Isosorbide mononitrate

Cardiology

Cardiology · Long-acting nitrate

Isosorbide mononitrate

Dose

10–120 mg OD (asymmetric dosing to avoid tolerance).

Indications

  • Chronic angina prophylaxis
  • Adjunct in HF

Use

Second-line antianginal; ensure 10–14 h nitrate-free interval.

Monitoring

BP, symptoms.

Side effects

  • Headache
  • Postural hypotension
  • Reflex tachycardia
  • Tolerance

Related in WardRound

Always confirm dose against your local formulary / BNF before prescribing.

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