Ismo 20mg Tablet 30'S

Talk to Doctor Talk to your doctor before taking this medicine, if you: are allergic to Isosorbide mononitrate, other nitrates or any of the other ingredients of this medicine suffer from severe anemia (reduction in red blood cells which can make the skin pale and cause weakness or breathlessness) have had a heart attack (myocardial infarction) have had a brain hemorrhage (bleeding) have had a head injury (trauma) have severely low blood volume (hypovolemia) have severely low blood pressure are suffering from “shock” or vascular collapse have an eye disease called glaucoma have been diagnosed with any of the following heart conditions: hypertrophic obstructive cardiomyopathy (HOCM), con-strictive pericarditis, cardiac tamponade have Valve stenosis and diseases associated with raised intra-cranial (head) pressure have an underactive thyroid gland are malnourished (severely underfed) have liver or kidney disease suffer from hypothermia (a very low body temperature) have slower than normal bowel movement drink lots of alcohol Pregnancy & Breast Feeding If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine Children & Adolescents ISMO 20MG is not suitable for children Driving & Using Machines ISMO 20MG may give you a headache, blurred vision or make you feel dizzy or tired. If this happens to you, do not drive or operate machinery

Always take this medicine exactly as your doctor has told you Swallow the medicine whole with a drink of water If you take more ISMO 20MG If you take more, immediately contact the nearest hospital casualty department or your doctor If you forget to take ISMO 20MG Do not take a double dose to make up for a forgotten dose. Take your next dose at the usual time If you stop taking ISMO 20MG Do not stop taking ISMO 20MG without first talking to your doctor. You should keep taking your medicine until your doctor tells you to stop. If you stop taking the medicine your condition may get worse

Serious Like all medicines, the medicine can cause side effects, although not everybody gets them. fainting or collapse Common Like all medicines, the medicine can cause side effects, although not everybody gets them. dizziness sleepiness fast heartbeat lowering of blood pressure when standing up headache Uncommon Like all medicines, the medicine can cause side effects, although not everybody gets them. skin rashes looking pale flushing excessive sweating restlessness increasing chest pain/angina Very Rare Like all medicines, the medicine can cause side effects, although not everybody gets them. heartburn

Tell your doctor if you are taking, sildenafil used for impotence riociguat, used in treating pulmonary hypertension medicines to lower your blood pressure monoamine oxidase inhibitors (used to treat depression) tricyclic antidepressants (used to treat depression) and neuroleptics (used to treat anxiety) ergotamine used for migraine sapropterin used for phenylketonuria (PKU)

Storage Keep this medicine out of reach of children Do not use this medicine after the expiry date Store at room temperature (15-25ºC)