The Monotrate 40 Tablet should be taken on an empty stomach Your doctor will determine the dosage and frequency of taking them which may change over time depending on their effectiveness It is important to follow the prescribed dosage and continue taking the medicine even if you feel well This medicine helps prevent chest pain in the future so stopping it abruptly can increase your risk of chest pain Making lifestyle changes such as a healthy diet exercise and not smoking can enhance the effectiveness of this medicine Over time you may develop tolerance to this medicine meaning the same dose may become less effective To prevent this from happening it is crucial to adhere to a specific dosing schedule The most common side effects of this medicine include headache dizziness changes in heart rate and flushing If these symptoms bother you or persist your doctor can suggest ways to prevent or reduce them such as taking painkillers staying hydrated and avoiding alcohol Drinking alcohol can intensify the blood pressurelowering effects of this medicine Before taking this medicine inform your doctor if you have low blood pressure increased eye pressure glaucoma kidney disease or heart failure Also inform your doctor about any other medications you are taking as some may interact with or be affected by this medicine and some may be dangerous to take together Taking any medication for erectile dysfunction with this medicine is not recommended If you are pregnant or breastfeeding consult your doctor to determine if this medicine is suitable for you Your doctor may regularly monitor your blood pressure and heart rate during the treatment with this medicine