Nikoran 5 Mg Tablet 20

Nikoran 5 Tablet 20

Torrent Pharmaceuticals Ltd.

Bottle of 20 Units

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MRP ~~₹437~~

₹358.34

₹21.85/Units

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Composition

Nicorandil (5 Mg)

Strength:

5 MG 10 MG

Nikoran-5 Tablet is primarily used for the management of stable angina pectoris, a type of chest pain associated with the heart. This medicine belongs to a class of medications known as potassium channel openers.

Besides its main use, this medicine is also beneficial in managing angina symptoms in patients who are intolerant or have not responded adequately to other anti-anginal medicines. It's often prescribed when other heart medicines have not effectively managed chest pain symptoms.

Before starting this medicine, it's important to consult your doctor about your dosage and frequency. The doctor needs to be informed about any pre-existing conditions or ongoing medication you are taking. If you notice any side effects after taking this medicine, notify your doctor immediately. Remember, for optimal results, continue taking the medicine for the duration prescribed by your doctor.

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Nikoran-5 Tablet is used for the following:

Preventing stable angina pectoris: This medicine helps to prevent episodes of chest pain associated with heart disease.
Managing stable angina pectoris: It helps in managing recurring chest pain due to restricted blood flow to the heart.
Alternative for patients intolerant of other anti-anginal medications: It serves as an alternative for patients who cannot tolerate or have not responded well to other medicines used for managing angina.
Use in patients unsuitable for other heart medicines: Nikoran-5 Tablet is useful in patients whose conditions make it unsuitable for them to take other heart medications.

Directions for Use of Nikoran 5 Tablet 20

Follow these instructions while taking Nikoran-5 Tablet:

Do not take more than the dose recommended by your doctor.
It's crucial not to stop taking this medicine without consulting your doctor first.
Remember, it's important to keep up with your recommended diet and exercise plan while taking this medicine.

Nikoran-5 Tablet is taken orally.

Nikoran-5 Tablet might have the following side effects:

Headache
Dizziness
Weakness
Nausea
Flushing

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve upon discontinuing the use of Nikoran-5 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.

Here are some general guidelines for managing common side effects:

Headache: If you have a headache after taking Nikoran-5 Tablet, ensure you are properly hydrated and consider taking a suitable over-the-counter painkiller if necessary.
Nausea: Try taking Nikoran-5 Tablet with food to help lessen this effect.

Nikoran-5 Tablet contains nicorandil (5 mg), which acts on your body in the following ways:

Opens Potassium Channels: Nicorandil opens potassium channels in the cells of blood vessels. This action helps these cells relax.
Widens Blood Vessels: As the smooth muscle cells relax due to opened potassium channels, blood vessels widen or dilate.
Improves Blood Flow: The dilation of blood vessels leads to improved blood flow, particularly towards the heart muscle.
Reduces Heart Workload: By improving blood flow to the heart, nicorandil reduces the workload on your heart, which helps manage angina symptoms.

Pregnancy

Caution is advised while taking Nikoran-5 Tablet if you are pregnant. It is best to consult your doctor before taking this medicine.

Breastfeeding

It's recommended to consult your doctor before taking this medicine if you're nursing.

Alcohol

Avoid alcohol consumption while on Nikoran-5 Tablet, as it may exacerbate dizziness, an effect of the medicine.

Liver

Caution is advised when using Nikoran-5 Tablet if you have liver health issues. Consult your doctor to understand the potential risks and benefits.

Kidney

If you have a history of kidney problems, it's a good idea to consult your doctor before taking Nikoran-5 Tablet.

Using Machines & Driving

Nikoran-5 Tablet may cause dizziness or sleepiness, which can affect your ability to drive or operate machinery. Be careful until you know how this medicine affects you.

Allergy

This medicine is contraindicated if you are allergic to nicorandil or any other ingredients in Nikoran-5 Tablet. Make sure to discuss any allergies with your doctor before starting this medicine.

Children

Caution should be exercised when giving Nikoran-5 Tablet to children under 18 years of age. Always consult your doctor before giving any medicine to a child.

Older Patients

Older patients should take Nikoran-5 Tablet under medical supervision as they may be more susceptible to its side effects. Your doctor will guide you based on your health status.

Drug-Drug Interactions

Nikoran-5 Tablet may interact with the following medications:

Erectile Dysfunction Medicines: Nikoran-5 Tablet should not be taken with medicines such as sildenafil or tadalafil, as it may cause a steep decrease in blood pressure.
Beta-Blockers: Using Nikoran-5 Tablet alongside beta-blockers like atenolol, metoprolol, or propranolol can potentiate the antihypertensive effects, increasing the risk of hypotension.
ACE Inhibitors: Co-administration of Nikoran-5 Tablet with ACE inhibitors such as lisinopril, enalapril, or ramipril can enhance the blood pressure-lowering effects, raising the risk of significant hypotension.

Drug-Food Interactions

No specific food interactions have been identified for Nikoran-5 Tablet.

Drug-Disease Interactions

Nikoran-5 Tablet interacts with the following diseases:

Hypotension (Low Blood Pressure): Nikoran-5 Tablet should be used with caution in patients suffering from low blood pressure as it might further reduce it.
Allergies: Patients allergic to nicorandil or any other components of Nikoran-5 Tablet should avoid its use.

Daily Dose

The daily dose of Nikoran-5 Tablet should be as directed by your doctor. The dosage may vary based on individual factors like the severity of your condition and how well you respond to the medicine. It's crucial to stick to the prescribed dosage and not exceed it without consulting your doctor.

Over Dose

If you've accidentally taken more than the prescribed amount of Nikoran-5 Tablet, you might experience some overdose effects such as headaches or dizziness. Don't panic, but do inform your doctor about the situation.

Missed Dose

In case you've missed a dose of Nikoran-5 Tablet, take it as soon as you remember. But if it's nearly time for your next dose, skip the missed one and return to your regular schedule. Do not double your dosage without discussing it with your doctor first.

Keep Nikoran-5 Tablet in a cool, dry place.
Avoid storing it in direct sunlight or near heat sources.
Maintain the tablet in its original packaging until it's time to take it.
Always keep Nikoran-5 Tablet out of the reach of children.
Make sure you use the medicine before its expiry date.

Try to include more heart-friendly foods in your diet like fruits, vegetables, whole grains, and lean proteins, as Nikoran-5 Tablet is used to manage angina.
Regular light exercise can be beneficial. Walking for 30 minutes a day can help improve heart health. Always consult your doctor before starting any exercise routine.

Fact Box

Drug Category	Potassium Channel Opener
Therapeutic Category	Anti-Anginal
Available Dosage Types	Tablet
Habit Forming	No
Ailment	Angina Pectoris

What exactly does Nikoran-5 Tablet do?

Nikoran-5 Tablet is a medicine that widens your blood vessels, boosting blood flow to your heart, and easing chest pains linked to angina.

When will I start feeling better after starting Nikoran-5 Tablet?

Nikoran-5 Tablet may start working within an hour of taking it, but the full benefits can usually be felt after 4-5 days of regular use.

Can I stop taking Nikoran-5 Tablet if I feel better?

No, you should not stop taking Nikoran-5 Tablet without consulting your doctor as this may worsen your angina symptoms.

What should I do if I take more Nikoran-5 Tablets than prescribed?

In case of an overdose, seek immediate medical attention at the nearest hospital emergency department.

Is it safe to take Nikoran-5 Tablet during pregnancy or while breastfeeding?

It's important to consult your doctor before using this tablet during pregnancy or breastfeeding.

How long will I need to take Nikoran-5 Tablet for my angina?

The duration varies from person to person. Your doctor will advise you on how long you need to continue with the medication for managing your angina.

What are some common side effects of the Nikoran-5 Tablet?

Some common side effects include headaches, dizziness, weakness, nausea, and flushing. If these persist or worsen, please consult your doctor promptly.

Certified Content

Written by

Dr Nikita Lobo

Medical Editor & Reviewer | 7 years

BDS, MDS

Reviewed by

Dr. Chhavi Rosha

Health & Medical Content Writer | 8 years

BMS, FMC, MD Resident

Check out Editorial Policy

References

AUSTRALIAN PRODUCT INFORMATION – IKOREL (NICORANDIL). (2020). In Ikorel-ccdsv10-piv16-18sep20 (pp. 1–13). https://apps.medicines.org.au/files/swpikore.pdf
Nicorandil: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB09220
PubChem. (n.d.). Nicorandil. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Nicorandil
Zhang, Y., Wang, X., Liu, R., Li, Q., Tian, W., Lei, H., & Shi, C. (2021). The effectiveness and safety of nicorandil in the treatment of patients with microvascular angina. Medicine, 100(2), e23888. https://doi.org/10.1097/md.0000000000023888
Ahmed, L. (2019). Nicorandil: A drug with ongoing benefits and different mechanisms in various diseased conditions. Indian Journal of Pharmacology/the Indian Journal of Pharmacology, 51(5), 296. https://doi.org/10.4103/ijp.ijp_298_19

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