Isosorbide Mononitrate + Oxycodone

SAFE — No Known Interaction

🟢 SAFE — Oxycodone and Isosorbide Mononitrate can be taken together safely.

Evidence level: MODERATE

What this interaction means

Oxycodone and Isosorbide Mononitrate are generally considered safe to use together based on current medical evidence. No adverse interactions have been reported.

How it works (mechanism)

No clinically significant interaction between Oxycodone and Isosorbide Mononitrate has been identified in medical literature or FDA drug labeling.

Practical advice

Oxycodone and Isosorbide Mononitrate do not have a documented clinically significant interaction. Continue both as prescribed. As a general rule, inform every prescriber about all medications you take, including those from other doctors.

Timing

Take Oxycodone exactly as prescribed — set alarms for scheduled doses. Isosorbide Mononitrate follows its normal schedule. Opioids slow GI transit, which can affect absorption of other medications. Take with food if nausea occurs. Never combine with alcohol.

Risk factors

Higher risk for: elderly, opioid-naive patients, those with sleep apnea, respiratory conditions, concurrent CNS depressants (benzodiazepines, alcohol), liver impairment, or history of substance use disorder.

Symptoms to watch for

Monitor for CNS depression and respiratory effects when combining Oxycodone with Isosorbide Mononitrate. Watch for: excessive drowsiness, slowed breathing, confusion, severe constipation, nausea, dizziness, or impaired coordination. Do not drive or operate machinery. When to seek emergency help: Breathing becomes slow or shallow, extreme drowsiness or inability to wake, blue lips or fingernails, severe confusion, or loss of consciousness. Keep naloxone (Narcan) accessible if prescribed opioids. Never mix with alcohol.

What to tell your doctor

No urgent need to discuss, but always keep your doctor informed of your full supplement and medication list. Say: "I take Oxycodone and Isosorbide Mononitrate — is that OK?"

Safer alternatives

These medications are safe to take together at standard doses. Continue taking as prescribed and keep your pharmacist informed of your complete medication list.

Frequently asked questions

Can I take Isosorbide Mononitrate and Oxycodone together?

Oxycodone and Isosorbide Mononitrate are generally considered safe to use together based on current medical evidence. No adverse interactions have been reported.

When should I take Isosorbide Mononitrate vs Oxycodone?

Take Oxycodone exactly as prescribed — set alarms for scheduled doses. Isosorbide Mononitrate follows its normal schedule. Opioids slow GI transit, which can affect absorption of other medications. Take with food if nausea occurs. Never combine with alcohol.

What symptoms should I watch for if I combine Isosorbide Mononitrate and Oxycodone?

Monitor for CNS depression and respiratory effects when combining Oxycodone with Isosorbide Mononitrate. Watch for: excessive drowsiness, slowed breathing, confusion, severe constipation, nausea, dizziness, or impaired coordination. Do not drive or operate machinery. When to seek emergency help: Breathing becomes slow or shallow, extreme drowsiness or inability to wake, blue lips or fingernails, severe confusion, or loss of consciousness. Keep naloxone (Narcan) accessible if prescribed opioids. Never mix with alcohol.

Are there safer alternatives to combining Isosorbide Mononitrate with Oxycodone?

These medications are safe to take together at standard doses. Continue taking as prescribed and keep your pharmacist informed of your complete medication list.

What should I tell my doctor about taking Isosorbide Mononitrate and Oxycodone?

No urgent need to discuss, but always keep your doctor informed of your full supplement and medication list. Say: "I take Oxycodone and Isosorbide Mononitrate — is that OK?"

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