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Chest pain and heart rhythm

Isosorbide dinitrate

Also sold as: Isordil, Sorbitrate

Prescription neededChest pain and heart rhythm
Comes as:Tablet

Usual adult dose

To prevent angina: 10 to 20 mg two or three times a day (up to 40 mg), leaving a gap of 8 hours or more without a dose each day so it keeps working. Sublingual 5 mg tablets can be used for chest pain as directed by your doctor.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • headache
  • flushing
  • dizziness
  • fast heartbeat

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • fainting
  • very low blood pressure

Do not take it, or take care, if

  • Taking sildenafil or similar medicines
  • Very low blood pressure
  • Severe anaemia
  • Severe narrowing of the aortic heart valve

Interactions

Medicines that can react with this one.

Serious1 medicineDo not take these together unless your doctor says so.
  • Sildenafil

    Nitrates with sildenafil can cause a dangerous fall in blood pressure; never combine.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Isosorbide mononitrate
  • Glyceryl trinitrate
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.