Package | Dosage | Price | Price per Dose | |
---|---|---|---|---|
Dosage: 20mg | ||||
360 pill | 20mg | £179.39 | £0.50 | |
180 pill | 20mg | £99.00 | £0.55 | |
120 pill | 20mg | £72.94 | £0.61 | |
90 pill | 20mg | £61.03 | £0.68 | |
60 pill | 20mg | £45.40 | £0.76 | |
30 pill | 20mg | £28.28 | £0.95 | |
Dosage: 30mg | ||||
360 pill | 30mg | £232.98 | £0.65 | |
180 pill | 30mg | £125.79 | £0.70 | |
120 pill | 30mg | £93.78 | £0.78 | |
90 pill | 30mg | £78.15 | £0.87 | |
60 pill | 30mg | £58.05 | £0.97 | |
30 pill | 30mg | £36.47 | £1.21 | |
Dosage: 40mg | ||||
240 pill | 40mg | £165.99 | £0.69 | |
120 pill | 40mg | £90.81 | £0.76 | |
90 pill | 40mg | £79.64 | £0.89 | |
60 pill | 40mg | £61.03 | £1.02 | |
30 pill | 40mg | £34.23 | £1.14 | |
Dosage: 60mg | ||||
180 pill | 60mg | £177.90 | £0.99 | |
120 pill | 60mg | £128.77 | £1.07 | |
90 pill | 60mg | £103.46 | £1.15 | |
60 pill | 60mg | £74.43 | £1.24 | |
30 pill | 60mg | £43.17 | £1.44 |
Isosorbide Description
Overview of Isosorbide
Isosorbide is a medication commonly used in the treatment and prevention of angina pectoris, a condition characterized by chest pain caused by reduced blood flow to the heart muscle. It belongs to a class of drugs known as nitrates or vasodilators, which work by relaxing and widening blood vessels. This action helps improve blood flow and reduce the heart's workload, thereby alleviating angina symptoms. Isosorbide is available in various forms, including tablets and extended-release formulations, allowing for flexible dosing options tailored to individual patient needs.
How Isosorbide Works
The primary mechanism of action of Isosorbide involves the release of nitric oxide within the vascular smooth muscle. Nitric oxide activates an enzyme called guanylate cyclase, leading to an increase in cyclic GMP levels. The elevated cyclic GMP causes relaxation of the vascular smooth muscle, resulting in vasodilation. This vasodilation decreases the preload and afterload, which are the pressures the heart must work against. Consequently, the heart's oxygen demand decreases, providing relief from anginal pain. Additionally, Isosorbide can help prevent episodes of angina when taken on a regular schedule.
Usage and Dosage
When used for angina, Isosorbide is typically prescribed in a dosing regimen that depends on the severity of the condition and patient response. Patients are usually advised to take the medication on an empty stomach, with or without food. It is important to follow the healthcare provider's instructions precisely to ensure optimal effectiveness and minimize side effects. The extended-release formulations are generally taken once or twice daily, whereas immediate-release tablets may be used multiple times a day in some cases. Regular monitoring and communication with a healthcare professional are essential to adjust dosage if necessary.
Potential Benefits and Effectiveness
Many patients experience significant relief from angina symptoms after starting Isosorbide therapy. It is effective in both the acute management of chest pain episodes and preventive treatment to reduce the frequency of anginal attacks. The medication's ability to dilate blood vessels helps improve blood flow, reducing the incidence of chest discomfort and associated symptoms of angina. For most patients, Isosorbide is well-tolerated, especially when used responsibly under medical supervision. It can also be a valuable part of a comprehensive treatment plan that includes lifestyle modifications and other cardiovascular therapies.
Possible Side Effects and Precautions
Despite its benefits, Isosorbide can cause side effects in some patients. The most common include headache, dizziness, flushing, and nausea. These side effects are often related to vasodilation and may diminish over time. Headaches, in particular, are frequently reported and can often be managed with over-the-counter pain relief or adjusting the dose under medical guidance. More serious but rare side effects include hypotension (abnormally low blood pressure), reflex tachycardia, and allergic reactions. Patients with certain conditions such as severe anemia, intracranial pressure, or hypersensitivity to nitrates should avoid Isosorbide. It is also important to inform healthcare providers about all medications being taken, as Isosorbide can interact with other drugs, particularly Viagra and other phosphodiesterase inhibitors, which can potentiate blood pressure lowering effects.
Storage and Precautions
Proper storage of Isosorbide is crucial to maintain its effectiveness. The medication should be kept at room temperature, away from moisture, heat, and sunlight. Patients should ensure that the medication is out of reach of children and not used beyond the expiration date. It is essential to use Isosorbide exactly as prescribed, and not to stop or adjust the dosage without consulting a healthcare professional. Patients should be aware of signs of low blood pressure or severe side effects and seek medical attention if such symptoms occur. Regular follow-up appointments help to monitor the medication's effectiveness and manage any adverse effects.