Xismox XL (isosorbide mononitrate)

Side effects

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect.

Headache.

Dizziness.

Weakness.

Nausea.

Flushing.

A drop in blood pressure that occurs when moving from a lying down or sitting position to sitting or standing, which results in dizziness and lightheadedness (postural hypotension).

Increased heart rate (tachycardia).

Decreased heart rate (bradycardia).

Allergic skin reactions.

Fainting.

The side effects listed above may not include all of the side effects reported by the drug's manufacturer. For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

How can this medicine affect other medicines?

It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while using this one, to ensure that the combination is safe.

The medicines for erectile dysfunction (impotence) listed below must not be used by people taking isosorbide mononitrate, because the combination can produce a severe drop in blood pressure resulting in dizziness, fainting, or even a heart attack:

sildenafil (Viagra)

tadalafil (Cialis)

vardenafil (Levitra).

If this medicine is used in combination with other medicines that reduce blood pressure, either as a treatment for high blood pressure (antihypertensives), or as a side effect, there may be an enhanced blood pressure lowering effect. This might make some people feel dizzy. If you do feel dizzy, you should lie down until the symptoms pass. Other medicines that can reduce blood pressure include the following:

ACE inhibitors, eg enalapril, captopril

alpha-blockers, eg alfuzosin, doxazosin

alprostadil

anaesthetics

angiotensin II receptor antagonists, eg losartan

certain antipsychotic medicines, eg chlorpromazine

baclofen

benzodiazepines, eg temazepam

beta-blockers, eg propranolol

calcium channel blockers, eg diltiazem, verapamil, nifedipine

clonidine

diuretics, eg furosemide

hydralazine

levodopa

MAOI antidepressants, eg phenelzine

methyldopa

minoxidil

moxisylyte

moxonidine

other nitrates, eg glyceryl trinitrate, amyl nitrate (poppers)

tricyclic antidepressants, eg amitriptyline.

Other medicines containing the same active ingredient

Chemydur 60XL	Cibral	Cibral XL
Elantan	Elantan LA	Imdur
Isib 60XL	Ismo	Ismo Retard
Isodur XL	Isotard XL	Modisal LA
Modisal XL	Monomax SR	Monomax XL
Monomil XL	Monosorb XL	Trangina XL
Zemon XL

Isosorbide mononitrate tablets are also available without a brand name, ie as the generic medicine.

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