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04-20-2015, 04:23 PM

* Nicorandil is a nitrate derivative of nicotinamide and acts as a vasodilator.
* Reduce the risk of acute coronary events in high-risk patients.
* Use within 30 days of opening.
* Store below 30 degrees C, away from humidity.

Whether this medicine is suitable for you

Nicorandil is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.
Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
are in shock due to heart problems
have hypovolaemia
have low blood pressure
have or have had certain heart problems
have pulmonary oedema
have recently had a heart attack

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a child.
Over time it is possible that Nicorandil can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Nicorandil has become unsuitable, it is important that the prescriber is contacted immediately.

Alcohol can interact with certain medicines.
In the case of Nicorandil:

alcohol may increase the effects of this medicine

You should seek advice from your prescriber as to whether you may drink alcohol while taking this medicine.

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.
In the case of Nicorandil:

there are no specific foods that you must exclude from your diet when taking Nicorandil

Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.
In the case of Nicorandil:

this medicine could affect your ability to drive or operate machinery

You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.
Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.
In the case of Nicorandil:

you should only take this medicine during pregnancy if your doctor thinks that you need it

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.
If the decision is that you should not have Nicorandil, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.
In the case of Nicorandil:

it is not known whether this medicine passes into breast milk. taking Nicorandil is not recommended while breast-feeding

Before you have your baby you should discuss breast-feeding with your doctor or midwife. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed. You should not stop this medicine without taking advice from your doctor.
Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.
The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.
Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.
The following medicines may interact with Nicorandil:


The following types of medicine may interact with Nicorandil:

medicines that lower blood pressure
phosphodiesterase type-5 inhibitors
tricyclic antidepressants

If you are taking Nicorandil and one of the above medicines or types of medicines, make sure your prescriber knows about it.
Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.
If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Nicorandil.
Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.
If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.