देश: संयुक्त राज्य
भाषा: अंग्रेज़ी
स्रोत: NLM (National Library of Medicine)
ISOSORBIDE DINITRATE (UNII: IA7306519N) (ISOSORBIDE DINITRATE - UNII:IA7306519N)
NCS HealthCare of KY, LLC dba Vangard Labs
ORAL
PRESCRIPTION DRUG
Isosorbide dinitrate tablets are indicated for the prevention of angina pectoris due to coronary artery disease. The onset of action of immediate-release oral isosorbide dinitrate is not sufficiently rapid for this product to be useful in aborting an acute anginal episode. Isosorbide dinitrate is contraindicated in patients who are allergic to isosorbide dinitrate or any of its ingredients. Do not use isosorbide dinitrate in patients who are taking certain drugs for erectile dysfunction (phosphodiesterase inhibitors), such as sildenafil, tadalafil, or vardenafil. Concomitant use can cause severe hypotension, syncope, or myocardial ischemia. Do not use isosorbide dinitrate in patients who are taking the soluble guanylate cyclase stimulator riociguat. Concomitant use can cause hypotension.
Isosorbide dinitrate Tablets are available as follows: 5 mg, Light pink to pink round tablets, debossed with, “Λ” on one side and score line on the other side. 21 10 mg, Light green to green mottled round tablets, debossed with, "Λ" on one side and score line on the other side. 22 Blistercards of 30 NDC 0615-8463-39 20 mg, Light green to green mottled round tablets, debossed with, "Λ" on one side and score line on the other side. 23 Blistercards of 30 NDC 0615-8464-39 30 mg, Light green to green mottled round tablets, debossed with, "Λ" on one side and score line on the other side. 24 Blistercards of 30 NDC 0615-8465-39 40 mg, Light green to green mottled round tablets, debossed with, "Λ" on one side and score line on the other side. 45 Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Protect from light. Keep bottles tightly closed. Dispense in a light-resistant, tight container. All trademarks are the property of their respective owners. Manufactured by: Rubicon Research Private Limited Ambernath, Dist: Thane, 421506 India Distributed by: Advagen Pharma Ltd 666 Plainsboro Road Suite 605Plainsboro, NJ 08536, US Revision: 06/22
Abbreviated New Drug Application
ISOSORBIDE DINITRATE- ISOSORBIDE DINITRATE TABLET NCS HEALTHCARE OF KY, LLC DBA VANGARD LABS ---------- ISOSORBIDE DINITRATE TABLETS RX ONLY DESCRIPTION Isosorbide dinitrate (ISDN) is 1,4:3,6-dianhydro-D-glucitol 2,5-dinitrate, an organic nitrate whose structural formula is and whose molecular weight is 236.14. The organic nitrates are vasodilators, active on both arteries and veins. Isosorbide dinitrate is a white, crystalline powder compound which is stable in air and in solution, has a melting point of 69°C to 72°C and optically active. Isosorbide dinitrate is very soluble in acetone, sparingy soluble in alcohol and very slightly soluble in water. Each Isosorbide dinitrate tablet contains 5 mg, 10 mg, 20 mg, 30 mg or 40 mg of isosorbide dinitrate. The inactive ingredients in each tablet are microcrystalline cellulose, colloidal silicon dioxide, and magnesium stearate. The 5mg, 10 mg, 20 mg and 30 mg dosage strengths also contain anhydrous lactose and sodium starch glycolate Type A. Additionally 5 mg contains FD & C red 40 Al lake. 10 mg, 20mg, 30 mg and 40 mg contains FD & C Blue 1 Al lake and D & C Yellow 10 Al lake. FDA approved dissolution test specifications differ from USP. CLINICAL PHARMACOLOGY The principal pharmacological action of isosorbide dinitrate is relaxation of vascular smooth muscle and consequent dilatation of peripheral arteries and veins, especially the latter. Dilatation of the veins promotes peripheral pooling of blood and decreases venous return to the heart, thereby reducing left ventricular end-diastolic pressure and pulmonary capillary wedge pressure (preload). Arteriolar relaxation reduces systemic vascular resistance, systolic arterial pressure, and mean arterial pressure (afterload). Dilatation of the coronary arteries also occurs. The relative importance of preload reduction, afterload reduction, and coronary dilatation remains undefined. Dosing regimens for most chronically used drugs are designed to provide plasma concentrations that are continuously greater than a minimally e पूरा दस्तावेज़ पढ़ें