Drug profile
Isosorbide-5-Mononitrate
Adult, child, renal, hepatic, pregnancy and breastfeeding information, with the source named on every line.
DRUG INFORMATION
ADULT
- The recommended regimen of isosorbide mononitrate tablets is 20 mg twice daily,
with the doses seven hours apart.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'dosage and administration', retrieved 2026-08-29
- A starting dose of 5 mg (½ tablet of the 10 mg dosing strength) might be
appropriate for persons of particularly small stature but should be increased to
at least 10 mg by the second or third day of therapy.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'dosage and administration', retrieved 2026-08-29
- Doses above 20 mg twice a day (with the doses seven hours apart) have not been
adequately studied.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'dosage and administration', retrieved 2026-08-29
CHILD
- Safety and effectiveness of isosorbide mononitrate in pediatric patients have not
been established.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'pediatric use', retrieved 2026-08-29
RENAL IMPAIRMENT
- No kidney-impairment dose in this label. Not a statement that none is needed.
Source: Read and found silent: the US FDA label for isosorbide mononitrate
(Isosorbide Mononitrate), retrieved 2026-08-29
HEPATIC IMPAIRMENT
- No liver-impairment dose in this label. Not a statement that none is needed.
Source: Read and found silent: the US FDA label for isosorbide mononitrate
(Isosorbide Mononitrate), retrieved 2026-08-29
PREGNANCY [ CAUTION ]
The label allows it only when the benefit is judged to outweigh the risk. Read the
quote below.
- Teratogenic Effects Reproduction studies performed in rats and rabbits at doses of
up to 540 and 810 mg/kg/day, respectively, have revealed no evidence of harm to
the fetus due to isosorbide mononitrate.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'pregnancy', retrieved 2026-08-29
- There are, however, no adequate and well-controlled studies in pregnant women.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'pregnancy', retrieved 2026-08-29
- Because animal reproduction studies are not always predictive of human response,
isosorbide mononitrate should be used during pregnancy only if clearly needed.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'pregnancy', retrieved 2026-08-29
BREASTFEEDING [ CAUTION ]
The label allows it only when the benefit is judged to outweigh the risk. Read the
quote below.
- It is not known whether isosorbide mononitrate is excreted in human milk.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'nursing mothers', retrieved 2026-08-29
- Because many drugs are excreted in human milk, caution should be exercised when
isosorbide mononitrate is administered to a nursing woman.
Source: US FDA label for isosorbide mononitrate (Isosorbide Mononitrate), section
'nursing mothers', retrieved 2026-08-29