Nicostar 10 mg 20 Tablet

Prescription status:

Prescription required

Manufacturer Name: Lupin Limited

Drug classification: Potassium channel activators, Antianginal agent

What is this used for:

• Treatment of chronic stable angina pectoris
• Reduction in the risk of acute coronary syndromes

When to not take this medicine:

• Hypersensitivity or allergy towards Nicorandil
• Patients with shock, severe hypotension, or left ventricular dysfunction with low filling pressure or cardiac decompensation
• Hypovolaemia
• Acute pulmonary oedema

How should i take the medicine:

Take this medicine with an adequate amount of water as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

 Side effects

• Headache (common)
• Feeling dizzy or weak (common)
• Flushing of the skin (common)
• Mouth ulcers (common)
• Muscular pain (common)
• Stomach pain (common)
• Red and lumpy skin rash, swollen eyelids, face, lips, mouth or tongue (Rare)
• Difficulty breathing or swallowing (Unknown)
• Yellowing of skin or eyes (common)
• Increased or fast heart-beat (Rare)
• Blood in stools or vomit, due to ulcers in the stomach or gut (Rare)
• Ulcers of the genital tract (Rare)
• Ulcers in the nasal passages (Rare)

Pregnancy warning: 

Use of this medicine is not recommended for individuals who are pregnant or planning to become pregnant unless absolutely necessary as the safety and efficacy of this medicine is not well established. Inform your doctor about the use of either medicines. All the risks and benefits should be discussed with the doctor before taking this medicine.

Lactation warning:

Use of this medicine is not recommended for lactating and breastfeeding mothers unless absolutely necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative on the basis of creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative.

Drug interactions:

• Sildenafil-Major

Inform your doctor about the use of either medicine. When these medicines are taken or used together it may lead to a serious drop in blood pressure. Inform to the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Acetylsalicylic acid-Moderate 

Inform your doctor about the use of either medicine. When these medicines are taken or used together  there is an increased risk for severe complications such as gastrointestinal ulceration, perforation and hemorrhage. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Acetazolamide-Moderate

Inform your doctor about the use of either medicine. When these medicines are taken or used together Acetazolamide may increase the excretion rate of Nicorandil which could result in a lower serum level and potentially a reduction in efficacy. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Acyclovir-Moderate

Inform your doctor about the use of either medicine. When these medicines are taken or used together Acyclovir may decrease the excretion rate of Nicorandil which could result in a higher serum level. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Alprazolam-Minor 

Inform your doctor about the use of either medicine. When these medicines are taken or used together Alprazolam may decrease the excretion rate of Nicorandil which could result in a higher serum level. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

Alcohol interactions:

Consumption of alcohol is not recommended while receiving/taking this medicine as it may cause interactions and lead to serious adverse effects and may worsen the health condition.

Food interactions:

N/A.

Expert Advice: 

1. This medicine to be taken with food or immediately after food. Do not crush, chew, or break the tablet. Swallow it whole.
2. This medicine is to be taken at the same time of the day. Follow the missed dose instructions in case if you miss a dose.
3. Seek emergency medical help if you experience any of the side effects like Dizziness, Light-headedness, fainting, etc.
4. A sudden stoppage of this medicine may cause irregular heartbeat or blood pressure.
5. It is recommended to avoid driving or using heavy machinery immediately after consuming this medicine.

Missed dose instructions:

 Take this medicine as soon as you remember. However if it is almost the for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Over dose Instructions:

 Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

       1.   Store the medicine in a cool and dry place away from sunlight

       2.   Keep away from the reach of children

       3.   Discard the unused medicine safely after use

References:

1. Nicorandil 10mg Tablets - Summary of Product Characteristics (SmPC) - (emc) [Internet]. Medicines.org.uk. 2020 [cited 21 October 2020]. Available from: https://www.medicines.org.uk/emc/product/652/smpc#CONTRAINDICATIONS
2. Nicorandil | DrugBank Online [Internet]. Go.drugbank.com. 2020 [cited 21 October 2020]. Available from: https://go.drugbank.com/drugs/DB09220

For Queries/ Feedback/Complaints, Contact our customer care Executive at: Phone:1860-1234-1234, Email-support@medlife.com

Keep away from direct sunlight

Store in a dry place