ISOSORBIDE DINITRATE

78/100 · Elevated

Manufactured by BluePoint Laboratories

Isosorbide Dinitrate Adverse Events: High Serious Reaction Rate

53,779 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ISOSORBIDE DINITRATE

ISOSORBIDE DINITRATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by BluePoint Laboratories. Based on analysis of 53,779 FDA adverse event reports, ISOSORBIDE DINITRATE has a safety score of 78 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for ISOSORBIDE DINITRATE include DYSPNOEA, NAUSEA, FATIGUE, DIZZINESS, DIARRHOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ISOSORBIDE DINITRATE.

AI Safety Analysis

Isosorbide Dinitrate has a safety concern score of 78 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 53,779 adverse event reports for this medication, which is primarily manufactured by Bluepoint Laboratories.

The most commonly reported adverse events include Dyspnoea, Nausea, Fatigue. Of classified reports, 74.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The majority of adverse events are serious, with a high percentage of reports involving myocardial infarction and chest pain.

A significant number of reports involve cardiovascular issues, including arrhythmias and heart failure. Drug ineffectiveness and off-label use are also notable, suggesting potential misuse or suboptimal dosing.

Patients taking Isosorbide Dinitrate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Isosorbide dinitrate can interact with other drugs, potentially leading to hypotension or increased risk of adverse cardiovascular events. Warnings are issued for patients with specific conditions such as hypotension and bradycardia. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 78/100

Isosorbide Dinitrate received a safety concern score of 78/100 (high concern). This is based on a 74.7% serious event ratio across 19,060 classified reports. The score accounts for 53,779 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DYSPNOEA1,608 reports
NAUSEA1,316 reports
FATIGUE1,303 reports
DIZZINESS1,265 reports
DIARRHOEA1,248 reports
MYOCARDIAL INFARCTION1,182 reports
CHEST PAIN1,118 reports
PAIN1,021 reports
HEADACHE969 reports
VOMITING960 reports
MALAISE867 reports
OFF LABEL USE803 reports
ASTHENIA797 reports
DEATH788 reports
DRUG INEFFECTIVE773 reports
ARTHRALGIA764 reports
PRURITUS761 reports
RENAL FAILURE759 reports
PYREXIA707 reports
BACK PAIN702 reports
ANXIETY701 reports
BLOOD GLUCOSE INCREASED678 reports
PNEUMONIA675 reports
CARDIAC FAILURE CONGESTIVE664 reports
FALL652 reports
DEHYDRATION650 reports
INSOMNIA637 reports
CHRONIC KIDNEY DISEASE634 reports
HYPOTENSION627 reports
ACUTE KIDNEY INJURY618 reports
FEELING ABNORMAL606 reports
ABDOMINAL PAIN UPPER557 reports
ABDOMINAL DISCOMFORT546 reports
HYPERHIDROSIS538 reports
MUSCULAR WEAKNESS532 reports
PALPITATIONS525 reports
PERIPHERAL SWELLING519 reports
MEMORY IMPAIRMENT516 reports
PAIN IN EXTREMITY510 reports
RASH502 reports
ALOPECIA494 reports
HEART RATE INCREASED488 reports
VISUAL IMPAIRMENT486 reports
COVID 19468 reports
HALLUCINATION466 reports
WEIGHT DECREASED465 reports
HYPERTENSION458 reports
TRANSIENT ISCHAEMIC ATTACK456 reports
ANAEMIA452 reports
AMNESIA447 reports
VENTRICULAR TACHYCARDIA441 reports
TACHYCARDIA434 reports
COUGH426 reports
DRUG INTERACTION420 reports
DRY SKIN419 reports
INTENTIONAL PRODUCT MISUSE412 reports
DISTURBANCE IN ATTENTION397 reports
SUBARACHNOID HAEMORRHAGE391 reports
BLINDNESS385 reports
COGNITIVE DISORDER385 reports
CONSTIPATION380 reports
DECREASED APPETITE379 reports
CEREBROVASCULAR ACCIDENT377 reports
LIP SWELLING377 reports
TINNITUS376 reports
MIGRAINE375 reports
ANGIOEDEMA374 reports
MUSCLE TWITCHING366 reports
ATRIAL FIBRILLATION361 reports
CAROTID ARTERY OCCLUSION358 reports
DIPLOPIA358 reports
PERICARDITIS357 reports
ATRIAL TACHYCARDIA353 reports
VASCULITIS352 reports
PAIN OF SKIN350 reports
FACIAL PAIN349 reports
CARDIOSPASM346 reports
EYE PRURITUS346 reports
ANOSMIA344 reports
PRURITUS GENITAL340 reports
SLEEP TERROR339 reports
TENSION HEADACHE338 reports
PALMOPLANTAR KERATODERMA336 reports
URINARY TRACT INFECTION336 reports
INTENTIONAL PRODUCT USE ISSUE335 reports
GAIT DISTURBANCE328 reports
OEDEMA PERIPHERAL321 reports
GASTROINTESTINAL HAEMORRHAGE319 reports
CORONARY ARTERY DISEASE317 reports
DEPRESSION313 reports
CARDIAC FAILURE309 reports
ABDOMINAL PAIN308 reports
CONFUSIONAL STATE300 reports
CONDITION AGGRAVATED299 reports
END STAGE RENAL DISEASE288 reports
CARDIAC DISORDER285 reports
LOSS OF CONSCIOUSNESS285 reports
ANGINA PECTORIS283 reports
BRADYCARDIA268 reports
SOMNOLENCE266 reports

Key Safety Signals

  • High incidence of myocardial infarction and chest pain.
  • Significant number of serious reactions, including death and renal failure.
  • Common gastrointestinal issues like nausea and diarrhea.
  • Frequent reports of dizziness and fatigue.
  • Multiple cases of drug ineffectiveness and off-label use.

Patient Demographics

Adverse event reports by sex: Male: 9,444, Female: 8,458, Unknown: 20. The most frequently reported age groups are age 75 (503 reports), age 78 (444 reports), age 77 (422 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 19,060 classified reports for ISOSORBIDE DINITRATE:

  • Serious: 14,229 reports (74.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 4,831 reports (25.3%)
Serious 74.7%Non-Serious 25.3%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male9,444 (52.7%)
Female8,458 (47.2%)
Unknown20 (0.1%)

Reports by Age

Age 75503 reports
Age 78444 reports
Age 77422 reports
Age 74420 reports
Age 80416 reports
Age 70395 reports
Age 81387 reports
Age 76386 reports
Age 68382 reports
Age 71374 reports
Age 69370 reports
Age 83362 reports
Age 73356 reports
Age 79353 reports
Age 67348 reports
Age 72345 reports
Age 65340 reports
Age 82324 reports
Age 62321 reports
Age 60281 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Isosorbide dinitrate can interact with other drugs, potentially leading to hypotension or increased risk of adverse cardiovascular events. Warnings are issued for patients with specific conditions such as hypotension and bradycardia.

What You Should Know

If you are taking Isosorbide Dinitrate, here are important things to know. The most commonly reported side effects include dyspnoea, nausea, fatigue, dizziness, diarrhoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor for signs of serious cardiovascular events such as chest pain or myocardial infarction. Be aware of potential drug interactions, especially with antihypertensives and beta-blockers. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA closely monitors isosorbide dinitrate, and any new or worsening symptoms should be reported to healthcare providers promptly. Regular monitoring is recommended for patients on this medication.

Frequently Asked Questions

How many adverse event reports has the FDA received for Isosorbide Dinitrate?

The FDA has received approximately 53,779 adverse event reports associated with Isosorbide Dinitrate. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Isosorbide Dinitrate?

The most frequently reported adverse events for Isosorbide Dinitrate include Dyspnoea, Nausea, Fatigue, Dizziness, Diarrhoea. By volume, the top reported reactions are: Dyspnoea (1,608 reports), Nausea (1,316 reports), Fatigue (1,303 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Isosorbide Dinitrate.

What percentage of Isosorbide Dinitrate adverse event reports are serious?

Out of 19,060 classified reports, 14,229 (74.7%) were classified as serious and 4,831 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Isosorbide Dinitrate (by sex)?

Adverse event reports for Isosorbide Dinitrate break down by patient sex as follows: Male: 9,444, Female: 8,458, Unknown: 20. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Isosorbide Dinitrate?

The most frequently reported age groups for Isosorbide Dinitrate adverse events are: age 75: 503 reports, age 78: 444 reports, age 77: 422 reports, age 74: 420 reports, age 80: 416 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Isosorbide Dinitrate?

The primary manufacturer associated with Isosorbide Dinitrate adverse event reports is Bluepoint Laboratories. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Isosorbide Dinitrate?

Beyond the most common reactions, other reported adverse events for Isosorbide Dinitrate include: Myocardial Infarction, Chest Pain, Pain, Headache, Vomiting. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Isosorbide Dinitrate?

You can report adverse events from Isosorbide Dinitrate to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Isosorbide Dinitrate's safety score and what does it mean?

Isosorbide Dinitrate has a safety concern score of 78 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. The majority of adverse events are serious, with a high percentage of reports involving myocardial infarction and chest pain.

What are the key safety signals for Isosorbide Dinitrate?

Key safety signals identified in Isosorbide Dinitrate's adverse event data include: High incidence of myocardial infarction and chest pain.. Significant number of serious reactions, including death and renal failure.. Common gastrointestinal issues like nausea and diarrhea.. Frequent reports of dizziness and fatigue.. Multiple cases of drug ineffectiveness and off-label use.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Isosorbide Dinitrate interact with other drugs?

Isosorbide dinitrate can interact with other drugs, potentially leading to hypotension or increased risk of adverse cardiovascular events. Warnings are issued for patients with specific conditions such as hypotension and bradycardia. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Isosorbide Dinitrate.

What should patients know before taking Isosorbide Dinitrate?

Monitor for signs of serious cardiovascular events such as chest pain or myocardial infarction. Be aware of potential drug interactions, especially with antihypertensives and beta-blockers.

Are Isosorbide Dinitrate side effects well-documented?

Isosorbide Dinitrate has 53,779 adverse event reports on file with the FDA. A significant number of reports involve cardiovascular issues, including arrhythmias and heart failure. The volume of reports for Isosorbide Dinitrate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Isosorbide Dinitrate?

The FDA closely monitors isosorbide dinitrate, and any new or worsening symptoms should be reported to healthcare providers promptly. Regular monitoring is recommended for patients on this medication. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

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Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.