Isosorbide dinitrate 5mg 50 tabs

Isosorbide dinitrate Indications

– prevention and treatment of angina attacks;

– acute myocardial infarction;

– acute left ventricular heart failure.

Dosage & Administration

The dosage and duration of therapy are determined by the physician individually.

Used internally adults 10-20 mg 3-4 times a day for 30 minutes before a meal without chewing, drinking plenty of fluids. With inadequate treatment effectiveness may gradually increase the dose to the maximum – 120 mg per day.

Patients with congestive heart failure to determine individual dosing is essential hemodynamic monitoring.

The interval between doses of the drug should be at least 4 hours.

Elderly patients, the dose may be reduced, especially with impaired renal function and / or liver.

Contradictions

– Hypersensitivity to isosorbide dinitrate, other nitrate compounds or other components of the drug; acute circulatory failure (shock, circulatory collapse);

– cardiogenic shock, if not possible correction of left ventricular end-diastolic pressure;

– hypotension (systolic blood pressure <90 mm Hg);

– hypertrophic obstructive cardiomyopathy; constrictive pericarditis;

– cardiac tamponade;

– anemia.

Therapy with nitrates is contraindicated with PDE inhibitors use.