Drug & supplement interaction

Low Purine Diet + Isosorbide Mononitrate

Isosorbide Mononitrate brand names: Imdur, Angeze, Dynamin, Elantan, Ismo, and others.

No Known Interaction
Medically reviewed by · Updated June 2026 · Pair last verified Sep 20, 2026
The bottom line No known interaction

We found no known interaction between Low Purine Diet and Isosorbide Mononitrate in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Low Purine Diet and Isosorbide Mononitrate

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Isosorbide Mononitrate and Low Purine Diet in our sources. This does not guarantee that the combination is completely free of risk — research on Low Purine Diet alongside specific medications may be limited.

Worth understanding: our licensed dataset holds no drug-interaction record for Low Purine Diet at all — not against Isosorbide Mononitrate, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

Low Purine Diet is an eating pattern rather than something you take. Ask your pharmacist or doctor before changing how you eat while on a prescribed medicine: some medicines are dosed around meals, and a change in diet can change how they work. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Low Purine Diet safety at a glance

Low Purine Diet overall Generally safe A balanced low purine diet is generally safe for most healthy adults.
Pregnancy Use caution Generally safe but get guidance to ensure adequate nutrition during pregnancy.
Breastfeeding Use caution Generally safe but ensure balanced nutrition; talk to your doctor or dietitian.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Isosorbide Mononitrate and Low Purine Diet? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Isosorbide Mononitrate’s Own FDA Label Lists

This is not an interaction — none of it involves Low Purine Diet. These are the most notable effects listed in the ADVERSE REACTIONS section of Isosorbide Mononitrate’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you follow Low Purine Diet and take the medicine. 10 of them are worth acting on rather than waiting out — marked below.

  • Kidney stones Worth acting on
  • Muscle weakness Worth acting on
  • Bleeding in the gut Worth acting on
  • Low potassium Worth acting on
  • A slow heartbeat Worth acting on
  • A heart attack Worth acting on
  • Chest pain Worth acting on mentioned in 6.0% of FDA reports for Isosorbide Mononitrate
  • Heart failure Worth acting on
  • Shortness of breath Worth acting on mentioned in 7.6% of FDA reports for Isosorbide Mononitrate
  • Fainting Worth acting on

Showing the 10 most notable of 56 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Isosorbide Mononitrate. Read the label on DailyMed › Where a percentage is shown, it is the share of 20,621 voluntary FDA FAERS reports for Isosorbide Mononitrate that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Low Purine Diet’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Low Purine Diet side to compare — that is a limit of the record, not a statement that Low Purine Diet has no side effects.

From our Q&A

Questions About Low Purine Diet or Isosorbide Mononitrate

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Low Purine Diet or Isosorbide Mononitrate, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Isosorbide Mononitrate

This page covers Low Purine Diet only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Isosorbide Mononitrate page lists 22 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), American Mistletoe (major), Coleus (major), Hawthorn (major) and Beer (moderate).

By severity: 4 major · 9 moderate · 9 minor.

From our pharmacist’s overview on the Isosorbide Mononitrate page

“Isosorbide mononitrate (Imdur) is taken daily to prevent angina by keeping blood vessels relaxed, and the 22 supplements and herbs on this page deserve careful reading, not a shrug. Four carry major ratings, and they pull in different directions.”

Reviewed by 2 · Jul 18, 2026

Open the Isosorbide Mononitrate interaction page

How much people look this up

Where Low Purine Diet and Isosorbide Mononitrate Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Low Purine Diet
Steady interest

#1,386 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Isosorbide Mononitrate
Steady interest

#1,734 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions. Low Purine Diet is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Low Purine Diet reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Low Purine Diet and Isosorbide Mononitrate records this page draws on were last updated June 22, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Eating pattern

About Low Purine Diet

What is Low Purine Diet?

  • Gout management
  • Lowering uric acid levels
  • Preventing kidney stones (uric acid stones)
  • Reducing gout flare-ups

A low purine diet is an eating plan that limits foods high in purines, which the body breaks down into uric acid. It is mainly used to help manage gout and certain kidney stones, often alongside medication. While it can lower uric acid somewhat, diet alone usually is not enough for most people with gout, so work with your doctor on a full treatment plan.

Dietary pattern (meal plan), not a supplement

An interaction check asks whether these two react with each other — it does not ask whether Low Purine Diet is a good idea for someone in your situation. Here is what our Low Purine Diet record says about it on its own.

Low Purine Diet: dosing

There is no fixed "dose" for a low purine diet because it is an eating pattern, not a pill. In general, the goal is to limit high-purine foods (organ meats, red meat, certain seafood, beer, and sugary drinks) while eating more vegetables, fruits, whole grains, and low-fat dairy.Drinking plenty of water and limiting alcohol are also key parts of the plan.

From our Low Purine Diet monograph — the full record covers uses, side effects and every documented interaction.

Read the full Low Purine Diet monograph & all interactions
Medication

About Isosorbide

What Is Isosorbide Used For?

Brand names: Imdur, Angeze, Dynamin, Elantan, Ismo, Chemydur 60XL, Elantan LA, Isib 60XL, Ismo Retard, Isodur, Isotard, Modisal LA, Modisal XL, Monomax SR, Monomax XL, Angeze SR, Monomil XL, Monosorb XL, Zemon

Isosorbide is used to prevent angina pectoris — chest pain or tightness caused by coronary artery disease. Both isosorbide dinitrate tablets and isosorbide mononitrate tablets (including Monoket and Isordil) are used for this purpose.

Important: none of these oral formulations work fast enough to stop a chest pain episode that has already started. They are taken on a schedule to prevent angina, not to treat it in the moment.

Most-Reported Side Effects for Isosorbide Mononitrate

From FAERS, the FDA’s public side-effect reporting system (20,621 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Dyspnea 1,568 reports
Dizziness 1,464 reports
Fatigue 1,314 reports
Diarrhea 1,311 reports
Nausea 1,284 reports
See full Isosorbide drug information
Keep checking

Other Drugs & Low Purine Diet

Browse every other medication we’ve checked against Low Purine Diet — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Low Purine Diet against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Low Purine Diet list.

See the full Low Purine Diet interactions page
See every supplement checked against Isosorbide Mononitrate, ranked by severity
Evidence & sources

Low Purine Diet References

The 2 sources that drive our Low Purine Diet monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Low Purine Diet is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Gout — MedlinePlus Source
  2. Gout — Cleveland Clinic Source

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Following Low Purine Diet While Taking Isosorbide Mononitrate: Common Questions

Is it safe to follow Low Purine Diet while taking Isosorbide Mononitrate?
We do not list a known interaction between Low Purine Diet and Isosorbide Mononitrate. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Isosorbide Mononitrate interact with any supplements?
Yes. Isosorbide Mononitrate has documented interactions with 22 supplements in our database — Low Purine Diet is not one of them. The Isosorbide Mononitrate interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Low Purine Diet monograph Uses, safety profile, and every drug interaction in one place Isosorbide drug information The full plain-English guide to this medication Isosorbide Mononitrate supplement interactions Every supplement checked against Isosorbide Mononitrate, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 2 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Isosorbide Mononitrate and Low Purine Diet?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.