Products are not intended to diagnose, treat, cure, or prevent any disease unless stated. Follow label instructions carefully, as misuse may cause adverse effects. Compliance with local laws is the customer’s responsibility.