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  3. 5 MONO TABLET 20MG

5 MONO TABLET 20MG, Pack of 10 TABLETS
5 MONO TABLET 20MG, Pack of 10 TABLETS
Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

5 MONO TABLET is used to treat angina pectoris. It contains Isosorbide mononitrate, which relaxes the muscles of blood vessels, especially of the heart, leading to proper blood flow towards the heart muscle. It may cause common side effects such as nausea, dizziness, and headache. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Composition :

ISOSORBIDE MONONITRATE-20MG

Manufacturer/Marketer :

Biochem Pharmaceutical Industries Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About 5 MONO TABLET

5 MONO TABLET is used to treat angina pectoris, in which the blood vessels of the heart narrow unexpectedly and suddenly. This leads to decreased blood flow to the heart's muscles, which in turn causes suffocation and tight pain in the chest, neck, or arm area.

5 MONO TABLET a mononitrate form of isosorbide is a powerful vasodilator (widens blood vessels). It works by the formation of the free radical nitric oxide (NO) inside our body, which leads to the relaxation of muscles of blood vessels, especially of the heart, leading to proper blood flow towards the heart muscle, which has been working under immense pressure due to decreased blood flow to it.

5 MONO TABLET should be taken as prescribed by your doctor, with or without a meal at fixed intervals every day for best results. The name of the dose of $ can vary depending on your condition and its severity. Also, it is recommended that you complete the course of medicine even if you feel better. The common side effects of 5 MONO TABLET include nausea, dizziness & headache. In case of any discomfort, speak with a doctor.

Before starting 5 MONO TABLET , please inform your doctor if you have any allergy (against any nitrate), have suffered a heart attack/stroke, or have an eye disease called glaucoma. Do not take 5 MONO TABLET on your own as self-medication. If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Uses of 5 MONO TABLET

Treatment of Angina Pectoris.

Directions for Use

Take 5 MONO TABLET at the start of a meal or slightly before, or as advised by your doctor. Swallow it whole with a glass of water. Do not chew or crush it. Space the doses evenly throughout the course.

Medicinal Benefits

5 MONO TABLET belongs to a class of medicines called nitrate vasodilators. These operate by relaxing the blood vessels of the heart, reducing the stress on the heart and making it easier to pump blood. 5 MONO TABLET is used to prevent attacks of angina pectoris. Angina usually feels like tight chest pain, neck or arm area. The pain originates from the heart muscle and is a sign that part of it is not getting enough oxygen for the amount of work it is doing.

How 5 MONO TABLET Works

5 MONO TABLET a mononitrate form of isosorbide is a powerful vasodilator (widens blood vessels). It works by the formation of the free radical nitric oxide (NO) inside our body, which leads to the relaxation of muscles of blood vessels, especially of the heart, leading to proper blood flow towards the heart muscle, which has been working under immense pressure due to decreased blood flow to it.

Storage

Store in a cool and dry place away from sunlight
Side effects of 5 Mono Tablet 20mg
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • Stay hydrated by drinking plenty of water.
  • Limit caffeine, nicotine, and alcohol.
  • Avoid processed foods, excess salt, and sugary drinks.
  • Manage stress through relaxation techniques.
  • Exercise regularly and maintain a healthy weight.
Managing Medication-Triggered Flushing (Reddening of the skin): A Step-by-Step Guide:
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
  • Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.

What if I have taken an overdose of 5 MONO TABLET

Do not take more than the prescribed dose of 5 MONO TABLET as it may cause overdose. The symptoms of overdose include severe dizziness, fever, severe throbbing headache, confusion, vision problems, fast or pounding heartbeats, vomiting, nausea, stomach pain, trouble breathing, bloody diarrhoea, cold or clammy skin, sweating, seizures (fits), and fainting. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Communicate to your doctor or pharmacist before taking 5 MONO TABLET if a patient has low performing thyroid gland, is undernourished because of a poor diet, has severe liver/kidney problems, suffers from hypothermia (very low body temperature), suffers from very poor blood circulation, has had any lethal damage to heart such as a heart attack or suffers from a disease called glaucoma (increased pressure in the eye).

Drug-Drug Interactions

verifiedApollotooltip
Isosorbide mononitrateRiociguat
Critical
Isosorbide mononitrateTadalafil
Critical

Drug-Drug Interactions

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Isosorbide mononitrateRiociguat
Critical
How does the drug interact with 5 Mono Tablet 20mg:
Taking Riociguat with 5 Mono Tablet 20mg can cause low blood pressure.

How to manage the interaction:
Taking 5 Mono Tablet 20mg with Riociguat is not recommended, but it can be taken together if prescribed by a doctor. However, consult your doctor if you experience dizziness, lightheadedness, fainting, headache, flushing, heart palpitations, priapism in males (persistent and painful erection unrelated to sexual activity). Do not discontinue any medications without consulting a doctor.
Isosorbide mononitrateTadalafil
Critical
How does the drug interact with 5 Mono Tablet 20mg:
Coadministration of Tadalafil with 5 Mono Tablet 20mg can increase the risk or severity of low blood pressure.

How to manage the interaction:
Taking 5 Mono Tablet 20mg with Tadalafil is not recommended, but it can be taken together if prescribed by a doctor. However, consult a doctor if you experience dizziness, or heart palpitations. Do not discontinue any medications without consulting a doctor.
Isosorbide mononitrateDihydroergotamine
Severe
How does the drug interact with 5 Mono Tablet 20mg:
Taking 5 Mono Tablet 20mg together with dihydroergotamine can increase the effects of dihydroergotamine.

How to manage the interaction:
Although taking 5 Mono Tablet 20mg and dihydroergotamine together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience an irregular heartbeat, nausea, vomiting, weakness, or coldness, numbness, chest pain or pain in the hands, feet, arms, or legs. Do not discontinue any medications without consulting a doctor.
Isosorbide mononitrateTizanidine
Severe
How does the drug interact with 5 Mono Tablet 20mg:
Taking 5 Mono Tablet 20mg with tizanidine will have an additive effect and may lower blood pressure.

How to manage the interaction:
Although taking 5 Mono Tablet 20mg and tizanidine together can possibly result in an interaction, but it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience symptoms such as headache, dizziness, lightheadedness, fainting, and/or pulse or heart rate changes. Do not stop using any medications without consulting doctor.
Isosorbide mononitrateSodium nitrite
Severe
How does the drug interact with 5 Mono Tablet 20mg:
Taking 5 Mono Tablet 20mg with sodium nitrite may cause methemoglobinemia (blood disorder in which too little oxygen is delivered to your cells).

How to manage the interaction:
Although taking 5 Mono Tablet 20mg and sodium nitrite together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you develop gray discoloration of the skin, abnormal blood coloration, nausea, headache, dizziness, lightheadedness, fatigue, shortness of breath, rapid or shallow breathing, a rapid heartbeat, palpitation, anxiety, or confusion. Do not stop using any medications without consulting doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Adopting a heart-healthy lifestyle will help you keep your cholesterol and blood pressure down, keep your arteries clear and avoid angina.
  • Eat plenty of fruits, vegetables, whole grains and low-fat sources of protein such as nuts and fish.
  • Regularly workout.
  • Maintain a healthy weight and keep your diabetes in check.
  • Stop smoking.

Habit Forming

No

Therapeutic Class

ANTIANGINALS

5 MONO TABLET Substitute

Substitutes safety advice

  • Ismo 20 Tablet 30's

    by Others

    ₹4.02per tablet

  • Monotrate 20 Tablet 10's

    by Others

    ₹4.01per tablet

  • Isonorm 20 Tablet 10's

    by Others

    ₹2.84per tablet

  • Monit 20 Tablet 15's

    by Others

    ₹4.41per tablet

  • Mono Isordil 20 Tablet 10's

    by Others

    ₹4.01per tablet

Product Substitutes

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Alcohol

Unsafe

Do not drink alcohol. It could increase the effect of 5 MONO TABLET and lower your blood pressure too much. If this happens, you may feel dizzy or faint.

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Pregnancy

Caution

If you are pregnant, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

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Breast Feeding

Caution

If you are a breastfeeding mother, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

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Driving

Unsafe

5 MONO TABLET may cause headaches, blurred vision, dizziness, or tiredness. Make sure you are not affected before you drive or operate machinery.

bannner image

Liver

Caution

A patient is advised to take this drug only during a doctor's consultation as there have been reports of interactions between liver patients and 5 MONO TABLET .

bannner image

Kidney

Caution

A patient is advised to take this drug only on doctor's consultation as there have been reports of interactions between Kidney patients and 5 MONO TABLET .

bannner image

Children

Unsafe

It is not to be given to children unless prescribed by a doctor.

Have a query?

FAQs

5 MONO TABLET is used for a heart condition called angina pectoris. It works by relaxing the blood vessels of the heart, reducing the stress on the heart and making it easier to pump blood.

Take the missed dose as soon as possible. If it's too late, jump to the next dose. Never attempt to take a double dose, as it may lead to serious harmful implications.

No drastic fall in blood pressure is seen, and it is never advised except for a few antihypertensives, that too only under doctor consultation.

No, ergot-based drugs have been found to have interaction with 5 MONO TABLET ; thus, they are not advised.

No, the interaction produced causes severe hypotension or a decrease in blood pressure.

It can induce throbbing headaches, reddening of the skin, chills along with sweating, nausea, vomiting, and quick heartbeat if you take more than the prescribed dose of 5 MONO TABLET . Seek emergency treatment and seek urgent consultation with your doctor if you are taking more than the prescribed dosage of this drug.

5 MONO TABLET may cause side effects such as dizziness, fainting, headache, nausea, low blood pressure, and swelling of eyelids, face or lips. If these side effects persist or worsen, please consult your doctor.

Yes, 5 MONO TABLET may affect the heart rate. 5 MONO TABLET decreases blood pressure, which further causes a decrease in the heart rate (bradycardia). In some cases, it may also cause an increase in the heart rate (tachycardia). If you notice a change in your heart rate or feel unwell after taking 5 MONO TABLET , consult your doctor.

If you remember the forgotten dose of 5 MONO TABLET within 12 hours, you can take it. However, if you remember it after 12 hours of the scheduled time, then skip the missed dose and take the next dose.

No, do not stop taking 5 MONO TABLET without first consulting your doctor. Discontinuing it suddenly may increase the risk of an anginal attack. If you have any concerns regarding this, please consult your doctor.

Your doctor may recommend you to take 5 MONO TABLET once or twice daily depending on the dosage. When a single dose is recommended, then it is best to take it in the morning. If taking it twice a day, keep a 7 hours interval between the two doses to decrease the chances of 5 MONO TABLET becoming ineffective (tolerance) after some time.

Yes, 5 MONO TABLET can lower blood pressure. 5 MONO TABLET widens the blood vessels and decreases the resistance in them, resulting in lower blood pressure, which in turn decrease the heartbeat and can lead to angina. Thus, 5 MONO TABLET should be avoided in people who already have low blood pressure. If you have any concerns, discuss with your doctor.

No, do not take sildenafil with 5 MONO TABLET as taking these two medicines together may cause a severe decrease in blood pressure, fainting, and even a heart attack. In addition to this, avoid taking other medicines belonging to similar classes such as tadalafil and vardenafil.

Yes, 5 MONO TABLET comes in the form of dividable tablets. However, you should not break it in two halves unless advised by your doctor. Taking excess or less medicine can lead to side effects or decreased effectiveness. This can ultimately affect the course of treatment.

5 MONO TABLET contains Isosorbide mononitrate as its active ingredient.

5 MONO TABLET works by the formation of the free radical nitric oxide (NO) inside our body, which leads to the relaxation of muscles of blood vessels, especially of the heart, leading to proper blood flow towards the heart muscle, which has been working under immense pressure due to decreased blood flow to it. Thereby, it reduces the blood pressure and load on the heart.

Country of origin

India

Manufacturer/Marketer address

BIOCHEM PHARMA, LG 113 / A, Xth Central Mall, Mahavir Nagar, 90ft Road, Next to D Mart, Kandivali - West, Mumbai - 400067.
Other Info - 5MO0002

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Author Details

Bayyarapu Mahesh KumarDoctor badge

Written By

Bayyarapu Mahesh Kumar

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jan 1, 2025 | 2:49 PM IST

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Reference

  1. https://www.medicines.org.uk/emc/product/2697/pil#gref
  2. https://pubchem.ncbi.nlm.nih.gov/compound/Isosorbide-mononitrate
  3. https://www.ncbi.nlm.nih.gov/books/NBK557672/
  4. https://www.mims.com/india/drug/info/isosorbide%20mononitrate?type=full&mtype=generic
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