CARDULES ISMN SR 60

CARDULES ISMN SR60 is a prescription medication formulated to prevent angina (chest pain) and improve heart health in adults. Containing Isosorbide Mononitrate 60 mg, this tablet belongs to the class of nitrates, which work by relaxing and widening blood vessels to allow smooth blood flow.

Angina is a common cardiovascular condition caused by reduced blood supply to the heart muscles, often resulting from narrowed coronary arteries. CARDULES ISMN SR60 offers an effective solution for managing and preventing angina attacks, improving patients’ quality of life.

Composition and Mechanism of Action

Active Ingredient:

Isosorbide Mononitrate IP 60 mg:

• A long-acting nitrate that works as a vasodilator, relaxing blood vessels and improving blood circulation.

• Helps reduce the heart’s workload by allowing blood to flow more freely, lowering the frequency and severity of angina attacks.

How It Works:

1. Vasodilation: Isosorbide Mononitrate relaxes the smooth muscles of blood vessels, expanding their diameter.

2. Reduced Cardiac Workload: With improved blood flow, the heart receives more oxygen, reducing chest pain during physical exertion or stress.

3. Long-Acting Effect: The sustained-release (SR) formulation ensures steady medication levels in the bloodstream, providing continuous protection against angina.

Uses of CARDULES ISMN SR60

CARDULES ISMN SR60 is primarily used for prevention and management of cardiovascular conditions, including:

1. Chronic Stable Angina:

   • Reduces the frequency and severity of angina attacks caused by narrowed coronary arteries.

2. Coronary Artery Disease (CAD):

   • Helps improve blood flow to the heart, relieving symptoms associated with reduced oxygen supply.

3. Prevention of Heart-Related Symptoms During Stress:

   • Provides protection during physical exertion or emotional stress, which may trigger angina attacks.

4. Adjunct Therapy in Cardiovascular Disorders:

   • Can be used alongside other cardiovascular medications as part of a comprehensive heart care plan under a physician’s guidance.

Benefits of CARDULES ISMN SR60

1. Effective Angina Prevention: Reduces the number and severity of chest pain episodes in patients with chronic stable angina.

2. Improved Heart Oxygenation: Ensures sufficient oxygen supply to the heart muscles, preventing ischemic episodes.

3. Long-Lasting Effect: The SR (Sustained Release) formulation provides 12–24 hours of protection, minimizing the need for frequent doses.

4. Convenient Dosage: Once-daily administration improves patient compliance and simplifies treatment.

5. Enhances Quality of Life: Patients experience fewer angina attacks, enabling normal daily activities with less discomfort.

6. Well-Tolerated in Adults: Clinical studies show that most patients tolerate Isosorbide Mononitrate well, with manageable side effects.

Dosage and Administration

General Guidelines:

The dosage of CARDULES ISMN SR60 depends on the patient’s condition, age, and response to therapy. Always follow the prescribing doctor’s instructions.

• Adults (18–65 years):

  • Usually 1 tablet once daily in the morning or as prescribed by the physician.

  • Swallow the tablet whole; do not crush or chew, as this can affect the sustained-release mechanism.

• Elderly Patients:

  • May require lower starting doses, gradually increased based on tolerance.

• Missed Dose:

  • Take the missed dose as soon as remembered.

  • If it is near the next scheduled dose, skip the missed dose; do not double the dose.

Important Notes:

• Take the medication at the same time every day for consistent therapeutic effects.

• Avoid abrupt discontinuation; stopping suddenly may trigger angina symptoms.

Side Effects of CARDULES ISMN SR60

CARDULES ISMN SR60 is generally well-tolerated when used as prescribed. However, some patients may experience mild to moderate side effects:

Common Side Effects:

• Headache (often decreases after initial weeks of therapy)

• Dizziness or lightheadedness

• Flushing or warmth in the face

• Nausea or mild gastrointestinal discomfort

Serious Side Effects (seek immediate medical attention):

• Severe hypotension (dangerously low blood pressure)

• Fainting or severe dizziness

• Rapid or irregular heartbeat

• Allergic reactions such as rash, itching, or swelling

Tips to Reduce Side Effects:

• Stay hydrated and avoid sudden standing to prevent dizziness.

• Take the medication after food if gastrointestinal upset occurs.

• Report persistent headaches to the doctor; sometimes the dose needs adjustment.

Precautions and Warnings

1. Medical History:

   • Inform the doctor about any history of heart rhythm disorders, low blood pressure, kidney or liver disease before starting treatment.

2. Drug Interactions:

   • Avoid PDE-5 inhibitors (sildenafil, tadalafil) as they may cause severe hypotension.

   • Consult the doctor before combining with other blood pressure medications.

3. Pregnancy and Lactation:

   • Safety during pregnancy is not established.

   • Use only under medical supervision.

4. Lifestyle Precautions:

   • Avoid alcohol, as it may enhance dizziness or lowering of blood pressure.

   • Stand up slowly from sitting or lying positions to reduce the risk of lightheadedness.

5. Storage:

   • Store at room temperature (15–30°C), away from moisture, sunlight, and children.

How to Use CARDULES ISMN SR60 Safely

• Always follow the doctor’s prescribed dose; do not self-medicate.

• Use measuring tools or tablets as directed; do not split sustained-release tablets.

• Monitor blood pressure and heart rate regularly if recommended.

• Keep a log of angina episodes to track the effectiveness of therapy.

• Attend follow-up appointments to adjust the dose as necessary.

Advantages Over Other Anti-Angina Medications

• Sustained-Release Formulation: Provides long-lasting protection with fewer doses compared to immediate-release nitrate tablets.

• Dual Benefit: Reduces both angina frequency and heart workload effectively.

• Improved Patient Compliance: Once-daily dosing reduces the risk of missed doses.

• Clinically Proven: Extensive research supports Isosorbide Mononitrate as a first-line therapy for chronic stable angina.

Frequently Asked Questions (FAQs)

Q1. Can CARDULES ISMN SR60 be taken with other heart medications?
A1. Yes, but only under medical supervision. Always inform your doctor about all medications being used.

Q2. How quickly does it prevent angina attacks?
A2. The sustained-release formulation begins to work within 1–2 hours, providing long-term prevention over 12–24 hours.

Q3. Can I drive after taking this medicine?
A3. Avoid driving or operating machinery if dizziness or lightheadedness occurs.

Q4. Can it be used for heart attack treatment?
A4. CARDULES ISMN SR60 is not for acute heart attack treatment; it is intended for prevention of angina.

Q5. Is long-term use safe?
A5. Generally, yes, under regular medical supervision. Long-term monitoring may be needed to prevent tolerance or side effects.

Lifestyle Tips to Complement CARDULES ISMN SR60 Therapy

• Maintain a heart-healthy diet rich in fruits, vegetables, and low in saturated fats.

• Engage in moderate exercise as recommended by a doctor.

• Avoid smoking and excessive alcohol to reduce cardiovascular risk.

• Manage stress through meditation, yoga, or counseling.

• Regular check-ups to monitor heart function and blood pressure.

Conclusion

CARDULES ISMN SR60 is a trusted, effective, and convenient anti-angina medication for adults in India. With Isosorbide Mononitrate 60 mg in a sustained-release form, it offers long-lasting protection against angina attacks, improves heart oxygenation, and enhances quality of life.

Frequently Asked Questions (FAQs)

Q1. Can CARDULES ISMN SR60 be taken with other heart medications?
A1. Yes, but only under medical supervision. Always inform your doctor about all medications being used.

Q2. How quickly does it prevent angina attacks?
A2. The sustained-release formulation begins to work within 1–2 hours, providing long-term prevention over 12–24 hours.

Q3. Can I drive after taking this medicine?
A3. Avoid driving or operating machinery if dizziness or lightheadedness occurs.

Q4. Can it be used for heart attack treatment?
A4. CARDULES ISMN SR60 is not for acute heart attack treatment; it is intended for prevention of angina.

Q5. Is long-term use safe?
A5. Generally, yes, under regular medical supervision. Long-term monitoring may be needed to prevent tolerance or side effects.