Ismo 20 mg Tablet

Ismo 20 mg Tablet is a prescription medicine that contains 20 mg of isosorbide mononitrate in each tablet. It belongs to the nitrate class of heart medicines and is used to help prevent angina, which is chest pain caused by reduced blood flow to the heart. Ismo 20 mg Tablet is not for immediate relief of an active chest pain attack; it is used as a preventive medicine when taken as directed by a doctor. The 20 mg strength is an oral tablet made by Abbott Healthcare Pvt. Ltd. and is supplied in strips/boxes of 10 tablets.

How it works: Isosorbide mononitrate relaxes and widens blood vessels, which helps more blood and oxygen reach the heart muscle. In tablet form, Ismo 20 mg Tablet works after it is swallowed and absorbed, helping reduce the chance of angina episodes over time.

Ismo 20 mg Tablet is a higher-strength tablet than Ismo 10 mg Tablet, so it is usually chosen when a doctor wants a stronger preventive effect or a dosing plan that fits a patient’s response to therapy. Because it is a 20 mg tablet, it may cause a more noticeable blood-pressure-lowering effect, especially when treatment is started or the dose is changed, so it should only be used under medical supervision.

• Prevention of angina pectoris (chest pain)
• Maintenance treatment for stable coronary artery disease
• Reduction of chest pain episodes triggered by exertion or stress
• Long-term nitrate therapy as prescribed by a doctor

• Swallow Ismo 20 mg Tablet whole with water, unless your doctor or pharmacist tells you otherwise.
• Take it exactly at the time and frequency prescribed; do not change the schedule on your own.
• If your prescriber has told you to use it for angina prevention, take it regularly even when you feel well.
• Do not use this tablet to stop a sudden chest pain attack; seek urgent care if chest pain is new, severe, or lasts longer than expected.
• Stand up slowly after taking it because dizziness or lightheadedness can happen, especially early in treatment.
• Follow your doctor’s instructions about taking it with or without food, since the tablet form may be taken either way depending on the prescription plan.

Each Ismo 20 mg Tablet provides 20 mg of isosorbide mononitrate per tablet. The exact number of tablets per day and whether the medicine is taken once daily or in divided doses depends on your doctor’s prescription and your condition; do not exceed the prescribed daily amount. Because this is a 20 mg strength, it is a moderate-to-higher tablet dose and should be adjusted only by a clinician.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Isosorbide Mononitrate may include:

• Headache, which is common with nitrate medicines and may be more noticeable at the 20 mg strength
• Dizziness or lightheadedness
• Flushing or feeling warm
• Low blood pressure
• Nausea
• Weakness or tiredness

• Do not use Ismo 20 mg Tablet for sudden angina attacks; it is a preventive medicine, not a rescue medicine.
• This 20 mg strength may lower blood pressure more noticeably, so extra caution is needed when standing up, especially at the start of treatment.
• Avoid alcohol unless your doctor says it is safe, because alcohol can worsen dizziness and low blood pressure.
• Do not take this medicine if you have used a PDE-5 inhibitor for erectile dysfunction or pulmonary hypertension unless a clinician has confirmed it is safe; the combination can cause a dangerous drop in blood pressure.
• Tell your doctor if you have low blood pressure, recent heart attack, heart failure, anemia, or other heart disease.
• Use caution when driving or operating machinery until you know how Ismo 20 mg Tablet affects you.
• Do not stop or restart nitrate therapy on your own, because chest pain control may change and your doctor may need to adjust the schedule.

• Sildenafil, tadalafil, vardenafil, and avanafil
• Other nitrates or nitric oxide donors
• Alcohol
• Blood pressure medicines, including some beta blockers, calcium channel blockers, ACE inhibitors, and diuretics
• Riociguat

Store Ismo 20 mg Tablet at room temperature in its original strip/box, away from excess heat, moisture, and direct light.