taking my medication

[Edgegolf]

hi I am a new to this site diagnos with angina last week I was given bisoprolol 2.5mg. And monomial xl 60 mg. I had a attack this morning so I took my tablets pain went after 15 minuets what I want to know is if I have another attack can I take these tablets again on the same day .thank you .

[shopman]

What do the dosage instructions on the boxes tell you. I would imagine this will be done once daily, have you not been prescribed a GTN Spray for use if an attack comes on? Not a clue what monomial is.

[Edgegolf in reply to shopman]

thank you for your reply the dosage is one at 9am a day I asked my doctor for the spray but he said the tablets do the same thing I know you can take the spray when you need it but I don't know about the tablets .

[shopman in reply to Edgegolf]

So it's an Isosorbide Mononitrate tablet then?

[Edgegolf in reply to shopman]

yes that is the monomil tablets

[Copsem in reply to Edgegolf]

I have both the spray and monomil. I have been told it’s fine to take the monomil as baseline and top up with 1 spray pump if you need it . The monomil is slow acting and the spray fast

[Copsem in reply to shopman]

Monomil is a brand name for iso mono nitrate

[shopman]

I'm no medic and don't profess to know what you should and should not take. If you get another attack then I would not repeat the medication, initially you should ring 111 and they will advise or send someone to see you, if it gets extremely severe then you should ring 999. After this weekend you really should go back to your GP and tell him you are still getting Angina as medication may need to be adjusted or added to.

[Edgegolf in reply to shopman]

ok thank you very much for your advice I was getting a bit worried you have put me at ease.

[shopman in reply to Edgegolf]

Let's see what others say as well.

[MichaelJH Heart Star]

As said it is isosorbide mononitrate. This is an anti-anginal designed to prevent angina NOT treat it. The dose can be increased and/or split over two doses. There are other anti-anginals such as Diltiazem (a CCI, calcium channel inhibitors) which may be more effective in your case. I was on isosorbide mononitrate before my bypass and the initial dose had to be increased.

You really need to talk to your GP asap. GTN spray is, I believe, available over the counter and this may be worth a try - but sit down before you use it as you may go woozy for a minute or two!

[Edgegolf in reply to MichaelJH]

thank you for your reply most helpfull

[benjijen]

I would ask GP or cardiologist for GTN spray as I have one of these as well as isosobide mononitrate.

[Copsem in reply to benjijen]

Me too

[dunestar]

I agree you should talk to your GP about how to take these meds or speak to a pharmacist if you can't get an appointment quickly. Your monomial is xl which means that it is slow release and works throughout the 24 hour period. Isosorbide mononitrate dilates your blood vessels and therefore allows more oxygen to reach your heart and other organs. As others have said, it's not designed for one off treatment of angina attacks. Same with the bisoprolol. It's a beta blocker which reduces the load on the heart and works over time, so is not for one off use.

[Edgegolf]

thank you making an appointment with the docs tomorrow thank you for your reply .edgegolf

[stevejb1810]

No you cannot just take the meds when you have an attack. You should take them as prescribed. The meds do not do the same as the spray- the spray is for near instant relief of the pain, the meds are designed to stop you getting the pain in the first place. If you continue to have angina attacks go back to your GP.

[Edgegolf]

thank you for your reply going to the docs tomorrow thank you .