Isosorbide Dinitrate 20mg

Generic For: Isordil

Isosorbide dinitrate 20mg (brand name Isordil) is a nitrate vasodilator tablet used to prevent angina (chest pain) in people with coronary artery disease. It works by relaxing blood vessels so the heart's workload and oxygen demand are reduced. Available with a valid prescription and shipped from a licensed U.S. pharmacy after review by a licensed provider.

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Buy Isosorbide Dinitrate 20mg (Isordil) Online

A nitrate vasodilator used to prevent angina (chest pain) caused by coronary artery disease

Isosorbide Dinitrate 20mg Quick Facts

Drug classNitrate vasodilator
TreatsAngina prevention, coronary artery disease-related chest pain
FormTablet
Typical dosingTake as directed by your physician by mouth.
Prescription requiredYes — prescription only

What Is Isosorbide Dinitrate 20mg?

Isosorbide dinitrate is a prescription nitrate medication sold under the brand name Isordil. It is used to prevent episodes of angina, the chest pain that occurs when the heart muscle does not get enough oxygen due to coronary artery disease. The tablet relaxes and widens blood vessels, which lowers the heart's workload and improves blood flow. Because its onset is not fast enough, it is not intended to stop an angina attack that has already started.

What Does Isosorbide Dinitrate 20mg Treat?

Prevention of angina pectoris due to coronary artery disease
Chronic stable angina (long-term prevention)
Reducing frequency of angina episodes
Adjunct in heart failure regimens (as directed by a provider)

Isosorbide Dinitrate 20mg Dosage

Angina prevention: 5–40 mg by mouth 2–3 times daily; usual maintenance 10–40 mg per dose
Allow a daily nitrate-free interval of at least 14 hours to limit tolerance
Take exactly as prescribed; do not use to treat an acute angina attack

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Isosorbide Dinitrate 20mg Side Effects

Common side effects

  • Headache
  • Dizziness
  • Lightheadedness
  • Flushing
  • Nausea
  • Low blood pressure on standing
  • Weakness or fatigue

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Severe hypotension (fainting, severe dizziness)
  • Worsening angina or chest pain
  • Fast, slow, or irregular heartbeat
  • Signs of allergic reaction (rash, swelling, trouble breathing)
  • Blurred vision or dry mouth (may signal overdose)

Warnings & Interactions

Do not use with PDE-5 inhibitors (sildenafil, tadalafil, vardenafil) or riociguat — risk of severe hypotension
Contraindicated with known hypersensitivity to nitrates
May cause severe low blood pressure, especially when standing or with alcohol
Tolerance can develop; a daily nitrate-free interval is needed
Use caution in volume depletion or existing low blood pressure
Do not stop abruptly without provider guidance; abrupt withdrawal may worsen angina
Not for relief of an acute angina attack

Tell your prescriber about all medications, supplements, and health conditions before starting isosorbide dinitrate 20mg.

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Frequently Asked Questions

What is isosorbide dinitrate used for?

Isosorbide dinitrate is a nitrate vasodilator used to prevent angina (chest pain) caused by coronary artery disease. It relaxes blood vessels to reduce the heart's workload. It is not used to stop an angina attack that has already begun.

Do I need a prescription for isosorbide dinitrate 20mg?

Yes. Isosorbide dinitrate is a prescription-only medication in the United States. A licensed provider must review your health information and issue a valid prescription before this pharmacy can dispense it.

How does ordering and shipping work?

After you place an order, a licensed provider or pharmacist reviews your prescription and medical details. Once approved, your medication ships from a licensed U.S. pharmacy directly to your address.

Can isosorbide dinitrate stop a chest pain attack?

No. The tablet's onset is too slow to reliably relieve an acute angina episode. If you experience sudden chest pain, follow your provider's emergency plan and seek immediate medical care if pain does not resolve.

Can I take isosorbide dinitrate with sildenafil (Viagra) or similar drugs?

No. Combining nitrates with PDE-5 inhibitors such as sildenafil, tadalafil, or vardenafil can cause a dangerous drop in blood pressure. Tell your provider about all medications you take.

What is the difference between isosorbide dinitrate and Isordil?

Isordil is a brand name for isosorbide dinitrate; they contain the same active ingredient. Generic isosorbide dinitrate is held to the same FDA standards as the brand product.

What are the most common side effects?

Headache, dizziness, flushing, and lightheadedness are the most commonly reported effects, especially when starting treatment. Contact your provider if side effects are severe or persistent.