Zyphar's Pharmaceuticals Pvt Ltd
Isosorbide Mononitrate (60mg)
Nitrofirst 60mg Tablet is used to prevent heart-related chest pain (angina). It works by relaxing and widening blood vessels so blood can flow more easily to the heart.
Tablet
Nitrofirst 60mg Tablet may be taken with or without food. Your doctor will decide the dose and how often you should take them. This may change from time to time depending on how well they are working. You should take this medicine as it has been prescribed and keep taking it even if you feel well. This medicine helps to prevent chest pain in the future. If you stop taking it, your risk of chest pain will increase, especially if you stop taking them suddenly. Lifestyle changes such as diet, exercise, and not smoking may help this medication work better.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nitrofirst 60mg Tablet may be taken with or without food but it is better to take it at a fixed time.
Nitrofirst 60mg Tablet is a nitrate. It dilates peripheral arteries and veins. Dilation of the veins promotes peripheral pooling of blood and decreases venous return to the heart thereby reducing workload of heart. As a result, the heart muscle does not need as much blood and oxygen supply.
Eat healthy (low-fat, high-fiber, low-sodium diet) Quit smoking Increase your physical activity Watch your weight and reduce stress Do not drive or do anything that requires concentration until you know how it affects you Do not consume alcohol while taking Nitrofirst 60mg Tablet as it may cause increased dizziness It may cause headaches which usually go away after a few days of continued treatment. Inform your doctor if it persists. You may develop tolerance to Nitrofirst 60mg Tablet with time meaning that the same dose may be less effective next time. Follow the prescribed dosing schedule to avoid this. Stop taking medications (prescribed for erectile dysfunction) like sildenafil or tadalafil while on treatment with Nitrofirst 60mg Tablet as it may cause low blood pressure.
Yes, Nitrofirst 60mg Tablet may affect the heart rate. Nitrofirst 60mg Tablet causes a decrease in blood pressure. This decrease in blood pressure further leads to a decrease in heart rate (bradycardia). In some cases, it may also cause an increase in heart rate (tachycardia). Consult your doctor if you do not feel well after taking this medicine or if you notice a change in your heart rate.
You can take the missed dose of Nitrofirst 60mg Tablet within 12 hours. However, if you remember it after 12 hours of the scheduled time, then skip the missed dose and continue with the next dose.
No, do not stop taking this medicine without talking to your doctor. Stopping it suddenly may increase your chances of having an angina attack. If you have any concerns regarding Nitrofirst 60mg Tablet consult your doctor.
Taking more than the recommended dose of Nitrofirst 60mg Tablet may cause throbbing headache, redness of the skin, chills along with sweating, nausea, vomiting and a fast heartbeat. Seek emergency help and consult your doctor immediately if you take more than the recommended dose of this medicine.
The frequency and timing of administration should be determined by your doctor based on individual needs. Generally, Nitrofirst 60mg Tablet can be taken once or twice daily. If a single dose is prescribed, it's preferred to take it in the morning. If taking it twice daily, maintain a gap of at least 7 hours between the two doses.
Yes, Nitrofirst 60mg Tablet can cause a fall in blood pressure. This medicine widens blood vessels and decreases resistance in them, leading to a decrease in blood pressure. This fall in blood pressure may also decrease the heartbeat, which can lead to angina. Consult your doctor if you have any concerns.
No, you should not take sildenafil along with Nitrofirst 60mg Tablet. Both these medicines lower blood pressure and belong to the same class. Taking these two medicines together may cause a severe decrease in blood pressure, fainting and even a heart attack. Also avoid taking other medicines belonging to similar classes like vardenafil and tadalafil.