Monograph Details

Cardiovascular System > Angina
MONOKET
Manufacturer
Schwarz Pharma, Inc.
Legal Classification
Rx
Pharmacological Class
Nitrate.
Generic Name
Isosorbide mononitrate 10mg, 20mg; scored tabs.
Indications
Prophylaxis and treatment of angina. Not for acute attacks.
Children
Not recommended.
Adults
20mg upon awakening then 20mg 7 hrs later. Small patients: may start with 5mg per dose for 1 day, then increase to 10mg by 2nd or 3rd day (scheduled as above).
Contraindications
Concomitant sildenafil.
Precautions
Acute MI. CHF. Hypotension. Volume depletion. Hypertrophic cardiomyopathy. Monitor for tolerance. Pregnancy (Cat.B). Nursing mothers.
Interactions
See Contraindications. Severe hypotension with sildenafil. Orthostatic hypotension with alcohol, other vasodilators, calcium channel blockers.
Adverse Reactions
Headache, dizziness, orthostatic hypotension, GI upset, upper respiratory infection.
How Supplied
Tabs 10mg—100
20mg—100, 180
Additional Resources
Related Prescribing Note