দেশ: সিঙ্গাপুর
ভাষা: ইংরেজি
সূত্র: HSA (Health Sciences Authority)
ISOSORBIDE-5-MONONITRATE
DUOPHARMA (SINGAPORE) PTE LTD
C01DA14
60mg
TABLET, FILM COATED
ISOSORBIDE-5-MONONITRATE 60mg
ORAL
Prescription Only
DUOPHARMA MANUFACTURING (BANGI) SDN.BHD.
ACTIVE
1998-12-08
60 MG CR TABLETS COMPOSITION lmdex TM is a controlled release formulation of Isosorbide-5-mononitrate. The active substance is released independently of pH. Each lmdex TM 60 mg CR tablet contains 60 mg Isosorbide-5-mononitrate, excipients and colouring agents (iron oxide, titanium dioxide and quinoline yellow aluminium lake), qs. PHARMACOLOGY/ PHARMACOKINETICS The principal pharmacological action of Isosorbide-5-mononitrate is relaxation of vascular smooth muscle, producing significant vasodilator activity; the strongest effect being exerted on the venous system and a lesser effect on the arterial circulation. As a consequence, the heart has less work to perform against diminished resistance and therefore oxygen requirement is reduced. Isosorbide-5-mononitrate is readily absorbed from the gastro-intestinal tract and does not undergo first-pass hepatic metabolism and bioavailability is nearly 100%. The rate of absorption is slowed by food but overall bioavailability is unchanged. Kinetics of Isosorbide-5-mononitrate are not significantly influenced by advancing age, hepatic or renal disease. Isosorbide-5-mononitrate is widely distributed with a large apparent volume of distribution. It undergoes nearly total elimination in the liver by denitration and conjugation to form lsosorbide and lsosorbide glucuronide as inactive metabolites. Only 2% of Isosorbide mononitrate is excreted unchanged in the urine with an elimination half-life of around 5 hours. INDICATIONS lmdex TM tablets are indicated for the prophylaxis and long-term treatment of angina pectoris due to coronary artery disease. Development of tolerance may occur with all forms of nitrate therapy particularly with the long acting nitrate preparations that maintain continuously high plasma nitrate concentration. SIDE EFFECTS/ADVERSE REACTIONS Most adverse effects are dose-related. Tachycardia, palpitations and orthostatic hypotension are common symptoms. These symptoms generally disappear during continued treatment. Headache may occur during initial treatment, সম্পূর্ণ নথি পড়ুন