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It will not help to stop an episode of chest pain. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. What should I tell my health care providers before I take this medicine?They need to know if you have any of these conditions: previous heart attack or heart failure an unusual or allergic reaction to isosorbide dinitrate, nitrates, other medicines, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding How should I use this medicine?Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine on an empty stomach, at least 30 minutes before or 2 hours after food. Do not take with food. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine suddenly or your symptoms may get worse. Ask your doctor or health care professional how to gradually reduce the dose. Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. Note: This medicine is only for you. Do not share this medicine with others. What if I miss a dose?If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. What may interact with this medicine?Do not take this medicine with any of the following: medicines used to treat erectile dysfunction (ED) like sildenafil, tadalafil, and vardenafil This medicine may also interact with the following: medicines for high blood pressure other medicines for angina or heart failure This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine. What side effects may I notice from this medicine?Side effects that you should report to your doctor or health care professional as soon as possible: bluish discoloration of lips, fingernails, or palms of hands irregular heartbeat, palpitations low blood pressure nausea, vomiting persistent headache unusually weak or tired Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): flushing of the face or neck rash This list may not describe all possible side effects. What should I watch for while using this medicine?Check your heart rate and blood pressure regularly while you are taking this medicine. Ask your doctor or health care professional what your heart rate and blood pressure should be and when you should contact him or her. Tell your doctor or health care professional if you feel your medicine is no longer working. You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce the risk of dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can make you more dizzy, and increase flushing and rapid heartbeats. Avoid alcoholic drinks. Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure. Where should I keep this medicine?Keep out of the reach of children. Store at room temperature, approximately 25 degrees C (77 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date. 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