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Isosorbide Dinitrate (Oral)
Treats and prevents angina (chest pain). This medicine is a nitrate.
Brand Names:
Isordil Titradose, Dilatrate-SR
Contraindications:
You should not use this medicine if you have had an allergic reaction to isosorbide or similar medicines (such as nitroglycerin or Monokit®). You should not use this medicine if you are also using Viagra®.
Uses:
Tablet, Chewable Tablet, Long Acting Capsule
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Your doctor will tell you how much of this medicine to take and how often. Do not take more medicine or take it more often than your doctor tells you to.
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It is best to take this medicine on an empty stomach.
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Take this medicine exactly as directed, or it will not work properly. Most people use this medicine for only part of each day.
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Swallow the extended-release tabletor extended-release capsule whole. Do not break, crush, or chew it.
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If you are using the sublingual tablet (under the tongue), sit down while taking this medicine. Wet the tablet with water or saliva. Place the tablet under your tongue and let it dissolve there. Do not chew, crush, or swallow the tablet whole. Avoid eating, drinking, or smoking while tablet is dissolving. If your chest pain lasts longer than 5 minutes, put a second tablet under your tongue. If the pain lasts another 5 minutes, use a third tablet. If your pain does not go away after the third dose, call your doctor and have someone take you to a hospital
If a dose is missed:
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If you miss a dose or forget to use your medicine, use it as soon as you can. If your next regular dose is less than 2 hours away, wait until then to use the medicine and skip the missed dose.
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Do not use extra medicine to make up for a missed dose.
Storage:
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Store the medicine at room temperature in a closed container, away from heat, moisture, and direct light.
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Keep all medicine out of the reach of children and never share your medicine with anyone.
Special precautions:
Before taking, tell your doctor and pharmacist if you are allergic to any medications. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. tell your doctor if you have or have ever had heart failure or liver disease. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking, call your doctor
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Make sure your doctor knows if you are also using diuretics or "water pills" (such as furosemide, hydrochlorothiazide, Hyzaar®), or heart or blood pressure medicine (such as verapamil, Adalat®, Calan®, Cardizem®, Lotrel®, Plendil®, Procardia®, Tiazac®).
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Do not drink alcohol while you are using this medicine.
Warnings:
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Make sure your doctor knows if you are pregnant or breastfeeding, or if you have low blood pressure, congestive heart failure (CHF), an enlarged heart, or other heart problems.
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Medicines that treat chest pain sometimes cause headaches. These headaches are a sign that the medicine is working. Do not stop taking the medicine or change the time you take it in order to avoid the headaches. You may take aspirin or Tylenol® to relieve the headache. If you have severe pain, talk with your doctor.
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This medicine may make you dizzy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert. You may feel lightheaded when standing, so stand up slowly.
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Do not stop using this medicine suddenly without asking your doctor. You may need to slowly decrease your dose before stopping it completely.
Side Effects:
Tell your doctor if any of these symptoms are severe or do not go away:
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Allergic reaction: Itching or hives, swelling in face or hands, swelling or tingling in the mouth or throat, tightness in chest, trouble breathing
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Blue lips or fingernails, trouble breathing
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Severe or ongoing dizziness, lightheadedness, or fainting
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Slow heartbeat, increased chest pain
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Throbbing, severe, or ongoing headache, confusion, low fever, or trouble seeing
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Sweating, facial flushing
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and is not a substitute for professional medical advice.
Only your healthcare provider should diagnose your healthcare problems and prescribe treatment.
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