Isosorbide Dinitrate (Sorbance 5) 5mg Tablet 30's is a medication used primarily to treat angina pectoris (chest pain) caused by coronary artery disease (CAD) and to prevent heart failure symptoms. Isosorbide Dinitrate belongs to a class of medications known as nitrates, which work by dilating blood vessels, thereby reducing the workload on the heart and improving blood flow. This action helps alleviate chest pain and improve exercise tolerance in patients with heart-related conditions.
Each tablet contains 5 mg of Isosorbide Dinitrate and comes in a bottle containing 30 tablets. The medication is typically used for the management of chronic angina and heart failure, particularly as part of a broader treatment regimen that may include other cardiovascular medications.
Indication:
Isosorbide Dinitrate (Sorbance 5) is primarily indicated for:
Angina pectoris (chest pain): To prevent or treat episodes of chest pain associated with coronary artery disease.
Heart failure: As part of a treatment plan to alleviate symptoms of heart failure by reducing the heart's workload and improving blood circulation.
Prevention of angina attacks: Used for long-term prevention rather than acute treatment of chest pain.
It may also be used off-label for other cardiovascular-related conditions under medical supervision.
Dosage:
The typical dosage of Isosorbide Dinitrate (Sorbance 5) depends on the condition being treated, the patient’s response to therapy, and their overall health.
For Angina Pectoris:
The usual starting dose is 5 mg taken two to three times per day.
The dose may be adjusted depending on the patient's response and tolerance, typically in increments of 5 mg.
The maximum dose is often 20 mg, depending on individual needs, but 5 mg to 10 mg two to three times a day is most common.
For Heart Failure:
The initial dose is often 5 mg to 10 mg taken two to three times daily.
Doses may be gradually increased based on tolerance and therapeutic response.
Administration: Isosorbide Dinitrate tablets should be swallowed whole, preferably with a glass of water, and taken on an empty stomach to ensure optimal absorption.
Note: Always follow the healthcare provider's specific instructions regarding the dosage and frequency of use.
Side Effects:
Common side effects of Isosorbide Dinitrate (Sorbance 5) may include:
Headache: A common side effect due to the vasodilation effect, which can cause increased pressure in the blood vessels.
Dizziness or lightheadedness, especially when standing up quickly (orthostatic hypotension).
Flushing (redness or warmth in the face or upper body).
Nausea or mild gastrointestinal discomfort.
Fatigue or feeling unusually tired.
Serious side effects (though rare) may include:
Severe hypotension: A significant drop in blood pressure that may lead to fainting or dizziness.
Syncope (fainting).
Severe allergic reactions: Symptoms might include rash, itching, swelling, difficulty breathing, or tightness in the chest.
Blue-tinged vision or vision changes: This is a rare side effect related to other nitrate or vasodilator use but should be reported immediately.
Chest pain: If new or worsening chest pain occurs, medical attention should be sought immediately, as it could signal a heart attack or other cardiovascular issue.
If any of these serious side effects occur, seek immediate medical attention.
Contraindications:
Isosorbide Dinitrate (Sorbance 5) should not be used in the following situations:
Hypersensitivity: To Isosorbide Dinitrate or any other components of the tablet.
Concurrent use with PDE5 inhibitors: Nitrates, including Isosorbide Dinitrate, should never be used together with medications used for erectile dysfunction, such as Sildenafil, Tadalafil, or Vardenafil, as this can lead to severe hypotension (dangerously low blood pressure).
Severe anemia: Nitrates can lower blood pressure and exacerbate symptoms of anemia.
Hypotension (low blood pressure): If a patient has low blood pressure, they should avoid using Isosorbide Dinitrate due to the risk of further lowering blood pressure.
Severe head trauma or cerebral hemorrhage: Since Isosorbide Dinitrate dilates blood vessels, it should be avoided in patients with a history of severe head injury or brain hemorrhage.
Glaucoma: Particularly narrow-angle glaucoma should avoid nitrates, as it can increase intraocular pressure.
Precautions:
Tolerance to Nitrates: Over time, the body may develop tolerance to the effects of Isosorbide Dinitrate, meaning that the drug becomes less effective. To prevent this, a dosing schedule may include periods of "nitrate-free" intervals (e.g., overnight) to maintain drug efficacy.
Elderly patients: Caution should be exercised in elderly patients due to the increased likelihood of side effects, such as dizziness and hypotension.
Liver or kidney disease: Dose adjustments may be necessary for individuals with significant liver or kidney problems.
Pregnancy and breastfeeding: Pregnancy category C: Isosorbide Dinitrate should be used during pregnancy only if the potential benefit justifies the risk to the fetus. It should not be used during breastfeeding unless clearly necessary.
Important Note: This is a general overview of Isosorbide Dinitrate (Sorbance 5mg Tablet). Always consult your healthcare provider or pharmacist for personalized advice based on your specific health conditions, other medications you may be taking, and your medical history.
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