Question 1

What is this medicine for, and how does it work?

Accepted Answer

This is a nitrate that treats chest pain and heart disease. It works by dilating blood vessels, increasing blood flow and reducing the workload on the heart.

Question 2

When and how should this medicine be taken?

Accepted Answer

• Take on empty stomach • 1hr before/2hrs after food • Regular timing • Don't skip doses

Question 3

When should this medicine not be used?

Accepted Answer

• Severe hypotension • Cardiogenic shock • Using sildenafil-type drugs

Question 4

What precautions should be taken before using this medicine?

Accepted Answer

• May cause headaches, especially when starting treatment • Sit or lie down if you feel dizzy • Do not stop treatment suddenly • Avoid alcohol while taking this medication

Question 5

Is it safe to use this medicine during pregnancy?

Accepted Answer

• No specific pregnancy precautions noted

Question 6

Can this medicine be used while breastfeeding?

Accepted Answer

• May cause headaches, especially when starting treatment • Sit or lie down if you feel dizzy • Do not stop treatment suddenly • Avoid alcohol while taking this medication

Question 7

What should be done if a dose is missed?

Accepted Answer

• If you miss a dose, take it as soon as you remember. • However, if it's time for your next dose, skip the missed dose. • Never take two doses in one day. • For thrice-daily dosing: If less than 3 hours until your next dose, skip the missed dose. • Take your next dose at the regular time. • If you miss multiple doses, contact your doctor.

Question 8

What should be done in case of an overdose?

Accepted Answer

• Symptoms: Hypotension, headache. • Treatment: Recumbent position, fluid therapy.

Question 9

What should be done if side effects are experienced?

Accepted Answer

• Common side effects: Headache, dizziness, nausea, weakness, fast heartbeat • What to do: Rise slowly, take as scheduled, report severe chest pain; Stop taking the medication and seek medical advice if any severe side effect or unusual symptoms occur.

Question 10

What is A Card 20mg used for?

Accepted Answer

A Card 20mg (Isosorbide Mononitrate) is a pharmaceutical medicine manufactured by Acme Laboratories Ltd. in Bangladesh. It is primarily prescribed for Angina Pectoris.

Question 11

What is the active generic component of A Card?

Accepted Answer

The active ingredient in A Card is Isosorbide Mononitrate, belonging to the Nitrates: Coronary Vasodilators drug class.

Question 12

What is the retail price of A Card 20mg in Bangladesh?

Accepted Answer

The official retail price of A Card 20mg (Tablet) is ৳1.43 in Bangladesh (prices may vary slightly by pack size and authorized pharmacy).

Question 13

What is the recommended dosage for A Card?

Accepted Answer

Standard adult dosage: Oral – 20 mg (2-3 times daily). Pediatric dosage: Tablet – Safety and efficacy not established. Always consult a registered physician for individualized dosage adjustments based on clinical assessment.

Question 14

Is A Card safe during pregnancy and breastfeeding?

Accepted Answer

A Card is classified under Pregnancy Category "C/B". Always consult your healthcare provider or OB/GYN before taking this medication during pregnancy or lactation.

Question 15

What are the common side effects of A Card?

Accepted Answer

Hypotension; tachycardia; flushing; headache; dizziness; palpitation; syncope; confusion; Nausea; vomiting; abdominal pain; Restlessness; weakness and vertigo; Dry mouth; chest pain; back pain; oedema; fatigue; abdominal

Clinical Information	Administration Information
Indication: Prevention of angina pectoris caused by coronary artery disease Age: Adult	Dose: Oral – 20 mg Frequency: 2-3 times daily Note: Dose may range from 20-120 mg daily.
Indication: Prevention of angina pectoris caused by coronary artery disease Age: Adult Condition: Long-acting form	Dose: Capsule – One capsule Frequency: once daily

Drug Name	Risk Factors
Alcohol, Vasodilators	Hypotensive effects may be increased
Calcium Channel Blockers (Amlodipine, Diltiazem, Verapamil, Nifedipine, Felodipine, Nicardipine, Isradipine)	May lead to marked orthostatic hypotension

Disease Name	Risk Factors
Severe hypotension	Dangerous blood pressure reduction
Anaemia	Can worsen tissue oxygenation

Medicine Overview

Indication

What is this medicine for, and how does it work?

When and how should this medicine be taken?

When should this medicine not be used?

What precautions should be taken before using this medicine?

Is it safe to use this medicine during pregnancy?

Can this medicine be used while breastfeeding?

What should be done if a dose is missed?

What should be done in case of an overdose?

What should be done if side effects are experienced?

Adult Dose

Child Dose

Drug Interaction

Disease Interaction

Pregnancy

Data Sources