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Nitrates (isosorbide mononitrate) sold without prescription in the UK?

Messages
33
Is isosorbide mononitrate only available with prescription (doctor) in the U.K or is it listed as "pharmacy only" ?


http://webcache.googleusercontent.com/search?q=cache:tHR7z0WqKLMJ:www.mims.co.uk/drugs/cardiovascular-system/angina/imdur &cd=1&hl=en&ct=clnk&gl=no

Mims say it is "P- pharmacy-only medicine "A product that may only be sold in a registered pharmacy under the supervision of a registered pharmacist"

Pharmacies on the other hand claim that it is listed as prescription only:

http://www.clearchemist.co.uk/isosorbide-mononitrate-xl-tab-monosorb-60mg.html


While this http://www.mhra.gov.uk/home/groups/par/documents/websiteresources/con143652.pdf

says
The MHRA granted Marketing Authorisations for the medicinal products Medomil 20mg and 40mg Tablets (PL 21880/0117-8) to Medreich PLC on 16th December 2011. These products are dispensed in pharmacies only and hence, have legal status (P). They are indicated for:

  • the prophylaxis of angina pectoris

  • adjunctive therapy in congestive heart failure not responding to cardiac glycosides or

    diuretics.

    These applications for Medomil 20mg and 40mg Tablets are submitted according to Article 10c of Directive 2001/83/EC as amended, cross-referring to Isosorbide Mononitrate 20mg and 40mg Tablets (PL 16363/0001-2), which were approved to Milpharm Limited on 28th May 2007 and 21st September 1998 respectively.

What is correct here?
 
Last edited:

Hip

Senior Member
Messages
17,858
Note that isosorbide mononitrate is not the same as nitroglycerin, although both are nitrate drugs with similar effect. You might want to change the thread title to avoid confusion (this can easily be done via the "thread tools" option towards the top right).

Isosorbide mononitrate is not to be confused with isosorbide dinitrate either, which is another nitrate drug.

Nitroglycerin is also called glyceryl trinitrate.



I don't know the answer to your question, though the info on this page suggests that isosorbide mononitrate can be sold both as a prescription and a non-prescription drug.
 
Last edited:

user9876

Senior Member
Messages
4,556
Thank you, @Hip

Don't the NHS or some other carry a list of all medicines including their legal class? I find this odd.

I found something here from the Royal Pharmaceutical Society : http://www.rpharms.com/support-pdfs/az-list-of-human-medicines-July-2010.pdf

It says "P" for Monosorb which is isosorbide monoitrate. I am baffled that almost every pharmacy (at least online) list this as a prescription only medicine.

You could try speaking to a pharmacist if you ring up your local boots store or other pharmacy and ask to speak to the pharmacist they are often happy to help.