Introduction About ISORUS TABLET

ISORUS TABLET is a combination of Hydralazine and Isosorbide dinitrate which belongs to the group of medicines called Vasodilators. It is used to manage heart failure along with standard therapy in patients to improve survival, delay hospitalization for heart failure and to improve patient-reported functional status.

Heart failure is defined as a progressive clinical disorder where your heart is unable to pump sufficient blood to meet the body’s metabolic needs, characterized by shortness of breath and extreme tiredness.

During course of the management your doctor might regularly monitor your blood pressure to avoid any untoward side effects. The safety and effectiveness of ISORUS TABLET in children have not been established.

Before taking ISORUS TABLET, inform your doctor if you have any kidney, heart, lung or liver problems, too much sweating, fluid loss, vomiting or diarrhea or if you consume alcohol.

ISORUS TABLET is not studied in pregnant and breastfeeding women, so consult your doctor before taking it. The most common side effects of taking ISORUS TABLET are headache and dizziness. Consult your doctor if any of the side effects worsen.

Uses Of ISORUS TABLET

• Manage heart failure

How ISORUS TABLET Works

ISORUS TABLET helps in the management of heart failure, where hydralazine relaxes the smooth muscles of arteries and isosorbide dinitrate acts by releasing nitric oxide and subsequently activating guanylyl cyclase and ultimately relaxes smooth muscles of both arteries and veins.

How to use ISORUS TABLET

Take ISORUS TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Side Effects Of ISORUS TABLET

How To Manage Side Effects

Headache:

Drink ample amount of water. Get adequate rest. Try to be relaxed and stress free. Ask your doctor before taking any medicine for headache.

Dizziness:

When you start taking ISORUS TABLET, you may feel dizzy. If this happens, resting or lying down for some time can help. Rise slowly after sitting or lying down. Be careful while going up and down stairs. Consult your doctor if you experience persistent dizziness. 

Warning & Precautions

Pregnancy

ISORUS TABLET is not studied in pregnant women. Consult your doctor before taking it.

Breastfeeding

ISORUS TABLET is not studied in breastfeeding women. Consult your doctor before taking this medicine as it is not known if it passes into breast milk.

Driving and Using Machines

Do not drive or use any machines until you see how ISORUS TABLET affects you.

Alcohol

Avoid consumption of alcohol during management with ISORUS TABLET as it may increase the risk of vasodilating effects of this medicine.

Kidney

ISORUS TABLET is not studied in patients with kidney impairment. Consult your doctor before taking it.

Liver

ISORUS TABLET is not studied in patients with liver impairment. Consult your doctor before taking it.

Allergy

Do not take ISORUS TABLET if you are allergic to Hydralazine or Isosorbide dinitrate.

Heart Disease

ISORUS TABLET should be used with caution in patients with hypertrophic cardiomyopathy. Consult your doctor before taking it.

Interactions

A. Drug - Drug interactions:

Before taking ISORUS TABLET, inform your doctor if you are taking any of the following medicines:

• medicines used to manage erectile dysfunction (Ex. avanafil, sildenafil, tadalafil, vardenafil)
• riociguat (used to manage high blood pressure in the vessels that carry blood to the lungs)

Overdosage:

If you or anyone else accidentally took too much of ISORUS TABLET, contact your doctor immediately. Symptoms of overdose include headache, confusion, fast heartbeat, generalized skin flushing, reduced cardiac output, low blood pressure, irregular heartbeat and shock.

Synopsis

More Information

• Keep ISORUS TABLET out of reach of children
• Store at room temperature

FAQs About ISORUS TABLET

Q: What do I need to inform my doctor before taking ISORUS TABLET?

A: Before taking ISORUS TABLET, inform your doctor about all the medicines that you are taking (prescription or OTC, herbal products, vitamins) and your health problems. This is necessary to make sure that it is safe for you to take this medicine with all your other medicines and health problems. Do not start, stop or change the dose of any medicine without consulting your doctor.

Q: How does ISORUS TABLET work?

A: ISORUS TABLET helps in the management of heart failure, where hydralazine relaxes the smooth muscles of arteries and isosorbide dinitrate acts by releasing nitric oxide and subsequently activating guanylyl cyclase and ultimately relaxes smooth muscles of both arteries and veins.

Q: Can ISORUS TABLET make me feel dizzy?

A: ISORUS TABLET may cause a drop in your blood pressure that may make you feel dizzy. If this happens, resting or lying down for some time can help. Rise slowly after sitting or lying down. Be careful while going up and down stairs. Consult your doctor if you experience persistent dizziness.

Q: Does ISORUS TABLET cause headache?

A: Yes, headache is a side effect of ISORUS TABLET. Drink ample amount of water. Get adequate rest. Try to be relaxed and stress free. Ask your doctor before taking any medicine for headache.

Q: Can ISORUS TABLET be used in children?

A: The safety and effectiveness of ISORUS TABLET in children and adolescents (aged less than 18 years) have not been established. Your child’s doctor will select a suitable alternative therapy for your child to manage the condition.

References

1. Barbara G. Wells, Joseph T. DiPiro, Terry L. Shwinghammer, Cecily V. DiPiro. Heart Failure. Pharmacotherapy Handbook. Ninth edition. Page- 75

2. Anne L Taylor, Susan Ziesche, Clyde Yancy, Peter Carson, Ralph D'Agostino Jr, Keith Ferdinand, Malcolm Taylor, Kirkwood Adams, Michael Sabolinski, Manuel Worcel, Jay N Cohn; African-American Heart Failure Trial Investigators. Combination of isosorbide dinitrate and hydralazine in blacks with heart failure. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. November 2004. [Accessed on 30th May 2022] https://pubmed.ncbi.nlm.nih.gov/15533851/   

3. Arbor Pharmaceuticals. LLC. U.S. Food & Drug Administration. [Revised in April 2015] [Accessed on 30th May 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/020727s005lbl.pdf

4. Memorial Sloan Kettering Cancer Centre. Hydralazine + Isosorbide dinitrate. [Revised in September 2020] [Accessed on 30th May 2022] https://www.mskcc.org/pdf/cancer-care/patient-education/isosorbide-dinitrate-and-hydralazine