ISM

ISM Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? ISM is a brand name. Its generic name is Isosorbide Mononitrate.

ISM

ISM is an antianginal (also known as a nitrate) drug used for the treatment and prevention of angina (chest pain). It can help reduce the frequency and severity of chest pain associated with coronary artery disease. It works by relaxing and widening the blood vessels so that blood may flow more easily, thereby reducing the strain placed on the heart.

Uses for ISM

Isosorbide mononitrate is used to treat and prevent angina (chest pain) caused by coronary artery disease. It works by widening and relaxing blood vessels, allowing more blood to flow to the heart and decrease the pain associated with angina. It can also be used to reduce the number and frequency of angina attacks.

Mechanism of Action

Isosorbide mononitrate works by relaxing and widening blood vessels, which allows more blood to flow to the heart and decreases the strain placed on the heart. The drug can also help reduce the production of angiotensin II, which is a hormone that constricts blood vessels and increases blood pressure.

How Long Does It Take to Work?

It usually takes about 30 minutes for isosorbide mononitrate to take effect. However, the exact amount of time may vary depending on the individual and the dose.

Absorption

Isosorbide mononitrate is absorbed slowly, and peak levels are seen after 1-2 hours. The rate of absorption may vary depending on the individual.

Route of Elimination

Isosorbide mononitrate is primarily eliminated through the kidneys via urine.

Dosage and Administration

To avoid the potential for overdose, it is important to follow your doctor's instructions for taking isosorbide mononitrate. Your doctor will determine the appropriate dose based on your individual needs. The usual starting dose is 20-40 mg twice a day, with a maximum dose of 120 mg per day. It is important to take the medication exactly as prescribed.

Side Effects

Common side effects of isosorbide mononitrate include headache, dizziness, nausea, diarrhea, and rash. Other side effects include flushing of the skin, pounding heartbeat, and dry mouth. If these side effects persist or worsen, it is important to contact your doctor immediately.

Toxicity

Isosorbide mononitrate is generally well tolerated. However, it is possible to experience an overdose of this medication. If you experience any of the symptoms of an overdose, such as blurred vision, confusion, drowsiness, difficulty breathing, fainting, or rapid heartbeat, it is important to seek immediate medical attention.

Precautions

Before taking isosorbide mononitrate, it is important to tell your doctor if you have ever had an allergic reaction to a nitrate medication, if you have a history of heart disease or stroke, if you have low blood pressure, if you have glaucoma or difficulty urinating, if you are pregnant or breastfeeding, or if you are taking any other medications.

Interaction

It is important to inform your doctor about any other medications, vitamins, or supplements you are taking, as isosorbide mononitrate may interact with certain drugs. In particular, isosorbide mononitrate may interact with certain antibiotics, blood pressure medications, anti-seizure medications, and other nitrate medications.

Disease Interactions

Isosorbide mononitrate may not be suitable for people with certain medical conditions, such as severe liver or kidney disease, certain types of anemia, or uncontrolled congestive heart failure. It is important to tell your doctor if you have any of these conditions before taking isosorbide mononitrate.

Drug Interactions

Isosorbide mononitrate may interact with certain drugs, including antibiotics, anti-seizure medications, and other nitrate medications. It is important to let your doctor know about all medications you are taking before taking isosorbide mononitrate.

Food Interactions

Isosorbide mononitrate may interact with certain foods. It is important to avoid fatty or fried foods while taking this medication. Grapefruit and grapefruit juice should also be avoided.

Pregnancy Use

Isosorbide mononitrate should only be used during pregnancy if clearly needed and after careful consideration. It is not recommended for use during the first trimester, and the use should continue only if there is serious risk of angina. Tell your doctor if you are pregnant or plan to become pregnant before taking isosorbide mononitrate.

Lactation Use

It is not known if isosorbide mononitrate is secreted in breast milk. Therefore, this drug should be used cautiously by nursing mothers. Tell your doctor if you are breastfeeding or plan to breastfeed before taking isosorbide mononitrate.

Acute Overdose

An overdose of isosorbide mononitrate can be dangerous. Common symptoms of an overdose include confusion, drowsiness, difficulty breathing, fainting, nausea, and a rapid heartbeat. If you believe you may have an overdose, it is important to seek immediate medical attention.

Contraindication

Isosorbide mononitrate is contraindicated in certain individuals and conditions, such as those with a history of an allergic reaction to this or other nitrate medications, those with severe liver or kidney disease, those with certain types of anemia, and those with uncontrolled congestive heart failure. It is also contraindicated in those who are pregnant in the first trimester or planning to become pregnant.

Use Direction

It is important to take isosorbide mononitrate exactly as prescribed by your doctor. The usual dose is 20-40 mg twice a day, with a maximum dose of 120 mg daily. Do not take more or less of this medication than prescribed, and do not stop taking it without consulting your doctor first.

Storage Condition

Store isosorbide mononitrate at room temperature and away from light and moisture. Keep it out of the reach of children and pets.

Volume of Distribution

The volume of distribution of isosorbide mononitrate is 0.84 L/kg.

Half Life

The half-life of intravenously administered isosorbide mononitrate is 1.3-3 hours.

Clearance

The clearance of isosorbide mononitrate is 2.2-4.2 mL/min/kg.

Here you find in details version of ISM

Some Frequently Asked Questions About ISM

What is ISM?

Isosorbide mononitrate is a prescription medication used to treat angina (chest pain) caused by coronary artery disease. It works by relaxing the coronary arteries and increasing blood flow to the heart.

How should ISM be taken?

Isosorbide mononitrate typically comes in the form of an oral tablet or extended-release capsule. Always take the drug as prescribed by your doctor and follow the directions on the medication label.

Who should not take ISM?

You should not take ISM if you have had an allergic reaction to it in the past, if you have low blood pressure, if you have kicked anemia, or if you have glaucoma.

What are the possible side effects of ISM?

Common side effects of ISM include headache, flushing, dizziness, and nausea. Serious side effects may include chest pain, fainting, or an allergic reaction. Talk to your doctor if you experience any of these side effects.

Are there any drug interactions with ISM?

Yes, ISM may interact with other medications. Some medications that may interact with ISM include nitrates, antibiotics, blood thinners, antiviral agents, and HIV medications.

What are the possible drug interactions with ISM?

The possible drug interactions with ISM include an increased risk of hypotension, tachycardia, or bradycardia when taken with nitrates or HIV medications. Combining it with antibiotics, blood thinners, or antiviral agents may increase the risk of bleeding and other therapeutic effects.

Is there an overdose risk with ISM?

Yes, taking too much ISM can lead to an overdose. Symptoms of an ISM overdose include dizziness, nausea, weakness, chest pain, and fainting.

What should I do if I miss a dose of ISM?

If you miss a dose of ISM, take it as soon as you remember and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

What should I do if I overdose on ISM?

If you think you have overdosed on ISM, seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What other treatments can be used to treat angina?

Other treatments for angina include lifestyle changes such as quitting smoking, exercising, and controlling stress. Medications such as nitrates, calcium channel blockers, beta blockers, and renin-angiotensin-aldosterone system (RAAS) inhibitors may also be used.

Can ISM be taken with other medications?

Yes, ISM can be taken with other medications as long as your doctor has approved the combination. Be sure to inform your doctor of any other medications you are taking before starting ISM.

Does ISM interact with any foods or beverages?

No, ISM does not interact with any foods or beverages. However, if you experience any adverse reaction while taking ISM, let your doctor know.

Can ISM be used to prevent angina?

Yes, ISM can be used to help prevent angina attacks and sudden increases in heart rate due to coronary artery disease. It works by relaxing the arteries and increasing blood flow to the heart muscle.

How long does ISM take to work?

It typically takes up to 30 minutes for ISM to take effect. However, it may take up to 4 hours to reach its peak effectiveness.

What should I avoid while taking ISM?

You should avoid drinking alcohol or using recreational drugs while taking ISM, as these can interfere with the drug's effectiveness. You should also avoid engaging in activities that are hazardous or increase your risk for falls, such as driving or operating heavy machinery.

Can ISM be taken during pregnancy?

No, ISM should not be taken during pregnancy. Talk to your doctor to determine the best treatment option for you.

Can ISM be taken while breastfeeding?

No, ISM should not be taken while breastfeeding, as it is not known if the medication passes into breast milk. Talk to your doctor about the best treatment option for you.

Are there other medications I can take for angina if I cannot take ISM?

Yes, there are other medications that can be used to treat angina besides ISM. Some alternatives include nitrates, angiotensin converting enzyme (ACE) inhibitors, beta blockers, and calcium channel blockers.

What should I do if I experience any side effects when taking ISM?

If you experience any side effects when taking ISM, talk to your doctor or pharmacist right away. Your doctor may be able to adjust your dose or switch you to a different medication.

What is the recommended dosage of ISM?

The recommended dose of ISM depends on the individual patient. Follow your doctor's instructions when taking ISM to make sure you are taking the correct dose.

Can ISM be taken with other medications?

Yes, ISM can be taken with other medications as long as your doctor has approved the combination. Be sure to inform your doctor of any other medications you are taking before starting ISM.

Is ISM a controlled substance?

No, ISM is not a controlled substance.

Is ISM available over-the-counter?

No, ISM is not available over-the-counter. It is a prescription medication only.

Is ISM addictive?

No, ISM is not addictive. However, you should always take it as directed by your doctor to avoid dependence.

What should I do if I experience an allergic reaction to ISM?

If you experience an allergic reaction while taking ISM, stop taking the medication immediately and seek medical attention. Symptoms of an allergic reaction may include rash, itching, swelling, dizziness, and difficulty breathing.

Can ISM be used to treat other conditions besides angina?

No, ISM is only approved for the treatment of angina caused by coronary artery disease.

Can ISM interact with other vitamins and supplements?

Yes, ISM may interact with some vitamins and supplements. Talk to your doctor before taking any vitamins or supplements while taking ISM.

Is ISM a long-acting medication?

Yes, ISM is a long-acting medication. The drug is slowly released into your system over an extended period of time.

Does ISM cause a rash?

No, ISM does not typically cause a rash. However, if you experience a rash while taking ISM, contact your doctor as this could be a sign of an allergic reaction.

How long will the effects of ISM last?

The effects of ISM typically last for up to 12 hours. The length of time can vary depending on the individual and the dose taken.

Does ISM cause weight gain?

No, ISM does not typically cause weight gain. If you experience any unexpected weight gain while taking ISM, tell your doctor.

Can I drink alcohol while taking ISM?

No, you should avoid drinking alcohol while taking ISM, as it can interfere with the drug's effectiveness.

Does ISM raise cholesterol levels?

No, ISM does not typically raise cholesterol levels. However, it is important to talk to your doctor about any changes in your cholesterol levels while taking ISM.

Is ISM safe to take long-term?

Yes, ISM is generally safe to take long-term. However, it is important to talk to your doctor if you plan to take the medication for an extended period of time.

Does ISM cause stomach upset?

Yes, ISM can cause stomach upset in some patients. Talk to your doctor if you experience any stomach or digestive side effects while taking ISM.

Can ISM be taken at any time of day?

Yes, ISM can be taken at any time of day, as long as you take it at the same time each day. It is important to follow your doctor's instructions regarding when and how to take ISM.

What is the half-life of ISM?

The half-life of ISM is approximately 4 to 8 hours. This means that the drug remains in the body for an average of 4 to 8 hours before being eliminated.

Can ISM cause dizziness?

Yes, ISM can cause dizziness in some patients. If you experience any dizziness while taking ISM, talk to your doctor.

Can ISM interact with other supplements or vitamins?

Yes, ISM may interact with other supplements or vitamins. It is important to talk to your doctor before taking any vitamins or supplements while taking ISM.

Can ISM cause muscle pain?

Yes, ISM can cause muscle pain in some patients. If you experience any muscle pains or cramps while taking ISM, contact your doctor.

What is the difference between ISM and Isosorbide Dinitrate?

ISM and Isosorbide Dinitrate are closely related medications. ISM