Ismo 20 Tablet may be taken with or without food. Your doctor will decide the dose and how often you should take it. The dose may change from time to time depending on how well the medicine works. Take this medicine exactly as prescribed and continue taking it even if you feel well. It helps prevent chest pain in the future. If you stop taking it, your risk of chest pain may increase, especially if you stop suddenly. Lifestyle changes such as a healthy diet, regular exercise, and avoiding smoking may help this medicine work better.

You can develop tolerance to this medicine over time, which means that the same dose becomes less effective. You have to stick to dosing schedule to prevent this from happening.

The most common side effects include headache, flushing, upper respiratory tract infection, abdominal pain, allergic reaction, chest pain, and diarrhea. If these symptoms bother you or do not go away, your doctor may suggest ways of preventing or reducing them. Some can be reduced by taking painkillers, drinking plenty of fluids, and avoiding alcohol.

Before taking Ismo 20 Tablet, tell your doctor if you have low blood pressure, glaucoma (increased pressure in the eye), kidney disease, or heart failure. Also, inform your doctor about any other medicines you are taking, as some may interact with this medicine or make it unsafe to use together. Do not take medicines for erectile dysfunction while using this medicine. If you are pregnant or breastfeeding, ask your doctor whether this medicine is suitable for you. Your doctor may regularly monitor your blood pressure and heart rate during treatment.

• Treatment of Angina (heart-related chest pain)

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them