• Prophylaxis of angina:
    • Immediate release: 5-10mg BD initially. Can be increased to 10mg BD by day 2 or 3; maintenance: 20 mg BD
    • Extended release: 30-60mg AM. Increase in 3 day intervals. Max 240mg/day

Tablet:

  • 10mg
  • 20mg
  • To be taken on an empty stomach 30 minutes before meals or 1 hour after meals

Nitrates

It is converted to nitric oxide in the vascular smooth muscle leading to activation of cGMP and  vasodilation.

It also relaxes smooth muscle through dilation of arterial and venous beds to reduce both preload and afterload, as well as myocardial oxygen demand.

  • Headache
  • Dizziness
  • Nausea
  • Hypotension
  • Methemoglobinemia
  • Hypersensitivity to organic nitrates
  • Sildenafil
  • Tadalafil
  • Vardenafil
  • Topical lidocaine

                                   Drug Status

Availability Prescription only
Pregnancy Category C
Breastfeeding Use with caution
Schedule Not controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Anginal 10mg Tablet 100’s Ray Pharma Ray Pharma
Monocontin OD 50mg Tablet 100’s Modi Mundipharma Europa Healthcare