Buy Carmil XL

Carmil 60 mg tablets contain isosorbide mononitrate, a nitrate used for the prophylaxis of angina pectoris and as adjunctive therapy in congestive heart failure unresponsive to cardiac glycosides or diuretics. 

Prescription:

Yes, Carmil 60 mg is a prescription-only medication.

Therapeutic Category:

• Antianginal agent
• Organic nitrate vasodilator

Active Ingredients/Composition:

• Isosorbide-5-mononitrate Ph. Eur. 60 mg per tablet

Vitamins:

• None

Minerals:

• None

Variant:

• Dosage form: Tablet
• Strength: 60 mg
• Other available strengths may include 40 mg and 60 mg

Consume Type:

• Oral use only
  

Directions/Usage:

• Adults: One tablet taken two or three times daily, ensuring a nitrate-free interval to prevent tolerance.
• Initial dose: 60 mg twice daily for patients not previously on nitrate therapy.
• Maximum dose: Up to 120 mg per day.
• Administration: Swallow tablets whole with water; do not chew or crush.
• Note: Do not discontinue abruptly; taper dosage gradually. 

Common Side Effects:

• Very common: Headache
• Common: Dizziness, postural hypotension, tachycardia, somnolence, asthenia
• Uncommon: Nausea, vomiting, flushing, allergic skin reactions
• Rare: Heartburn, dermatitis exfoliative
• Not known: Angioedema

Package Type:

• Typically supplied in PVC/Aluminium foil blisters, packaged in cardboard cartons.

Storage Advice:

• Store below 25°C.
• Keep in original packaging to protect from moisture and light.
• Keep out of reach of children.

 Safety Advice:

• Contraindications: Acute myocardial infarction with low filling pressures, acute circulatory failure, severe hypotension, hypertrophic obstructive cardiomyopathy, constrictive pericarditis, cardiac tamponade, severe anemia, closed-angle glaucoma, hypovolemia, and hypersensitivity to nitrates.
• Drug interactions: Concurrent use with phosphodiesterase type-5 inhibitors (e.g., sildenafil) or soluble guanylate cyclase stimulators (e.g., riociguat) is contraindicated due to risk of severe hypotension.
• Caution: Use with caution in patients with recent myocardial infarction, hypothyroidism, hypothermia, malnutrition, or severe liver or renal disease.
• Pregnancy and lactation: Use only if the potential benefit justifies the potential risk.

 Product Substitutes:

• Monomil 60 mg Tablets
• Other brands containing isosorbide mononitrate 60 mg
  Note: Always consult a healthcare professional before switching