The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL 16508/0018.
Isotard 25 mg XL® Tablets
Isotard 40 mg XL® Tablets
Isotard 50 mg XL® Tablets
Isotard 60 mg XL® Tablets
1. What Isotard XL is and what it is used for
2. What you need to know before you take Isotard XL
3. How to take Isotard XL
4. Possible side effects
5. How to store Isotard XL
6. Contents of the pack and other information
Isotard tablets contain the active substance isosorbide mononitrate (ISMN). ISMN belongs to a group of medicines called organic nitrates.
Isotard XL prolonged release tablets are used to prevent attacks of angina (chest pain). Isotard XL works by opening up blood vessels and reducing the pain.
Talk to your doctor or pharmacist before taking Isotard XL:
Isotard XL should not be used for the relief of sudden (acute) attacks of angina. If you have an attack of angina you should speak to your doctor or pharmacist who may supply you with other medicines for this.
Treatment with this medicine should not be discontinued suddenly. Withdrawal from Isotard XL should be tapered gradually.
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.
Isotard XL may lower blood pressure (you may experience this as dizziness, tiredness or feeling sick) so take special care when taking other medicines that may also lower blood pressure.
Do not take Isotard XL if you are taking riociguat, e.g. Adempas for pulmonary hypertension. When taken together a fall in blood pressure can occur.
Do not take Isotard XL if you are taking sildenafil or similar products, e.g. Viagra for male erectile dysfunction. When taken together a severe and possibly dangerous fall in blood pressure can occur, which may result in collapse, unconsciousness and could be fatal.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines including medicines taken without a prescription.
You are advised NOT to drink alcohol with this medicine, as the effects of alcohol may become worse. Alcohol may also increase the side effects of this medicine and make you feel dizzy or light-headed if you stand up or move suddenly.
In pregnancy or when breast feeding, Isotard XL should only be used under medical supervision. If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Do not drive or operate machinery when taking Isotard XL if you develop low blood pressure (you may experience this as dizziness, tiredness or feeling sick) or if you have blurred vision.
Lactose, which is a type of sugar. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking Isotard XL.
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
Very occasionally, some people see the remains of the tablet in their bowel motions. This is quite normal and does not mean the medicine has not been released.
Adults and the elderly – 1 or 2 tablets daily, ideally in the morning. Swallow Isotard XL tablets whole with water. Do not crush or chew.
Children – Isotard XL must not be given to children.
If you take more Isotard XL than you should - You should only take what your doctor recommends. If you take too many Isotard XL tablets contact your doctor or pharmacist if you can do so. If not, go to the nearest hospital casualty department immediately, taking the Isotard XL pack and remaining tablets with you.
If you have taken more Isotard XL than you should, symptoms may include nausea, vomiting, restlessness, confusion, warm flushed skin, blurred vision, headache, fainting, fast heart beats and palpitations.
If you forget to take Isotard XL - If you forget to take your tablet, take it as soon as possible and continue to take the tablets as normal. Do not take a double dose to make up for a forgotten tablet.
If you stop taking Isotard XL – Angina is a condition which may need treatment for life, always talk to your doctor or pharmacist before stopping using Isotard XL.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, Isotard XL can cause side effects, although not everybody gets them.
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects via the Yellow Card Scheme. Website: Website: www.mhra.gov.uk/yellowcard.
Isotard 25 mg XL, 40 mg XL and 50 mg XL tablets are round and cream in colour with ‘IM25’, ‘IM40’ and ‘IM50’ respectively on one side.
Isotard 60 mg XL tablets are oval and cream in colour with a score line on both sides and ‘60’ on one side.
Isotard XL tablets are provided in packs of 28.
This leaflet was last revised in 05/2016