ISORDIL TITRADOSE Tablet (2019)
Βιβλιογραφική αναφορά
Συγγραφείς
Bausch Health US LLC
Λέξεις κλειδιά
0187-0152 0187-0192
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1. 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 ...
2. 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 ...
3. Indications and Usage
Isordil (isosorbide dinitrate) Titradose 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 ...
4. Contraindications
Isordil Titradose is contraindicated in patients who are allergic to isosorbide dinitrate or any of its ingredients. Do not use Isordil Titradose in patients who are taking certain drugs for erectile dysfunction ...
5. Warnings
<b>Amplification of the vasodilatory effects of Isordil by sildenafil can result in severe hypotension. The time course and dose dependence of this interaction have not been studied. Appropriate supportive ...
6.1. General
Severe hypotension, particularly with upright posture, may occur with even small doses of isosorbide dinitrate. This drug should therefore be used with caution in patients who may be volume depleted or ...
6.2. Information for Patients
Patients should be told that the anti-anginal efficacy of isosorbide dinitrate is strongly related to its dosing regimen, so the prescribed schedule of dosing should be followed carefully. In particular, ...
6.4. Drug Interactions
The vasodilating effects of isosorbide dinitrate may be additive with those of other vasodilators. Alcohol, in particular, has been found to exhibit additive effects of this variety. Concomitant use of ...
6.6. Carcinogenesis, Mutagenesis, Impairment of Fertility
No long-term studies in animals have been performed to evaluate the carcinogenic potential of isosorbide dinitrate. In a modified two-litter reproduction study, there was no remarkable gross pathology ...
6.7. Pregnancy
At oral doses 35 and 150 times the maximum recommended human daily dose, isosorbide dinitrate has been shown to cause a dose-related increase in embryotoxicity (increase in mummified pups) in rabbits. ...
6.9. Nursing Mothers
It is not known whether isosorbide dinitrate is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when isosorbide dinitrate is administered to a nursing ...
6.10. Pediatric Use
Safety and effectiveness in pediatric patients have not been established.
6.11. Geriatric Use
Clinical studies of Isordil (isosorbide dinitrate) Titradose did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported ...
7. Adverse Reactions
Adverse reactions to isosorbide dinitrate are generally dose-related, and almost all of these reactions are the result of isosorbide dinitrates activity as a vasodilator. Headache, which may be severe, ...
9. Overdosage
Hemodynamic Effects The ill effects of isosorbide dinitrate overdose are generally the results of isosorbide dinitrates capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. ...
10. Dosage and Administration
As noted under CLINICAL PHARMACOLOGY, multiple-dose studies with ISDN and other nitrates have shown that maintenance of continuous 24-hour plasma levels results in refractory tolerance. Every dosing regimen ...
11. How Supplied
IsordilTitradose (isosorbide dinitrate) tablets are available as follows: 5 mg, round, pink tablets imprinted BPI 152 on one side and deeply scored on reverse side: NDC 0187-0152-01, bottles of 100. 40 ...
12. Storage and Handling section
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, ...
13. Clinical Studies
In clinical trials, immediate-release oral isosorbide dinitrate has been administered in a variety of regimens, with total daily doses ranging from 30 mg to 480 mg. Controlled trials of single oral doses ...