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IMDUR® DURULES® Info: Isosorbide Mononitrate Tablets, Exercises of Medicine

Information about imdur® durules®, a medication used to prevent angina. It explains what the medication is used for, how to take it, and its potential side effects. It also includes warnings about who should not use the medication and interactions with other drugs. Intended to supplement, not replace, the advice of a healthcare professional.

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IMDUR® DURULES®
Modified release tablets
Isosorbide mononitrate
Consumer Medicine Information
IMDUR® DURULES®
Published by MIMS January 2019 1
What is in this leaflet
This leaflet answers some of the
common questions people ask about
IMDUR DURULES. It does not
contain all the information that is
known about IMDUR DURULES.
It does not take the place of talking
to your doctor or pharmacist.
All medicines have risks and
benefits. Your doctor has weighed
the risks of you taking IMDUR
DURULES against the benefits they
expect it will have for you.
If you have any concerns about
taking this medicine, ask your
doctor or pharmacist.
Keep this leaflet with the
medicine.
You may need to read it again.
What IMDUR
DURULES are for
IMDUR DURULES are used to
prevent angina. Angina is a pain or
uncomfortable feeling in the chest,
often spreading to the arms or the
neck and sometimes to the
shoulders and back. This is caused
by too little blood and oxygen
getting to the heart.
The pain of angina is usually
brought on by exercise or stress.
IMDUR DURULES belong to a
group of medicines called nitrates.
IMDUR DURULES work by
relaxing the blood vessels, letting
more blood and oxygen reach the
heart.
Your doctor will have explained
why you are being treated with
IMDUR DURULES and told you
what dose to take.
Follow all directions given to you
by your doctor carefully.
They may differ from the
information contained in this leaflet.
However, your doctor may
prescribe this medicine for another
use. Ask your doctor if you want
more information.
IMDUR DURULES are not
addictive.
Before you use IMDUR
DURULES
When you must not use it
Do not use IMDUR DURULES if
you are allergic to it or food
containing nitrates or nitrites or
any ingredients listed at the end
of the leaflet.
Do not use IMDUR DURULES if
you have the following medical
conditions:
Low blood pressure
Shock including those caused by
low blood pressure or failing
heart
Pericarditis (swelling around the
heart)
Weakened muscle of the heart
You must not use IMDUR
DURULES whilst taking
sildenafil (Viagra*), vardenafil
(Levitra=), tadalafil (Cialis+).
Do not use IMDUR DURULES if
you are pregnant or breast
feeding unless your doctor says it
is safe. Ask your doctor about the
risks and benefits involved.
We do not know if it is safe for you
to take it while you are pregnant. It
may affect your baby.
It is not known if your baby can
take in IMDUR DURULES from
breast milk if you are breast
feeding.
Do not give IMDUR DURULES
to children.
There is no specific information
about use in children, so IMDUR
DURULES is not recommended for
use in children. Always ask your
doctor before giving medicines to
children.
Do not use after the use by
(expiry) date printed on the pack
or if the packaging is torn or
shows signs of tampering.
If it has expired or is damaged,
return it to your pharmacist for
disposal.
If you are not sure whether you
should take this medicine, talk to
your doctor.
Before you start to use it
You must tell your doctor if:
1.
you have any allergies to:
any medicine, foods,
preservatives or dyes.
If you have an allergic reaction you
may get a skin rash, hayfever,
asthma or feel faint.
2.
you have any of these medical
conditions:
any illness affecting your liver
or kidneys
low blood pressure (this can
make you feel faint, weak or
pf3

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IMDUR® DURULES®

Modified release tablets

Isosorbide mononitrate

Consumer Medicine Information

IMDUR® DURULES®

What is in this leaflet This leaflet answers some of the common questions people ask about IMDUR DURULES. It does not contain all the information that is known about IMDUR DURULES. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you taking IMDUR DURULES against the benefits they expect it will have for you. If you have any concerns about taking this medicine, ask your doctor or pharmacist. Keep this leaflet with the medicine. You may need to read it again. What IMDUR DURULES are for IMDUR DURULES are used to prevent angina. Angina is a pain or uncomfortable feeling in the chest, often spreading to the arms or the neck and sometimes to the shoulders and back. This is caused by too little blood and oxygen getting to the heart. The pain of angina is usually brought on by exercise or stress. IMDUR DURULES belong to a group of medicines called nitrates. IMDUR DURULES work by relaxing the blood vessels, letting more blood and oxygen reach the heart. Your doctor will have explained why you are being treated with IMDUR DURULES and told you what dose to take. Follow all directions given to you by your doctor carefully. They may differ from the information contained in this leaflet. However, your doctor may prescribe this medicine for another use. Ask your doctor if you want more information. IMDUR DURULES are not addictive. Before you use IMDUR DURULES

When you must not use it

Do not use IMDUR DURULES if you are allergic to it or food containing nitrates or nitrites or any ingredients listed at the end of the leaflet. Do not use IMDUR DURULES if you have the following medical conditions:

  • Low blood pressure
  • Shock including those caused by low blood pressure or failing heart
  • Pericarditis (swelling around the heart)
  • Weakened muscle of the heart You must not use IMDUR DURULES whilst taking sildenafil (Viagra), vardenafil (Levitra=), tadalafil (Cialis+). Do not use IMDUR DURULES if you are pregnant or breast feeding unless your doctor says it* is safe. Ask your doctor about the risks and benefits involved. We do not know if it is safe for you to take it while you are pregnant. It may affect your baby. It is not known if your baby can take in IMDUR DURULES from breast milk if you are breast feeding. Do not give IMDUR DURULES to children. There is no specific information about use in children, so IMDUR DURULES is not recommended for use in children. Always ask your doctor before giving medicines to children. Do not use after the use by (expiry) date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal. If you are not sure whether you should take this medicine, talk to your doctor.

Before you start to use it

You must tell your doctor if:

1. you have any allergies to:

  • any medicine, foods, preservatives or dyes. If you have an allergic reaction you may get a skin rash, hayfever, asthma or feel faint. 2. you have any of these medical conditions:
  • any illness affecting your liver or kidneys
  • low blood pressure (this can make you feel faint, weak or

IMDUR® DURULES®

dizzy, especially when you stand up suddenly)

  • heart and blood vessel problems It may not be safe for you to take IMDUR DURULES if you have any of these conditions. Do not use IMDUR DURULES to treat acute angina. IMDUR DURULES must be taken once daily. Do not stop taking it abruptly.

Taking other medicines

Tell your doctor if you are taking any other medicines, including:

  • sildenafil (Viagra*), vardenafil (Levitra=), tadalafil (Cialis+)
  • medicines that you buy without a prescription from a pharmacy, supermarket or health food shop. These medicines may affect the way IMDUR DURULES work.Your doctor or pharmacist can tell you what to do if you are taking any other medicines. If you have not told your doctor about any of these things, tell them before you take any IMDUR DURULES. Using IMDUR DURULES

How to take it

Take one IMDUR DURULE modified release tablet every day, at about the same time. If your doctor tells you to take two 60mg IMDUR DURULES each day, take both modified release tablets at the same time. Taking IMDUR DURULES at 24 hour intervals makes sure they keep working properly. Swallow IMDUR DURULES modified release tablets whole, with half a glass of water or other liquid e.g. fruit juice, milk. Do not chew or crush the tablets. The 60mg modified release tablet can be broken in half if care is taken not to crumble them. IMDUR DURULES modified release tablets are designed to let the drug out over a number of hours. If they are crushed or chewed they won't work properly. IMDUR DURULES modified release tablets are composed of a waxy substance that does not dissolve in the body. You may find the outer shell of the tablets in your bowel motions. The medication in them has already been absorbed by the body.

If you forget to take it

If you forget to take a dose, take it as soon as you remember, as long as it is not more than eight (8) hours late. If it is more than eight (8) hours after you should have taken IMDUR DURULES, wait until the right time the next day to take it. Do not double the dose. You may find that you will need to use the tablets or spray that your doctor has given you to use during angina attacks if you miss a dose of IMDUR DURULES. If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.

Overdose

Telephone your doctor or the Poisons Information Centre ( 11 26), or go to casualty at your nearest hospital immediately if you think that you or anyone else may have taken too much IMDUR DURULES even if there are no signs of discomfort or poisoning. If you take too many IMDUR DURULES modified release tablets you will have a pulsing headache. You may also feel excited, flushed, have cold sweats, nausea (feeling sick) and vomit. While you are using IMDUR DURULES

Things you must do

Take IMDUR DURULES regularly once every day. If you don't you will be more likely to get attacks of angina. Tell your doctor if you continue to get angina attacks, or they become more frequent, while you are taking IMDUR DURULES.

Things you must not do

Do not use IMDUR DURULES to relieve acute attacks of angina. Your doctor will have given you other tablets or a spray to use when you get attacks of angina. Do not take medicines known as phosphodiesterase type 5 inhibitor used to treat impotence (or erectile dysfunction) whilst on IMDUR DURULES. Do not stop taking IMDUR DURULES unless you have discussed it with your doctor. Do not use IMDUR DURULES for any other complaints unless your doctor tells you to. Do not give your medicine to anyone else, even if they have the same condition as you.

Things to be careful of

You will probably feel better when you start taking IMDUR DURULES, but be careful not to overdo physical activities straight away. You will need time to improve your physical fitness. Be careful driving or operating machinery until you know how IMDUR DURULES affects you. IMDUR DURULES may cause dizziness and fainting in some patients, especially when you first start to take it. Make sure you know how you feel when you are taking IMDUR DURULES before you drive a car, operate machinery, or do anything else that could be dangerous if you are dizzy.