Shipping Update

We are now seeing improvements in our shipping times. However, things are not yet back to normal and there are still some delays occurring. We will provide updates as the situation changes.

Our normal shipping time averages 1 - 2 weeks. Due to the pandemic, shipments may sometimes take an additional 2 – 4 weeks to arrive, depending on the source country of your order. Shipments from the United Kingdom and Canada are generally quicker than from other countries.

Please note that these times are averages and individual shipping times will vary. We highly recommend that you place your order at least 2 – 4 weeks or more ahead of your normal reorder time to avoid running out of your medication.

We offer a shipping guarantee when you place an order with us. If your order does not arrive within 6 weeks from the date it was shipped, we will re-ship your order to you at no additional cost.

Call Center

Our call center hours of operation are 6:00 am – 9:00 pm Central Time on Monday to Friday, and 7:00 am – 7:00 pm Central Time on Saturday and Sunday.

If you are experiencing increased hold times or are calling outside of these hours, please leave us a message or send us an email and we will get back to you as soon as we can. Due to increased demand on telephone networks worldwide, you may experience some intermittent connection problems. If this happens our agents will call you back.

Our Commitment

If you have any questions about any changes in our service please do not hesitate to contact us. Our staff are working tirelessly to ensure the timely fulfillment and delivery of all orders. The health and safety of our customers and staff is our highest priority and we remain committed to providing service at the highest level.

We appreciate your business and thank you for your continued support.

Management and Staff
Medix Pharmacy

(Isosorbide Mononitrate)

Prescription Settings Edit

Brand Name Choices

Ismo 10mg
Ismo 10mg

Marketed as Ismo 10 in United Kingdom

Isosorbide Mononitrate

Manufactured by Durbin PLC

Product of United Kingdom

Dispensed by a licensed pharmacy in the United Kingdom

Prescription Required

Parallel Import

Ismo 20mg
Ismo 20mg

Marketed as Ismo 20 in United Kingdom

Isosorbide Mononitrate

Manufactured by Intrapharm Laboratories

Product of United Kingdom

Dispensed by a licensed pharmacy in the United Kingdom

Prescription Required

Parallel Import

Generic Choices

Isosorbide Mononitrate 20mg
Isosorbide Mononitrate 20mg

Generic Equivalent of Ismo 20mg

Manufactured by Various UK Generic Manufacturers (MHRA Approved)

Product of United Kingdom

Dispensed by a licensed pharmacy in the United Kingdom

Prescription Required

What Ismo is and what it is used for

Carmil XL contains a medicine called isosorbide mononitrate. The tablets are used to prevent chest pain (angina). It works by relaxing and opening the blood vessels to the heart, so the blood and oxygen supply to the heart is increased.

How to take Ismo

Always take Carmil XL Tablets exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. These tables should not be chewed or crushed and should be swallowed whole with drink of water. Dosage: Adults: One tablet to be taken once daily in the morning. This may be increased to two tablets on the advice of your doctor, in which case both tablets should be taken once daily in the morning. Treatment is sometimes started for the rst 2-4 days, with half a tablet once daily in the morning in order to minimise the possibility of headache. Elderly: The usual dose is the same as the adult dose. Children: Not recommended for use in children. If you take more Carmil XL Tablets than you should If you (or someone else) swallow a lot of tablets at the same time, or you think a child has swallowed any of these tablets, contact your nearest hospital casualty department or your doctor immediately. Take this leaet and your tablets with you. The symptoms of an overdose may be pulsing headache, reddening of the skin, cold perspiration, nausea, vomiting and a fast heart beat. If you forget to take Carmil XL Tablets If you forget to take your tablet(s) but remember within 12 hours of your usual time, take it when you remember. If you remember more than 12 hours after your usual time, don’t take the tablet and just carry on with the next dose when it is due. If you stop taking Carmil XL Tablets Do not stop taking your tablets without rst discussing this with your doctor as this may be harmful.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. You may suffer an allergic reaction, symptoms of which include rash, itching, difculty in breathing or swelling of the face, lips, throat or tongue. If this happens to you, STOP TAKING the tablets and seek immediate medical help. Other possible side effects:

Common (may affect up to 1 in 10 people) Ÿ Low blood pressure (this may make you feel faint or dizzy) Ÿ Faster heartbeat (tachycardia) Ÿ Headache Ÿ Feeling dizzy Ÿ Feeling sick (nausea)

Uncommon (may affect up to 1 in 100 people) Ÿ Being sick (vomiting)Ÿ Diarrhoea Ÿ Flushing (redness of face, neck and chest)

Rare (may affect up to 1 in 1,000 people) Ÿ Fainting Ÿ Rash Ÿ Itchy skin

Very rare (may affect up to 1 in 10,000 people) Ÿ Pain in muscles

Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaet. You can also report side effects directly via the Yellow Card Scheme: or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

How to Store Ismo

Keep this medicine out of the sight and reach of children. Store your tablets in the original package. Do not store above 25°C Do not use your medicine after the expiry date shown on the carton. Do not throw away any medicines via wastewater. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

Fast Shipping

2 to 3 weeks on average

The average shipping time is 2 weeks in North America and 4 weeks internationally. We offer free shipping on all orders shipped to North America. Shipping is a flat rate of $20.00 for all other countries.

Price Match Guarantee

If you have been prescribed medication by your doctor and cannot afford the high price at your local pharmacy, Medix Pharmacy is the solution for you. All orders are backed with a price match and satisfaction guarantee.

Your Trusted Pharmacy Referral Service

Medix Pharmacy is an international pharmacy referral service. With a network of licensed pharmacy partners in Canada, United Kingdom, Australia, and New Zealand, we are able to help you lower the costs of your medications.

Our pharmacy partners are all thoroughly vetted and qualified to ensure that the medication you receive is cost effective, safe and effective. Because we only work with licensed pharmacies, you can rest assured that your medication is safe, effective, and genuine.

  • Free standard delivery to your door, to any international address
  • Option to add Tracked Deliveries
  • Handy reminders to re-order so you do not run out
  • Professional & Knowledgeable Customer Services Team
  • Save time, with no need for repeated trips to your physician or local drugstore

With a dedicated customer service team, free standard shipping, and a record of providing significant saving for our customers, we believe that you do not need to compromise quality or safety in your search for value.

If you are unable to find your prescribed medicine on our website, please fill out the form below and we will confirm pricing and availability within 1 business day. You may also call us at 1-866-500-6633 and one of our patient care representatives will be happy to assist you.