Description
Monis XR (60mg) Tablets contain Isosorbide Mononitrate, a long-acting nitrate (extended-release formulation) used to prevent angina pectoris (chest pain) caused by coronary artery disease.
It works by relaxing and widening blood vessels, improving oxygen flow to the heart, and reducing its workload. This medicine helps prevent chest pain episodes but is not intended for immediate relief during an angina attack.
Ingredients
Drug Class
Dosage Form
Uses
Monis XR Tablets are used for:
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Prevention of angina pectoris (chronic chest pain)
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Improvement of blood flow to the heart muscle
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Reduction of heart strain and oxygen demand
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Adjunct therapy in heart failure (as prescribed by a doctor)
Dosage
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Typical Adult Dose:
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The dose may be adjusted by your doctor depending on response.
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Do not crush or chew the extended-release tablet.
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Follow your doctor’s prescribed dosing schedule carefully.
In Case of Overdose
Symptoms may include:
Action: Seek immediate medical help or go to the nearest emergency room.
Missed Dose
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Take the missed dose as soon as you remember.
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If it’s close to the next dose, skip the missed one.
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Do not double the dose to make up for a missed tablet.
How To Use
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Take Monis XR by mouth with water, usually once daily in the morning.
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May be taken with or without food.
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Swallow whole — do not crush, break, or chew.
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Continue using regularly to prevent angina attacks.
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This medicine is not for acute chest pain relief — use sublingual nitroglycerin if needed.
When Not to Use
Do not use Monis XR if you:
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Are allergic to Isosorbide Mononitrate or other nitrates
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Have severe low blood pressure (hypotension)
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Are taking phosphodiesterase inhibitors (e.g., sildenafil, tadalafil, vardenafil) – can cause life-threatening blood pressure drops
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Have severe anemia or head injury/increased intracranial pressure
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Have recent heart attack unless prescribed under strict medical supervision
Side Effects
Common side effects:
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Headache (common during the first few days)
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Dizziness or light-headedness
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Fatigue or weakness
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Flushing or warmth sensation
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Nausea
Serious but rare side effects:
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Severe drop in blood pressure
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Fainting or irregular heartbeat
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Allergic reaction (rash, swelling, breathing difficulty)
Seek medical attention if any severe reaction occurs.
Precautions & Warnings
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May cause dizziness; avoid driving or operating heavy machinery after taking.
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Avoid alcohol – it can enhance blood pressure-lowering effects.
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Do not use for immediate angina relief.
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Do not stop suddenly — taper off under medical advice.
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Inform your doctor if you have heart failure, liver problems, or low blood pressure.
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Allow a nitrate-free interval (at least 8–12 hours between doses) to prevent tolerance.
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Regularly monitor blood pressure during therapy.
Drug Interactions
Inform your doctor if you are taking:
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Phosphodiesterase inhibitors (e.g., Viagra®, Cialis®, Levitra®) — dangerous interaction
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Antihypertensive drugs (beta-blockers, calcium channel blockers) — may cause excessive blood pressure drop
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Alcohol — increases dizziness and hypotension risk
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Ergotamine or migraine medications — can reduce nitrate effect
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Diuretics or vasodilators — additive blood pressure-lowering effects
Storage/Disposal
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Store below 30°C, in a cool, dry place, away from sunlight and moisture.
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Keep out of reach of children.
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Do not use after expiry date.
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Dispose of tablets responsibly — do not flush or throw in household waste.
Control Drug
Quick Tips
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Take Monis XR at the same time every morning for best effect.
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Headaches are common at first and usually subside — consult your doctor if persistent.
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Avoid alcohol to prevent excessive lowering of blood pressure.
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Do not stop medication abruptly without medical guidance.
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For sudden chest pain, use your short-acting nitroglycerin tablet.
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Stand up slowly to reduce dizziness or fainting risk.
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Maintain regular blood pressure and heart check-ups.
