Monolong 20mg Tablet
Product Info
| Prescription required | Yes |
| Marketer | Ikon Remedies Pvt Ltd |
| Active Ingredient | Isosorbide Mononitrate (20mg) |
| Storage | Store below 30°C |
| Chemical Class | Nitrates |
| Habit Forming | No |
| Therapeutic Class | CARDIAC |
| Action Class | NO Donors |
| User Rating | 4.5 |
| User Reviews | 687 |
FAQ
What are the symptoms of an overdose of Monolong 20mg?
Taking more than the recommended dose of Monolong 20mg may cause throbbing headache, reddening of the skin, chills along with sweating, nausea, vomiting, and a fast heartbeat. Seek emergency help and consult your doctor immediately if you take more than the recommended dose of this medicine.
Does Monolong 20mg lower BP?
Yes, Monolong 20mg can cause a fall in blood pressure. This medicine widens the blood vessels and decreases the resistance in them, causing a fall in blood pressure. This fall in blood pressure may in turn decrease the heartbeat which can lead to angina. This medicine should be avoided in people who already have low blood pressure. Discuss with your doctor if you have any concerns.
Does Monolong 20mg affect heart rate?
Yes, Monolong 20mg may affect the heart rate. Monolong 20mg causes a decrease in blood pressure. This decrease in blood pressure further causes a decrease in the heart rate (bradycardia). In some cases, it may also cause an increase in the heart rate (tachycardia). Consult your doctor in case you do not feel well after taking this medicine or if you notice a change in your heart rate.
Can Monolong 20mg be taken at night?
Depending upon the dose, your doctor may recommend you to take this medicine once or twice daily. When a single dose is recommended, then it is preferred to be taken in the morning. If taking it twice a day, maintain a gap of 7 hours between the two doses. This helps decrease the chances of Monolong 20mg becoming ineffective (tolerance) after some time.
What if I forget to take a dose of Monolong 20mg?
You can take the forgotten dose of Monolong 20mg if you remember it within 12 hours. However, if you remember it after 12 hours of the scheduled time, then skip the missed dose and continue with the next dose.
Can I take sildenafil while taking Monolong 20mg?
No, you should not take sildenafil along with Monolong 20mg. Both these medicines lower blood pressure and belong to the same class. Taking these two medicines together may cause a severe decrease in blood pressure, fainting, and even a heart attack. Along with this, also avoid taking other medicines belonging to similar classes such as vardenafil and tadalafil.
Can I stop taking Monolong 20mg after sometime?
No, do not stop taking this medicine without talking to your doctor. Stopping it suddenly may increase your chances of having an anginal attack. If you have any concerns regarding Monolong 20mg consult your doctor.
What if you forget to take Monolong Tablet?
If you miss a dose of Monolong 20mg, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.\n
Monolong 20mg Tablet Reviews
Monolong 20mg is used to prevent heart-related chest pain (angina). It works by relaxing and widening blood vessels so blood can flow more easily to the heart. This medicine will not treat an angina attack that has already begun.
Monolong 20mg may be taken with or without food. Your doctor will decide the dose and how often you should take them. This may change from time to time depending on how well they are working. You should take this medicine as it has been prescribed and keep taking it, even if you feel well. This medicine helps to prevent chest pain in the future. If you stop taking it, your risk of chest pain will increase, especially if you stop taking them suddenly. Lifestyle changes such as diet, exercise, and not smoking may help this medication work better.
You can develop tolerance to this medicine over time, which means that the same dose becomes less effective. You have to stick to a really specific dosing schedule to prevent this from happening.
The most common side effects include headache, flushing, upper respiratory tract infection, abdominal pain, allergic reaction, chest pain, and diarrhea. If these symptoms bother you or do not go away, your doctor may suggest ways of preventing or reducing them. Some can be reduced by taking painkillers, drinking plenty of fluids, and avoiding alcohol.
Before taking this medicine tell your doctor if you have low blood pressure, increased pressure in the eye (glaucoma), kidney disease, or heart failure. Also let your doctor know if you are taking any other medicines as some may affect, or be affected by, this medicine and some may be dangerous to take with it. You should not take any medicine for erectile dysfunction with this medicine. If you are pregnant or breastfeeding, ask your doctor if this medicine is suitable. Your doctor may regularly monitor your blood pressure and heart rate during the treatment with this medicine.
Monolong 20mg may be taken with or without food. Your doctor will decide the dose and how often you should take them. This may change from time to time depending on how well they are working. You should take this medicine as it has been prescribed and keep taking it, even if you feel well. This medicine helps to prevent chest pain in the future. If you stop taking it, your risk of chest pain will increase, especially if you stop taking them suddenly. Lifestyle changes such as diet, exercise, and not smoking may help this medication work better.
You can develop tolerance to this medicine over time, which means that the same dose becomes less effective. You have to stick to a really specific dosing schedule to prevent this from happening.
The most common side effects include headache, flushing, upper respiratory tract infection, abdominal pain, allergic reaction, chest pain, and diarrhea. If these symptoms bother you or do not go away, your doctor may suggest ways of preventing or reducing them. Some can be reduced by taking painkillers, drinking plenty of fluids, and avoiding alcohol.
Before taking this medicine tell your doctor if you have low blood pressure, increased pressure in the eye (glaucoma), kidney disease, or heart failure. Also let your doctor know if you are taking any other medicines as some may affect, or be affected by, this medicine and some may be dangerous to take with it. You should not take any medicine for erectile dysfunction with this medicine. If you are pregnant or breastfeeding, ask your doctor if this medicine is suitable. Your doctor may regularly monitor your blood pressure and heart rate during the treatment with this medicine.
How Monolong 20mg Tablet Works
Monolong 20mg is a nitrate. It dilates peripheral arteries and veins. Dilation of the veins promotes peripheral pooling of blood and decreases venous return to the heart, thereby reducing workload of heart. As a result, the heart muscle does not need as much blood and oxygen supply.
How to Use Monolong 20mg Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Monolong 20mg may be taken with or without food, but it is better to take it at a fixed time.
Benefits of Monolong 20mg Tablet
- In Prevention of Angina (heart-related chest pain): Monolong 20mg reduces your risk of getting heart-related chest pain (angina attack). It does not treat an angina attack that has already begun and should not be used for this purpose. It works by relaxing and widening blood vessels in the heart. This makes it easier for blood to flow to the heart, so it gets more oxygen. This medicine thus helps to increase your ability to exercise and go about your daily life more easily and confidently. It should be taken regularly to be effective.
Uses of Monolong 20mg Tablet
- Prevention of Angina (heart-related chest pain)
Monolong 20mg Tablet Side Effects
Safety Tips
Driving
UNSAFE
Monolong 20mg may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Pregnancy
CONSULT YOUR DOCTOR
Monolong 20mg may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Kidney
SAFE IF PRESCRIBED
Monolong 20mg is safe to use in patients with kidney disease. No dose adjustment of Monolong 20mg is recommended.However, talk to your doctor if you have any underlying kidney disease.
Liver
SAFE IF PRESCRIBED
Monolong 20mg is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Monolong 20mg may not be needed in these patients. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Information regarding the use of Monolong 20mg during breastfeeding is not available. Please consult your doctor.
Alcohol
UNSAFE
Consuming alcohol while taking Monolong 20mg may cause symptoms such as flushing, increased heart beat, nausea, thirst, chest pain and low blood pressure (Disulfiram reaction).
Quick Tips
- You may develop tolerance to Monolong 20mg with time, meaning that the same dose may be less effective next time. Follow the prescribed dosing schedule to avoid this.
- Monolong 20mg may cause dizziness or sleepiness. Do not drive or do anything that requires concentration until you know how it affects you.
- You have been prescribed Monolong 20mg for the prevention and treatment of heart-related chest pain (angina).
- Do not consume alcohol while taking Monolong 20mg as it may cause increased dizziness.
- Eat healthy (low-fat, high-fiber, low-sodium diet), quit smoking, increase your physical activity, watch your weight and reduce stress.
- Stop taking medications (prescribed for erectile dysfunction) like sildenafil or tadalafil while on treatment with Monolong 20mg as it may cause low blood pressure.
- It may cause headaches which usually go away after a few days of continued treatment. Inform your doctor if it persists.
References
- Central Drugs Standard Control Organisation. Isosorbide Mononitrate.
- Central Drugs Standard Control Organisation (CDSCO).
- Isosorbide mononitrate tablet [Prescribing Information]. Dupnitsa, Bulgaria: Balkanpharma - Dupnitsa AD; 2022.
- Drugs.com. Isosorbide mononitrate Pregnancy and Breastfeeding Warnings.
- Opie LH, Horowitz JD. Nitrates and Newer Antianginals β-Blocking Agents. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. p. 47.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 744.
- National Health Services. Isosorbide mononitrate and isosorbide dinitrate. [last Reviewed: 1 Jul. 2021].