Why is hydralazine combined with isosorbide dinitrate?

Isosorbide dinitrate (ISDN) is an NO donor, and hydralazine has antioxidant properties; this combination has the potential to restore the disrupted nitroso-redox balance and to reverse the disrupted NO signaling.

When do you use hydralazine and isosorbide dinitrate?

Isosorbide dinitrate and hydralazine combination is used to treat heart failure in black patients. Isosorbide dinitrate belongs to the group of medicines called nitrates. It works by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its work load.

What drugs should not be taken with isosorbide?

You should not take erectile dysfunction medicine (Viagra, Cialis, Levitra, Stendra, Staxyn, sildenafil, avanafil, tadalafil, vardenafil) while you are taking isosorbide mononitrate. Taking these medicines together can cause a sudden and serious decrease in blood pressure.

Can I take isosorbide with other medications?

Do not take riociguat (Adempas®), sildenafil (Viagra®), tadalafil (Cialis®), or vardenafil (Levitra®) while you are using this medicine. Using these medicines together may lower your blood pressure and cause blurred vision, dizziness, lightheadedness, or fainting.

Can I take hydralazine and isosorbide together?

Do not use hydralazine and isosorbide dinitrate if you are taking medicine to treat erectile dysfunction or pulmonary arterial hypertension (PAH). This includes sildenafil (Viagra, Revatio), avanafil (Stendra), tadalafil (Cialis, Adcirca), vardenafil (Levitra, Staxyn), and riociguat (Adempas).

Why does hydralazine cause heart failure?

Hydralazine is a smooth muscle relaxant and a potent arteriolar dilator. The major hemodynamic effect of hydralazine in patients with heart failure are increased cardiac output and stroke volume, and decreased vascular resistance without any significant change in pulmonary and systemic venous pressure.

Can you take isosorbide with carvedilol?

Interactions between your drugs No interactions were found between Coreg and isosorbide. This does not necessarily mean no interactions exist. Always consult your healthcare provider.

What is the difference between isosorbide mononitrate and isosorbide dinitrate?

Isosorbide mononitrate is good for chest pain, but you have to be able to stick to your dosing schedule or it won’t work as well. Relieves chest pain. Isosorbide dinitrate is good for chest pain, but you have to be able to stick to your dosing schedule or it won’t work as well.

What are the side effects of hydralazine?

Hydralazine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• flushing.
• headache.
• upset stomach.
• vomiting.
• loss of appetite.
• diarrhea.
• constipation.
• eye tearing.

Does isosorbide affect heart rate?

Effect of swallowed isosorbide dinitrate on blood pressure, heart rate and exercise capacity in patients with coronary artery disease. The changes were more striking with the patients standing than with them supine, and the larger dose of the drug produced greater changes than the smaller dose.

How effective is isosorbide mononitrate?

Isosorbide Mononitrate Dosage and Administration. Doses above 20 mg twice-a-day (with the doses seven hours apart) have not been adequately studied. Doses of 5 mg twice-a-day are clearly effective (effectiveness based on exercise tolerance) for only the first day of a twice-a-day (with doses 7 hours apart) regimen.

Will isosorbide cause low blood pressure?

Taking isosorbide dinitrate with certain other medicines can cause severely low blood pressure. This includes medicine to treat erectile dysfunction or pulmonary arterial hypertension. Serious, life-threatening side effects may occur. Tell your doctor about all your current medicines and any you start or stop using, especially:

What is isosorbide prescribed for?

Generic for Isordil * (Isosorbide Dinitrate) is used to treat or prevent chest pain (angina). It belongs to a group of drugs called nitrates.