Introduction
Monolong is a prescription medication that contains Isosorbide Mononitrate as its active ingredient. It is commonly used to treat certain heart conditions by preventing and relieving chest pain (angina) caused by coronary artery disease.
Uses
Monolong is primarily prescribed for the following conditions:
- Angina pectoris: This medication helps to relieve and prevent chest pain caused by reduced blood flow to the heart muscle.
- Chronic heart failure: In some cases, Isosorbide Mononitrate may be prescribed to manage symptoms of heart failure.
Dosage and Administration
- Your healthcare provider will determine the appropriate dosage of Monolong based on your specific condition and individual needs.
- follow the instructions provided by your healthcare professional, as the dosage may vary from person to person.
- Monolong is usually taken once daily, with or without food.
- The tablet should be swallowed whole and should not be crushed, chewed, or broken.
Mechanism of Action
Monolong belongs to a class of medications called nitrate vasodilators. It works by relaxing and widening the blood vessels, allowing more blood and oxygen to flow to the heart. This helps to reduce the workload on the heart and relieve chest pain.
Side Effects
Common side effects of Monolong may include headaches, dizziness, lightheadedness, and flushing. These side effects are usually temporary and may subside as your body adjusts to the medication. If these side effects persist or worsen, consult your healthcare provider.
Serious side effects are rare but may include a rapid or irregular heartbeat, low blood pressure, fainting, and signs of an allergic reaction (such as rash, itching, swelling, severe dizziness, or difficulty breathing). If you experience any of these serious side effects, seek immediate medical attention.
Drug Interactions
Monolong may interact with certain medications, including:
- Phosphodiesterase-5 inhibitors (such as sildenafil, tadalafil, vardenafil): Taking these medications along with Monolong may cause a significant drop in blood pressure.
- Other nitrates or nitrites: Combining Monolong with other medications containing nitrates or nitrites can increase the risk of low blood pressure.
Inform your healthcare provider about all the medications you are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, to avoid potential drug interactions.
Precautions
Before taking Monolong, consider the following precautions:
- Inform your healthcare provider about any medical conditions you have, especially if you have low blood pressure, a history of heart attack, or certain types of glaucoma.
- Avoid sudden discontinuation of Monolong, as it may worsen your condition. Always consult your healthcare provider before stopping the medication.
- Monolong may cause dizziness or lightheadedness. Avoid driving or operating machinery until you know how the medication affects you.
Storage
Patient Tips
- Take Monolong exactly as prescribed by your healthcare provider. Do not take more or less than the recommended dosage.
- If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.
- attend regular follow-up appointments with your healthcare provider to monitor your response to the medication and adjust the dosage if necessary.
- If you experience any new or worsening symptoms while taking Monolong, such as increased chest pain or difficulty breathing, seek medical attention immediately.
Please note that this description, as well as the other content on our website is for educational purposes only. We do not provide medical advice. For specific medical advices, diagnoses and treatment options you should consult with your doctor.
References
- Isosorbide mononitrate and dinitrate: a medicine used to prevent angina symptoms and heart failure (NHS UK) [Accessed 26 Jun. 2024] (online) Available at:
- Carmil XL 60 mg Tablets (Health Professionals SmPC) Available at:
- Isosorbide (Drugs.com) [Accessed 5 Jun. 2024] (online) Available at:
- isosorbide mononitrate (RX) [Accessed 29 Jun. 2024] (online) Available at:
- Erectile Dysfunction: Viagra and Other Oral Medications (Mayo Foundation for Medical Education and Research) [Accessed 8 Jun. 2024] (online) Available at:
- Wardlaw JM, Woodhouse LJ, Mhlanga II, Oatey K, Heye AK, Bamford J, Cvoro V, Doubal FN, England T, Hassan A, Montgomery A, O’Brien JT, Roffe C, Sprigg N, Werring DJ, Bath PM; Lacunar Intervention Trial-2 (LACI-2) Investigator Group. Isosorbide Mononitrate and Cilostazol Treatment in Patients With Symptomatic Cerebral Small Vessel Disease: The Lacunar Intervention Trial-2 (LACI-2) Randomized Clinical Trial. JAMA Neurol. 2023 Jul 1;80(7):682-692. doi: 10.1001/jamaneurol.2023.1526. [Accessed 23 Jun. 2024] Available at:
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