Seems a bit strange

[GoldfishPond]

Hi

I was taking Isosorbide mononitrate 50mg modified-release capsules until last week when the dose was increased to 60mg (starting to use GTN spray to counter chest pains) So up until this point everything is good. When I checked my Medical record I noticed that the 'Pharmacy' that my new prescription had been sent to, had changed my medical record by stopping the Isosorbide mononitrate 60mg and replacing it with Isotard 60XL tablets (Evolan Pharma AB) (No explanation has been given other than the notation on my medical record of 'Ended 22 Oct 2024 At the Pharmacist's request (changed to Isotard xl tablets)'

I have tried to find out what the difference is between these 2 medications and how coming off one and starting the new one may effect me. I started the new tablet this morning. It does seem strange to me that the Pharmacist can 'just change the prescription' Has anyone any experience with this situation?

Thanks

Terry

[PadThaiNoodles]

Isotard is a brand name of isosorbide mononitrate. The "XL" is the "prolonged release" version. Not sure how that lines up to "modified release", but you could ring the pharmacy to check.

[Tos92]

The medication hasn’t necessarily changed, the manufacturer of the medication has. If you are sensitive to manufacturer changes (I am) then I would definitely contact both your pharmacist and GP and ask if you can revert back to your usual brand. It’s mostly likely been changed because it is out of stock or no longer being produced. There might also be slight differences in the ingredients of the medication but your patient information leaflet (PIL) should give you more info on that.

If you develop side effects on the Isotard, you should also contact your GP or pharmacist. The GP should be able to be put a specific brand name on your repeat prescriptions going forward if the medicine is still being produced by that manufacturer.

I hope that helps.

Tos

[Hidden]

Hi. I take Isosorbide monohydrate 30mg twice aday. When I went to collect my prescription I was told they are having big problems getting these meds. So what I got was 10mg tabs so I have to take 3 at a time. That's probably why your tabs have changed brand name, they are still the same as previous tabs. But I do think your Chemist should of explained this, as it's only natural we worry if any of our medication is different. I would go and speak to the head chemist for piece of mind. ❤

[Milkfairy Heart Star]

Hello,

I have been taking Isosorbide mononitrate extended release tablets for over 10 years.

I am on 60mgs twice a day.

From time to time as others have indicated there can be shortages of various medications.

My Pharmacist asked me first if it was okay to give me an alternative brand when my usual brand is unavailable.

Pharmacists are meant to dispense the named medication prescribed by your doctor. This is impossible if there are none available due to national and worldwide shortages, which is happening more frequently.

My GP has written on my repeat prescription several brands of the same medication to try and resolve this problem.

I have never found a problem taking different brands of Isosorbide mononitrate.

[Heartbroke]

Hi, I take isosorbide mononitrate 50mg ×2 a day this was prescribed during hospital stay. During 10 day hospital stay it changed to elastin LA50 they told me in hospital its the same thing different brand name. So could be that your new brand is more available or (cheaper for pharmacy ) to get in. I've been on mine for over 2 years now with no problems. Just ask to speak to your pharmacist if they are available or make appointment to put your mind at rest. 😊