Imdex 60mg CR Tablet

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Manufacturer Duopharma
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Imdex 60mg CR Tablet contains Isosorbide Mononitrate 60mg controlled-release and is available as a tablet. It is classified as a prescription medicine and may only be obtained with a valid prescription from a registered medical practitioner.

Only product, safety and handling information is published here. Anything beyond that is explained to you directly by your doctor or pharmacist as part of your consultation.

DoctorOnCall is a licensed online pharmacy. Orders for Imdex 60mg CR Tablet are processed only after a doctor has assessed your suitability and issued a prescription, and every order is checked by a registered pharmacist before it is sent out.

Directions for Use

Take Imdex 60mg CR Tablet once daily in the morning, with or without food. Swallow the controlled-release tablet whole with a glass of water; do not crush, chew, or split it, as this would release the medicine too quickly. This medicine is for prevention of angina and will not relieve a sudden angina attack – use a fast-acting nitrate such as sublingual GTN for that purpose, as advised by your doctor.

Dosage

The usual dose of Imdex 60mg CR Tablet is one tablet once daily, taken in the morning, with your doctor adjusting the dose based on your response and tolerance. A nitrate-free interval is usually built into the dosing schedule to prevent your body from developing tolerance to the medicine’s effects.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Headache
  • Dizziness or light-headedness
  • Low blood pressure
  • Flushing (warmth or redness in the face)
  • Fatigue
  • Nausea

Contraindications

  • Known hypersensitivity to isosorbide mononitrate or other nitrates
  • Concomitant use of phosphodiesterase-5 (PDE5) inhibitors such as sildenafil, tadalafil, or vardenafil – the combination can cause severe, life-threatening low blood pressure
  • Severe anaemia
  • Acute circulatory failure or cardiogenic shock
  • Raised intracranial pressure (e.g. from head injury or cerebral haemorrhage)

Drug / Food Interactions

  • PDE5 inhibitors (sildenafil, tadalafil, vardenafil) must never be combined – risk of severe hypotension
  • Alcohol may worsen dizziness and low blood pressure
  • Other blood pressure-lowering medicines may increase the risk of hypotension
  • Sapropterin and riociguat may enhance the blood-pressure-lowering effect and should be used with caution

Quick Tips

  • Take at the same time every morning to keep the nitrate-free interval consistent
  • Rise slowly from sitting or lying down to reduce dizziness
  • Never take PDE5 inhibitor medicines (e.g. for erectile dysfunction) while on this medicine
  • Carry a fast-acting nitrate as advised by your doctor for sudden angina episodes

Ingredients / Active Ingredients

  • Isosorbide Mononitrate 60mg controlled-release

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandDuopharma
ManufacturerDuopharma
ClassificationPrescription medicine
Ingredients / Active IngredientsIsosorbide Mononitrate
Pack Size14s, 28s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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