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Two medicines, side by side

Amlodipine vs isosorbide mononitrate

Amlodipine and isosorbide mononitrate are both labeled for angina. Drugs@FDA records approvals of amlodipine since 1992 and of isosorbide mononitrate since 1991. Pharmacies paid $0.0102 per amlodipine besylate 5 mg tablet and $0.0688 per isosorbide mononit ER 30 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, amlodipine is a calcium channel blocker and isosorbide mononitrate a nitrate vasodilator.

Check it at the source: the amlodipine FDA label on DailyMed (effective February 15, 2023); the isosorbide mononitrate FDA label on DailyMed (effective May 11, 2026).

Highlights of the amlodipine record

Amlodipine (Norvasc) · label of February 15, 2023

Used for

From the label: indications

NORVASC is a calcium channel blocker and may be used alone or in combination with other antihypertensive and antianginal agents for the treatment of: • Hypertension ( 1.1 ) o NORVASC is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. […]

On the market

Earliest approval on file
July 31, 1992
Generic labelers
42 labelers
Pharmacy cost
$0.0102 per tablet

Supply and safety

Shortage
No current entry
Recalls
30

Highlights of the isosorbide mononitrate record

Isosorbide mononitrate (Ismo) · label of May 11, 2026

Used for

From the label: indications

Isosorbide mononitrate extended-release tablets, USP are indicated for the prevention of angina pectoris due to coronary artery disease. The onset of action of oral isosorbide mononitrate is not sufficiently rapid for this product to be useful in aborting an acute anginal episode.

On the market

Earliest approval on file
December 30, 1991
Generic labelers
21 labelers
Pharmacy cost
$0.0688 per tablet

Supply and safety

Shortage
No current entry
Recalls
0

Source: FDA drug labels via openFDA (Amlodipine label of February 15, 2023, Isosorbide mononitrate label of May 11, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do amlodipine and isosorbide mononitrate differ on the record?

In FDA's classes, amlodipine is a calcium channel blocker and isosorbide mononitrate a nitrate vasodilator.

Generics: amlodipine since 2005; isosorbide mononitrate since 1998 (Drugs@FDA).

AmlodipineIsosorbide mononitrate
Labeled forHigh blood pressure, Angina, Heart attack and coronary artery diseaseAngina
Pharmacologic classCalcium Channel Blocker, Dihydropyridine Calcium Channel BlockerNitrate Vasodilator
How it works (label)Amlodipine is a dihydropyridine calcium antagonist (calcium ion antagonist or slow‑channel blocker) that inhibits the transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle.n/a
Half-life (label)n/aThe mean plasma elimination half-life of ISMN is approximately 5 hours.
Earliest approval on file (Drugs@FDA)July 31, 1992December 30, 1991
First generic approvedOctober 3, 2005September 22, 1998
Generic labelers (NDC)42 labelers21 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0102 per tablet (Amlodipine besylate 5 mg tablet)$0.0688 per tablet (Isosorbide mononit ER 30 mg tablet)
12-month price change-10%-4%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded300
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)409,18620,616
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to amlodipine
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