Nicorandil (2mg)

Nicorandil (2mg) — Uses and Benefits

Nicorandil (2mg) is mainly used to treat and prevent angina, a type of chest pain that occurs when the heart muscle does not get enough oxygen-rich blood.

WHAT THIS MEDICINE IS USED FOR

• Long-term prevention of angina attacks
• Relief of chronic stable angina symptoms
• Add-on treatment when other angina medicines are not fully effective

HOW IT WORKS

• Opens potassium channels in blood vessel walls, causing them to relax and widen
• This widening improves blood and oxygen supply to the heart muscle
• It also reduces the pressure the heart has to pump against, lowering the heart's workload

WHAT IT IS NOT USED FOR

• It is not a painkiller for general body pain
• It does not treat sudden heart attacks once they have started
• It is not used for high blood pressure alone
• It is not a substitute for lifestyle changes like quitting smoking or controlling cholesterol

How to Use Nicorandil (2mg)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually twice a day
• Swallow the tablet with water; it can be taken with or without food
• Try to take it at the same times every day to maintain steady effect
• Do not stop suddenly without consulting your doctor, as this may worsen angina
• Continue taking it regularly even if you feel well, unless advised otherwise

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember
• If it is almost time for your next dose, skip the missed one and continue as usual
• Do not take a double dose to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep in the original packaging until ready to use
• Keep out of reach and sight of children
• Do not use beyond the expiry date printed on the pack

Nicorandil (2mg) — Side Effects

COMMON SIDE EFFECTS

• Headache, especially when starting treatment
• Dizziness
• Flushing (redness and warmth of face)
• Nausea
• Weakness

LESS COMMON SIDE EFFECTS

• Vomiting
• Palpitations (fast or irregular heartbeat)
• Low blood pressure
• Mouth ulcers

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Ulcers on skin, mouth, eyes, or gut that do not heal
• Severe abdominal pain with blood in stools
• Signs of severe allergic reaction such as swelling of face, lips, or throat, and difficulty breathing
• Sudden severe headache with vision changes
• Fainting or severe dizziness

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Nicorandil (2mg) — Safety Information and Precautions

This is a prescription-only medicine in India and should be used only under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to nicorandil or any ingredient in the tablet
• Have low blood pressure or are in cardiogenic shock
• Have fluid in the lungs (pulmonary oedema) with low filling pressures
• Are taking medicines for erectile dysfunction such as sildenafil or similar drugs

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have low blood volume or are dehydrated
• Have a history of stomach or intestinal ulcers
• Have heart failure or other heart conditions
• Are pregnant, planning pregnancy, or breastfeeding
• Are already taking blood pressure lowering medicines

MEDICINES THAT CAN INTERACT

• Medicines for erectile dysfunction (e.g., sildenafil, tadalafil) — can cause dangerous drop in blood pressure
• Other blood pressure lowering medicines
• Other vasodilators or nitrate medicines
• Certain painkillers if you have stomach ulcer risk

FREQUENTLY ASKED QUESTIONS

Can I take this medicine only when I have chest pain?

No, it is meant for regular, ongoing use to prevent angina, not just during an attack.

Will this medicine cure my heart disease completely?

No, it helps control symptoms and improve blood flow, but does not cure the underlying artery disease.

Can I drink alcohol while taking this medicine?

• Alcohol may increase dizziness and low blood pressure, so it is best to limit or avoid it and check with your doctor.
• Doctor ya pharmacist se salah lein.