Skip to content

Is mononitrate MSG safe? Differentiating between a heart medication and a food additive

4 min read

Despite being frequently searched together, mononitrate and MSG are two distinct chemical compounds with entirely different purposes and safety profiles. One is a prescription medication for heart conditions, while the other is a widely used food additive.

Quick Summary

This article explains the difference between isosorbide mononitrate, a heart medication, and monosodium glutamate (MSG), a flavor enhancer. It discusses their unique functions, addresses respective safety concerns, and clarifies why they are mistakenly linked online.

Key Points

  • Not the Same Substance: Isosorbide mononitrate is a heart medication, while monosodium glutamate (MSG) is a food flavor enhancer, and they are chemically unrelated.

  • MSG Is Considered Safe: The FDA and other major health organizations classify MSG as "Generally Recognized as Safe" for the general population when consumed in moderate amounts.

  • Mononitrate is a Prescription Drug: Isosorbide mononitrate is a serious medication for preventing chest pain (angina) and must only be used under a doctor's supervision.

  • Side Effects Differ Greatly: Potential side effects for MSG are rare and mild (e.g., headaches with large doses), whereas isosorbide mononitrate can cause significant medical side effects like low blood pressure.

  • Decades of Research Support MSG Safety: The negative reputation of MSG is largely based on flawed, outdated research and has been disproven by modern, well-controlled studies.

  • Read Labels and Understand Purpose: Consumers should check food labels for MSG if concerned about sensitivity, and always discuss medications like isosorbide mononitrate with their healthcare provider.

In This Article

Understanding the Confusion: Mononitrate vs. MSG

Online search queries often mistakenly link the terms "mononitrate" and "MSG." This error likely stems from a misunderstanding of what each substance is. Monosodium glutamate, or MSG, is a flavor enhancer, whereas isosorbide mononitrate is a medication prescribed for heart conditions. They share no chemical or functional relationship, and their safety considerations are completely different. This article will break down each substance to clarify the confusion and provide accurate, evidence-based information on their safety.

What is Monosodium Glutamate (MSG)?

Monosodium glutamate (MSG) is the sodium salt of glutamic acid, a naturally occurring amino acid found in many foods. First isolated in 1908 from seaweed, MSG is now produced through the fermentation of starches, sugar cane, or molasses. It is used to enhance the savory "umami" flavor in various products, from canned vegetables and processed meats to sauces and snacks.

Key facts about MSG:

  • MSG's glutamate is chemically identical to the glutamate found naturally in foods like tomatoes, cheese, and mushrooms.
  • The body metabolizes both sources of glutamate in the same way.
  • MSG contains about one-third the amount of sodium as table salt and can be used to reduce overall sodium content in recipes.
  • It is classified as "Generally Recognized as Safe" (GRAS) by the U.S. Food and Drug Administration (FDA).

What is Isosorbide Mononitrate?

Isosorbide mononitrate is a prescription medication used to prevent episodes of chest pain (angina) in people with heart disease. It belongs to a class of drugs called nitrates that work by relaxing the blood vessels, allowing more oxygen-rich blood to reach the heart muscle. This medication is not a food additive and has no culinary application.

Important points about Isosorbide Mononitrate:

  • It is not used to treat sudden attacks of angina but rather to prevent them on a regular basis.
  • It should only be taken under the supervision of a healthcare provider.
  • Side effects are common and include headaches, dizziness, and low blood pressure.
  • It can have severe interactions with other medications, such as those for erectile dysfunction.

The Verdict on Safety: Monosodium Glutamate

For decades, MSG has been the subject of controversy and myths, particularly surrounding the term "Chinese Restaurant Syndrome," which has since been renamed "MSG Symptom Complex" (MSC). This misinformation was fueled by anecdotal reports from the 1960s and biased studies. However, extensive scientific research by multiple global health bodies, including the FDA and the World Health Organization's JECFA, has confirmed MSG's safety for the general population.

  • Mild Sensitivity: A very small percentage of the population (less than 1%) may be sensitive to large, bolus doses (3 grams or more) of MSG consumed without food. The typical serving amount is significantly less than this. Symptoms are usually mild and temporary, and include headaches, flushing, or numbness.
  • Normal Consumption: For the vast majority of people, moderate consumption of MSG in food is perfectly safe and does not cause adverse health effects.

Safety and Side Effects of Isosorbide Mononitrate

As a potent prescription medication, isosorbide mononitrate comes with significant safety considerations that are completely unrelated to food consumption.

  • Common Side Effects: The most common side effect is a headache, which is a sign that the medication is working by dilating blood vessels. Dizziness and lightheadedness are also frequent.
  • Serious Side Effects: More serious but less common side effects include dangerously low blood pressure, fainting, and an increased risk of severe chest pain in certain individuals.
  • Contraindications: Isosorbide mononitrate should not be used by those with specific heart conditions, severe anemia, or low blood pressure.

Comparison Table: MSG vs. Isosorbide Mononitrate

Feature Monosodium Glutamate (MSG) Isosorbide Mononitrate
Classification Food additive, flavor enhancer Prescription medication (nitrate)
Purpose Adds savory (umami) flavor to foods Prevents angina (chest pain)
Chemical Nature Sodium salt of glutamic acid Nitrate compound
Consumption Method Added to food during preparation Oral tablet taken regularly
Safety Status Generally Recognized as Safe (GRAS) Regulated prescription drug
Common Side Effects Rare, mild sensitivity in some people with large doses Headaches, dizziness, low blood pressure
Metabolism Metabolized identically to naturally occurring glutamate Processed by the body to dilate blood vessels

Conclusion: Correcting a Widespread Misconception

Ultimately, the idea that "mononitrate MSG" is a single substance is a profound misconception. The safety of isosorbide mononitrate is a medical issue to be discussed with a doctor, as it is a powerful drug for heart conditions. Conversely, MSG is a well-studied food additive with a strong safety record, although a small number of people may experience mild symptoms from high intake. The next time you see these terms, remember their distinct identities and purposes. For reliable health information, always consult authoritative sources like the U.S. Food and Drug Administration (FDA).

It is crucial for consumers to rely on current scientific evidence rather than outdated rumors when assessing the safety of food additives and medications. Separating these two unrelated compounds is the first step in understanding and evaluating their respective roles in your health.

Frequently Asked Questions

No, they are completely different. Isosorbide mononitrate is a prescription medication for heart conditions, and MSG (monosodium glutamate) is a food additive used to enhance savory flavor.

Yes, for the vast majority of people, MSG is considered safe when consumed in moderation. Regulatory bodies like the FDA classify it as "Generally Recognized as Safe".

It is a medication used to prevent chest pain (angina) related to heart disease. It works by relaxing blood vessels to improve blood flow to the heart.

Common side effects include headaches, which may indicate the medicine is working, as well as dizziness and low blood pressure.

MSG's bad reputation began with anecdotal reports and flawed studies in the 1960s, which were later used to fuel misinformation. Extensive modern research has since debunked these claims.

True allergic reactions to MSG are not possible, as it's not a protein. A small number of sensitive individuals may experience mild, temporary symptoms like headaches or flushing after consuming a very large dose.

In countries with labeling regulations, added MSG must be listed on the ingredient panel as "monosodium glutamate." However, some ingredients like yeast extract or hydrolyzed protein naturally contain glutamate.

References

  1. 1
  2. 2
  3. 3
  4. 4

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.