Trangina XL 60mg tablets
(isosorbide mononitrate)
Read all of this leaflet carefully before you start taking this medicine.
- Keep this leaflet. You may need to read it again.
- This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
- If you have any further questions, ask your doctor or pharmacist.
- If you have any of the side effects, or if you notice any not listed, please tell your doctor or pharmacist.
In this leaflet:
1. What Trangina XL tablets are and what they are used for
2. Before you take Trangina XL tablets
3. How to take Trangina XL tablets
4. Possible side effects
5. How to store Trangina XL tablets
6. Further information
What Trangina XL tablets are and what they are used for
Isosorbide Mononitrate belongs to a group of medicines called nitrate vasodilators. These work by relaxing the blood vessels of the heart, reducing the strain on the heart making it easier to pump blood.
Trangina XL tablets may be used to:
- prevent angina pectoris (chest pain).
Before you take Trangina XL tablets
Do not take Trangina XL tablets if you:
- are allergic (hypersensitive) to isosorbide mononitrate, isosorbide dinitrate or any of the ingredients in the tablet (see section 6). An allergic reaction may include a rash, itching or difficulty breathing
- have low blood pressure
- have severely poor blood supply to the brain.
Check with your doctor or pharmacist before taking Trangina XL tablets if you:
- are having an angina attack. Trangina XL tablets are not suitable for treating sudden angina attacks.
Sugar intolerance
If you have been told that you have an intolerance to some sugars, contact your doctor before taking this medicine, as it contains lactose.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription Especially:
- medicines to treat high blood pressure such as ACE inhibitors, beta blockers, alphablockers, angiotensin-II receptor agonists, clonidine, diazoxide, diuretics (water tablets), methyldopa, moxonidine
- medicines to treat severe high blood pressure - hydralazine, minoxidil, nitroprusside
- alprostadil, used to treat male erection dysfunction, should not be taken if taking nitrate preparations such as Isosorbide Mononitrate tablets because a severe and possibly dangerous fall in blood pressure can occur. This would result in collapse, unconsciousness and could be fatal.
- anxiolytics and hypnotics – to treat some mental illnesses
- levodopa – to treat Parkinson’s disease
- moxisylyte – for Raynaud’s syndrome
- baclofen or tizanidine – muscle relaxants
- aldesleukin – to treat certain kidney cancers
- analgesics- pain killers
- antidepressants – to treat depression
- corticosteroids – used to reduce inflammation caused by many diseases
- oestrogens – ‘the pill’ or HRT
Pregnancy and breastfeeding
If you are pregnant, planning to become pregnant or breastfeeding speak to a doctor before taking Trangina XL tablets.
Driving and using machines
Trangina XL tablets may make you feel dizzy.
Make sure you are not affected before you drive or operate machinery as it may increase the blood pressure lowering affect of the tablets..
Taking Trangina XL tablets with alcohol
You are advised not to drink alcohol with this medicine as it may increase the blood pressure lowering affect of the tablets.
If you see another doctor or go into hospital, let them know what medicines you are taking.
How to take Trangina XL tablets
Always take Trangina XL tablets exactly as your doctor has told you. If you are not sure, check with your doctor or pharmacist.
Swallow the tablets whole with water. Do not crush or chew them.
The usual doses are:
Adults - one tablet in the morning, the dose may be increased to two tablets in the morning. To reduce the possibility of headaches you may initially be given half a tablet (30mg) once a day for the first 2-4 days.
Children - not recommended.
Elderly patients with low blood pressure or liver or kidney disease - your doctor may prescribe you a smaller dose.
If you take more Trangina XL tablets than you should
If you (or someone else) swallow’s a lot of tablets at the same time, or you think a child may have swallowed any contact your nearest hospital casualty department or tell your doctor immediately.
If you forget to take Trangina XL tablets
Do not take a double dose to make up for a forgotten dose. If you forget to take a dose take it as soon as you remember it and then take the next dose at the right time.
If you stop taking the tablets
Do not stop taking the tablets without talking to your doctor and follow their advice.
Trangina XL Side Effects
Like all medicines, Trangina XL tablets can cause side effects, although not everybody gets them.
Please tell your doctor or pharmacist if you notice any of the following effects or any not listed.
Contact your doctor at once if you experience symptoms of an allergic reaction-skin rash, swelling of the skin of the extremities or face, swelling of lips, tongue, or the mucous membranes in mouth, throat, or airways, resulting in shortness of breath or difficulty to swallow.
Tell your doctor if you notice any of the following side effects or notice any other effects not listed:
- feeling or being sick, heartburn
- glaucoma (pressure within the eye), rash
- temporary low levels of oxygen in the blood
- headaches, dizziness or low blood pressure, which usually disappear during treatment.
How to store Trangina XL tablets
Keep out of the reach and sight of children.
Do not store above 25°C.
Do not use Trangina XL tablets after the expiry date stated on the label/carton/bottle. The expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Further information
What Trangina XL tablets contain
- The active substance (the ingredient that makes the tablets work) is isosorbide mononitrate. Each tablet contains 60mg of the active ingredient.
- The other ingredients are lactose, hypromellose (E464), glyceryl palmitostearate, maize starch, magnesium stearate.
What Trangina XL tablets look like and contents of the pack
Trangina XL tablets are white, oval shaped prolonged release tablets.
Pack sizes are 28 tablets
Marketing Authorisation holder and manufacturer
Date of last revision: August 2008
50134445
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