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Nikoran OD 20 Tablet is used to treat angina pectoris (heart-related chest pain). It contains Nicorandil which works by widening blood vessels and reducing the heart's workload by making it easier for the heart to pump blood around the body. In some cases, this medicine may cause side effects such as headache, nausea, vomiting, dizziness, and weakness. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

NICORANDIL-20MG

Manufacturer/Marketer :

Torrent Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Nikoran OD 20 Tablet

Nikoran OD 20 Tablet is a prescription medication used to prevent and manage chest pain, also known as angina. It belongs to a group of medicines that help widen blood vessels, making it easier for blood and oxygen to reach your heart. This medicine is typically prescribed for long-term protection rather than relieving sudden, sharp chest pain.

For the best results, you should take Nikoran OD 20 Tablet consistently at the same times every day as directed by your doctor. You can take this tablet with or without food, swallowing it whole with a glass of water. Combining this medication with heart-healthy lifestyle habits, such as eating a low-salt diet and staying gently active, can significantly improve your treatment outcomes.

While taking Nikoran OD 20 Tablet , some people may experience mild side effects like headaches, especially when first starting the treatment. However, you must contact your doctor immediately if you experience severe dizziness, fainting, or painful ulcers in your mouth, stomach, or skin.

Before starting Nikoran OD 20 Tablet , tell your doctor if you have low blood pressure, heart failure, or potassium imbalances. Do not take this if you have recently had a heart attack, are in cardiogenic shock, or have been diagnosed with severe low blood volume.

This medication can interact dangerously with alcohol, causing your blood pressure to drop too low, and smoking can decrease its overall effectiveness. Pregnant women, breastfeeding mothers, and elderly patients should consult their healthcare provider before using Nikoran OD 20 Tablet to ensure it is completely safe for them.

Uses of Nikoran OD 20 Tablet

Nikoran OD 20 Tablet is used to prevent and manage angina by improving blood flow to the heart and reducing the workload on the heart muscle. Its uses include:

  • Angina Pectoris (Chest Pain): Nikoran OD 20 Tablet helps by preventing long-term chest pain attacks caused by reduced blood flow to the heart muscle. It relaxes the coronary arteries to ensure your heart gets enough oxygen during daily activities.
  • Chronic Heart Disease Management: Nikoran OD 20 Tablet helps manage chronic stable angina in patients who cannot take other heart medications like beta-blockers or calcium channel blockers, providing an alternative pathway to keep the heart functioning comfortably.

Key Benefits

Nikoran OD 20 Tablet offers significant relief for individuals living with chronic chest pain, helping them return to their daily routines with confidence. By keeping your blood vessels open, it prevents the sudden, squeezing chest pain that can interrupt your life.

Some key benefits include:

  • Increased Physical Tolerance: It allows you to walk, climb stairs, and engage in mild exercise without experiencing sudden chest tightness or breathlessness.
  • Reduced Frequency of Attacks: With regular use, the number of angina episodes decreases, reducing your reliance on emergency rescue medications.
  • Consistent Heart Protection: It provides round-the-clock support to your cardiovascular system, ensuring your heart muscle is not starved of vital oxygen.
Side effects of Nikoran OD 20 Tablet
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Drink a lot of water to control diarrhoea and prevent dehydration.
  • Avoid spicy, fatty, or high-fiber foods that may irritate the colon.
  • Reduce stress through methods such as deep breathing or meditation.
  • Include probiotics or supplements containing live bacteria to maintain the health of the gut.
  • Quit smoking since smoking makes colitis symptoms worse.
  • See your doctor right away if you experience extreme inflammation, bleeding stools, or abdominal pain.
Here are the step-by-step strategies to manage the side effects of " Muscle Pain" caused by medication usage:
  • Report to Your Doctor: Inform your doctor about the muscle pain, as they may need to adjust your medication.
  • Stretch Regularly: Gentle stretching can help relieve muscle pain and stiffness.
  • Stay Hydrated: Adequate water intake supports muscle health by removing harmful substances and maintaining proper muscle function.
  • Warm or Cold Compresses: Apply cold or warm compresses to the affected area to reduce pain and inflammation.
  • Rest and Relaxation: Adequate rest helps alleviate muscle strain, while relaxation techniques like deep breathing and meditation can soothe muscle tightness, calm the mind, and promote relief from discomfort.
  • Gentle Exercise: Participate in low-impact activities, such as yoga or short walks, to improve flexibility, reduce muscle tension, and alleviate discomfort.
  • Consult a physician: If your symptoms don't improve or get worse, go to the doctor for help and guidance.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.

Directions for Use

  • Nikoran OD 20 Tablet can be taken with or without food as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow Nikoran OD 20 Tablet as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Nikoran OD 20 Tablet Works

Nikoran OD 20 Tablet contains nicorandil, which works through a unique dual action to relieve strain on your heart. First, it acts as a potassium-channel opener. This action relaxes the tiny muscles in your peripheral arteries, causing them to widen. This lowers the overall resistance your heart has to pump against, reducing its workload. Second, Nikoran OD 20 Tablet has a nitrate-like action that specifically dilates the larger veins and coronary arteries. This increases the direct flow of oxygen-rich blood straight to the heart muscle. By combining these two actions, the medication effectively balances the supply and demand of oxygen in your heart, helping prevent chest pain.
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Alcohol

Unsafe

You are recommended to avoid consumption of alcohol with Nikoran OD 20 Tablet as it may cause severely low blood pressure.

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Pregnancy

Unsafe

Nikoran OD 20 Tablet is not recommended for pregnant women as it may harm the foetus. Please consult a doctor if you are pregnant.

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Breast Feeding

Unsafe

Nikoran OD 20 Tablet is not recommended in breastfeeding women. Please consult a doctor if you are breastfeeding.

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Driving

Unsafe

Nikoran OD 20 Tablet may cause dizziness or weakness in some people. Therefore, avoid driving if you feel dizzy or weak after taking Nikoran OD 20 Tablet .

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Liver

Caution

Take Nikoran OD 20 Tablet with caution, especially if you have a history of liver disease. The dose may be adjusted by your doctor as required.

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Kidney

Caution

Take Nikoran OD 20 Tablet with caution, especially if you have a history of kidney disease. The dose may be adjusted by your doctor as required.

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Children

Unsafe

Nikoran OD 20 Tablet is not recommended for children as the safety and effectiveness were not established.

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Heart

Safe if prescribed

Nikoran OD 20 Tablet is safe for use in heart patients if recommended by the physician.

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Geriatrics

Safe if prescribed

Nikoran OD 20 Tablet is generally safe for use in elderly patients if recommended by the physician.

What if I have taken an overdose of Nikoran OD 20 Tablet

If you suspect an overdose, or if you accidentally take too many tablets, seek immediate medical attention or visit the nearest emergency room. Symptoms of an overdose may include extreme dizziness, a rapid heartbeat, and severe weakness caused by a sudden drop in blood pressure.

Diet & Lifestyle Advise

  • Adopt a heart-healthy diet: Focus on meals rich in soluble fibre, fresh vegetables, and lean proteins while minimising saturated fats and sodium to help control blood pressure.
  • Limit alcohol consumption: Avoid alcohol while taking Nikoran OD 20 Tablet , as combining the two can lead to a dangerous drop in blood pressure, causing severe dizziness or fainting.
  • Avoid sudden movements: Stand up slowly from a sitting or lying position to prevent a sudden head rush or dizzy spell.
  • Quit smoking: Nicotine constricts blood vessels and directly counteracts the widening effect of this medication, making your treatment less effective.
  • Maintain gentle, regular activity: Engage in low-impact exercises like walking or swimming only after consulting your doctor to establish a safe activity threshold.
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How Soon It Starts Working

The time required for Nikoran OD 20 Tablet to start to work: The exact onset time of Nikoran OD 20 Tablet has not been clinically established. 

The time for which the effects of Nikoran OD 20 Tablet last: The duration of action for Nikoran OD 20 Tablet effect is clinically not established.

What if you forget to take Nikoran OD 20 Tablet

If you miss a dose of Nikoran OD 20 Tablet , take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not take a double dose to make up for a forgotten tablet.

Storage

• Nikoran OD 20 Tablet tablets are highly sensitive to moisture. Keep the tablets in their original blister packaging until you are ready to take them; do not transfer them to pill organisers or weekly pillboxes.
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Keep Refrigerated. Do not freeze.Prepaid payment required.

Drug Warnings

  • Check your tablets: Always inspect your tablets before taking them; do not use them if the packaging is damaged, torn, or shows signs of moisture exposure.
  • Do not use for sudden attacks: Remember that Nikoran OD 20 Tablet is a preventative medication. It will not stop an ongoing, acute angina attack; always keep your fast-acting rescue medication (such as a nitroglycerin spray or sublingual tablet) nearby.
  • Watch for unusual sores: Inform your doctor immediately if you notice any persistent, painful sores or ulcers inside your mouth, on your skin, or in your gut, as these require prompt medical evaluation.
  • Avoid driving initially: Do not drive, operate heavy machinery, or perform tasks requiring sharp focus until you know how this medicine affects your coordination and alertness.
  • Monitor your blood pressure: Keep a regular log of your blood pressure readings at home to share with your healthcare provider during follow-up visits.

Drug-Drug Interactions

verifiedApollotooltip

Certain medicines may interact with Nikoran OD 20 Tablet and increase the risk of severe low blood pressure, ulcers, or other side effects. Important interactions include:

  • Erectile dysfunction medications (like sildenafil, tadalafil, or vardenafil): Do not take these with Nikoran OD 20 Tablet , as the combination can cause a life-threatening drop in blood pressure.
  • Blood pressure-lowering drugs: Taking other heart medications or antidepressants alongside this medicine can increase the risk of severe dizziness or fainting.
  • Aspirin and NSAIDs (painkillers): Combining these can significantly increase your risk of developing severe stomach or intestinal ulcers.
  • Steroids: May increase the risk of gastrointestinal ulcers and water retention when taken together.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip

Certain foods and drinks may interact with Nikoran OD 20 Tablet or increase the risk of side effects during treatment. Important interactions include:

  • Alcohol: Avoid drinking alcohol while on this medication, as it amplifies the blood vessel-widening effect, leading to dangerously low blood pressure.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[VASODILATORS]

FAQs

Nikoran OD 20 Tablet is used to prevent or treat angina pectoris (heart-related chest pain) in adults who cannot take beta-blockers (blood pressure-lowering pills).
Nikoran OD 20 Tablet contains Nicorandil that works by relaxing and widening blood vessels. Thereby, Nikoran OD 20 Tablet reduces the workload of the heart by making it easier for heart to pump blood around the body and does not require much oxygen. Also, Nikoran OD 20 Tablet helps to prevent angina by increasing oxygen and blood supply to the heart muscle by widening coronary arteries within the heart.
Nikoran OD 20 Tablet may cause headache as a common side effect especially in the first few days of treatment. However, if the condition persist or worsens, please consult a doctor so that the dose may be reduced initially.
Nikoran OD 20 Tablet is not recommended for patients with severe hypotension (low blood pressure) as it may increase the risk of worsening the condition. Therefore, inform your doctor if you have low blood pressure before taking Nikoran OD 20 Tablet .
You are not recommended to take aspirin (pain reliever) with Nikoran OD 20 Tablet as co-administration of these two medicines may increase the risk of ulcers or other adverse effects. However, please consult a doctor before taking other medicines with Nikoran OD 20 Tablet .
You are recommended to avoid taking Nikoran OD 20 Tablet if you have hypotension (severe low blood pressure), low blood volume, pulmonary oedema (accumulation of fluid in the lungs) or any heart problems such as left ventricular failure with low filling pressure, cardiac decompensation or cardiogenic shock.
You are not recommended to take more than the prescribed dose of Nikoran OD 20 Tablet as it may cause Nikoran OD 20 Tablet overdose resulting in symptoms such as weakness, dizziness (signs of low blood pressure), fast or irregular heartbeat. However, if you experience any of these symptoms while taking Nikoran OD 20 Tablet , please consult a doctor immediately.
No, Nikoran OD 20 Tablet is a long-term preventative medicine and will not stop an active, sudden angina attack. You must use your fast-acting rescue medication, such as a nitroglycerin spray or tablet, for immediate relief. Talk to your doctor if your chest pain is frequent or worsening.
No, you should swallow the tablet whole with a glass of water. Crushing or chewing the tablet can alter how the medicine is absorbed into your bloodstream and may reduce its effectiveness. If you have trouble swallowing tablets, talk to your doctor or pharmacist.
No, you should avoid alcohol while taking this medicine. Alcohol increases the blood vessel-widening effects of the drug, which can cause your blood pressure to drop dangerously low, resulting in severe dizziness or fainting. Talk to your doctor if you have concerns.
If you notice painful ulcers or sores developing in your mouth, on your skin, or in your genital area, contact your doctor immediately. This is a recognised serious side effect that requires medical evaluation, and your doctor may need to stop your treatment.
No, you must never take sildenafil, tadalafil, or other erectile dysfunction drugs while taking Nikoran OD 20 Tablet . Combining these medications can cause a sudden, severe, and potentially life-threatening drop in blood pressure. Talk to your doctor to discuss safe alternative options.
There is limited safety data regarding the use of this medicine during pregnancy or breastfeeding. It is generally not recommended unless deemed absolutely necessary by your healthcare provider. Talk to your doctor or pharmacist to weigh the potential risks and benefits.
Since this medication is prescribed to prevent chronic chest pain, you will likely need to take it long-term. Do not stop taking it suddenly without consulting your healthcare provider, even if your symptoms improve, as your chest pain may return. Talk to your doctor about your treatment duration.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
Other Info - NIK0006
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