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Made by SterisWHO-GMP

Cardules Ismn Sr 60

by Steris Healthcare Pvt. Ltd.

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Isosorbide 60 mg

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ManufacturerSteris Healthcare Pvt. Ltd.
Manufacturing qualityWHO-GMP verified
Expiry policyMinimum 3 months
ReviewedClinical review pending

Medicine information

उपयोग

CARDULES ISMN SR 60 by Steris Healthcare provides 60 mg of Isosorbide Mononitrate in an advanced Sustained Release (SR) matrix. Formulated for patients requiring higher-dose vascular protection, this oral organic nitrate delivers controlled, steady medication levels throughout the day to prevent exertional and vasospastic chest pain while strategically guarding against nitrate tolerance. Key Uses & Clinical Benefits: High-Potency Angina Prevention: Effectively manages severe or frequent chronic stable chest pain episodes caused by narrowed or spastic coronary arteries. Advanced Sustained Release Delivery: Delivers a smooth, extended-release profile over several hours, ensuring consistent hemodynamic stability and avoiding sudden blood pressure spikes or drops. Reduces Myocardial Workload: Dilates peripheral veins and arteries, significantly reducing venous return (preload) and systemic vascular resistance (afterload) to lower the heart's oxygen demands. Prevents Nitrate Tolerance: Formulated to support an eccentric once-daily dosing regimen, ensuring an essential daily "nitrate-free interval" to preserve vascular responsiveness. Improves Functional Capacity: Allows patients with severe stable angina to participate in daily physical activities with diminished chest discomfort and breathlessness. How CARDULES ISMN SR 60 Works: Isosorbide Mononitrate is metabolized to generate Nitric Oxide (NO) in vascular smooth muscle cells. Nitric oxide stimulates guanylate cyclase to increase intracellular cyclic Guanosine Monophosphate (cGMP), inducing vascular relaxation. This causes marked venous dilation, reduced cardiac preload, and enhanced blood delivery across collateral coronary vascular beds.

कैसे उपयोग करें

Take 1 tablet of CARDULES ISMN SR 60 once daily in the morning, or strictly as prescribed by your cardiologist or physician. Swallow the tablet whole with a glass of water. Do not crush, chew, or break the tablet, as this destroys the sustained-release delivery system. Taking your dose at the same time every morning ensures a natural nitrate-free period during rest and sleep hours.

भंडारण

Store in a cool, dry, and dark place away from direct sunlight, heat, and moisture. Store at a controlled room temperature below 30°C. Keep out of reach and sight of children.

Important guidance

Safety advice

Check with your doctor
AlcoholConsult your doctor

Strictly avoid alcohol while taking CARDULES ISMN SR 60, as alcohol significantly amplifies vasodilatory action, causing dangerous hypotension (low blood pressure), fainting, and severe headaches.

PregnancyConsult your doctor

CARDULES ISMN SR 60 should only be used during pregnancy if explicitly prescribed by your doctor after evaluating potential clinical benefits against risks.

BreastfeedingConsult your doctor

Consult your physician before taking CARDULES ISMN SR 60 while nursing, as it is unknown whether Isosorbide Mononitrate passes into human breast milk.

DrivingConsult your doctor

Exercise caution when driving or operating machinery. Vasodilation may cause dizziness, lightheadedness, or postural hypotension, particularly when beginning therapy or adjusting doses.

KidneyConsult your doctor

Generally safe for patients with renal impairment. However, dose monitoring and medical consultation are recommended for severe renal failure.

LiverConsult your doctor

Use with caution in patients with severe hepatic impairment or liver failure, as altered drug clearance may require close clinical supervision.

Clinical review pending

This page uses verified catalogue facts and responsible medicine-information rules. It supports awareness and does not replace a doctor's advice.

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