Medicine information
Uses & overview
Nicorandil is a prescription antianginal medicine used to help prevent episodes of chronic stable angina. Angina occurs when the heart muscle does not receive enough oxygen-rich blood, often causing chest discomfort during physical activity or emotional stress. Nicorandil works through two main mechanisms: it activates potassium channels in vascular smooth muscle and has nitrate-like effects. These actions help relax and widen blood vessels, improving blood flow and reducing the workload on the heart. Doctors may prescribe Nicorandil to adults with chronic stable angina when other medicines are insufficient or unsuitable. Nicorandil is intended for ongoing angina management and is not a substitute for emergency treatment of sudden or severe chest pain. Patients should follow their prescribed treatment plan and maintain recommended lifestyle measures, including a heart-healthy diet, appropriate physical activity, and smoking cessation where applicable.
How to use
Follow the prescribed dosage: Take the exact strength and dose recommended by your healthcare professional. Your doctor may adjust the dose according to your symptoms, blood pressure, and response to treatment. Take it regularly: Nicorandil is commonly prescribed twice daily. Follow your prescription and take each dose at the recommended time. Follow food instructions: Take Nicorandil consistently according to your doctor's instructions and the product leaflet. Swallow the tablet properly: Take the tablet with water. Do not crush or split it unless your pharmacist confirms that this is appropriate for your particular formulation. Manage missed doses carefully: If you miss a dose, follow the patient leaflet or ask your pharmacist for advice. Do not take a double dose to compensate. Avoid interacting medicines: Do not combine Nicorandil with sildenafil, tadalafil, vardenafil, or other medicines for erectile dysfunction unless a specialist provides specific medical advice. The combination can cause dangerously low blood pressure. Monitor side effects: Headache and dizziness may occur, particularly when treatment begins. Contact your doctor if symptoms persist or become troublesome. Report ulcers promptly: Nicorandil can cause serious ulcers in the mouth, digestive tract, or skin. Seek medical advice promptly if you notice persistent sores, bleeding, or abdominal pain. Attend follow-up appointments: Your doctor may monitor your symptoms, blood pressure, and overall response to treatment.
Storage
Store in cool and dry place
