Surrey Heartlands

Joint Formulary & PAD

Isosorbide mononitrate - Angina

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Status 1

Green
Formulations :
  • Tablets
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
BNF SPC
Restrictions / Comments :
Important
Preferred
Twice daily (assymetric) dosing is recommended
 

Status 2

Green (see narrative)
Formulations :
  • Modified release capsules
  • Modified release tablets
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
BNF SPC
Restrictions / Comments :
Important
Restricted to when isosorbide mononitrate standard release is not suitable. Primary Care prescribers should follow local advice on the most cost-effective brands. OptimiseRx will be used to identify current recommendations.

Documentation

Evidence Review
Isosorbide Mononitrate standard release vs MR discussion paper APC April 2010
Letter to GP
Nitrates GP Letter
Letter template (to patient)
Nitrates asymmetric dose - patient letter May 2010

PAD Profile

ChemicalSubstance :
Isosorbide mononitrate
Indication :
Angina
Group Name :
Keywords :
ISMN
Brand Names Include :
Relosorb XL, Trangina XL, Xismox XL, Nyzamac SR, Chemydur XL, Imdur, Isib XL, Isotard XL, Monomax XL, Monomil XL
Important Information :
Latest Additions Date From :
Latest Additions Date To :
Guidelines :
Supporting Documents :
3
Traffic Light Entries :
2

Other Indications

Below are listed other indications that Isosorbide mononitrate is used to treat.

  • No records returned.

Other Drugs

Below are listed other drugs that are used to treat Angina.

Committee Recommendations (1)

05 Apr 23 - Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands Integrated Care System Area Prescribing Committee have agreed the following:
•    Isosorbide mononitrate standard release – is GREEN (preferred). Note asymmetric dosing required.
•    Isosorbide mononitrate modified release – is GREEN (restricted to when isosorbide mononitrate standard release is not suitable).  Prescribe the most cost-effective brand – preferred brand is Monomil® XL 60mg tablets.
Switching
•    Patients currently taking Monomax XL® 60mg can be changed to Monomil XL® 60mg
•    Patients currently taking generic isosorbide mononitrate MR 60mg tablets can be changed to Monomil XL® 60mg.