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Drug Details

ELANTAN (heart failure)

• Drug Class Description
  Nitrates.
• Generic Name
  Isosorbide mononitrate - cardiac failure
• Presentation
  Tablets, isosorbide mononitrate 20mg , 40mg .
• Description
  White scored tablets marked E20 or E40.
• Indications
  Adjunct in chronic congestive heart failure not responding to cardiac glycosides or diuretics.
• Adult Dosage
  40 - 80 mg daily in two or three divided doses after meals; maximum 120 mg daily.
• Child Dosage
  Not recommended.
• Contra Indications
  

  Known sensitivity to nitrates. Acute myocardial infarction with low filling pressure, acute circulatory failure (shock, vascular collapse), or very low blood pressure. Avoid in patients with marked anaemia, head trauma, cerebral haemorrhage, severe hypotension, hypovolaemia.

• Special Precautions
  Use with caution in hypothyroidism, hypothermia, malnutrition, severe liver or renal disease. Pregnacy and lactation.
• Interactions
  Some effects of alcohol may be potentiated.
• Adverse Drug Reactions
  Headache, flushes, dizziness.