Isosorbide-5-mononitrate FAQ

Adrenosine Nuclear test preparation question.?

This afternoon (Friday) I was scheduled for an Adrenosine Nuclear [Pharmacological Myocardial Profusion (MPI) rest/stress study using Adrenosine] at 7:30 Monday morning. Since my cardiologist's office is not open during the weekend, I cannot ask him before the test. The instruction sheet I received says Take medications as prescribed unless otherwise directed by your physician. The Cleveland Clinic (not involved in my test) instruction sheet says: If you take heart medications: DO NOT take the following heart medications on the day of the test unless your physician tells you otherwise, or unless it is needed to treat chest discomfort the day of the test: Isosorbide dinitrate (for example: Dilatrate, Isordil) Isosorbide mononitrate (for example: Imdur, ISMO, Monoket) Nitroglycerin (for example: Minitran, Nitropatches, Nitrostat) Dipyridamole (Persantine) -- Stop taking 48 hours before the test Your physician may also ask you to stop taking other heart medications on the day of your test. If you have any questions about your medications, ask your physician. Do not discontinue any medication without first talking with your physician. I take Isosorbide mononitrate (Imdur), usually about 7:30 in the morning, shortly after I normally get up. Obviously Monday morning I will be getting up earlier. I have not decided if it would be better to take my normal dose shortly after I get up Monday or if it would be better to take the tablet with me to the appointment as ask if they want me to delay taking it until after the test. My concerns are: If they want me to take it before the test, and I do not take it until 7:30, will they have to delay the start of the test until the medication gets into the bloodstream? If I do take it and they did not want me to, would the test be less valid or postponed? Any informed advice would be appreciated.

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