| Information for
patients
|
| Drug Information |
The name of your medicine is Nicorandil Tablets
(called Nicorandil in this leaflet). Nicorandil contains
a medicine called nicorandil. This belongs
to a group of medicines called ‘potassium
channel activators’.
It works by increasing the blood flow
through the blood vessels of the heart
Nicorandil is used to stop and treat long-term
chest pain (angina). |
| Drug Alert |
| Alert |
You are allergic (hypersensitive) to
nicorandil or any of the other
ingredients of Nicorandil (listed in Section 6
below)
Signs of an allergic reaction include: a
rash, swallowing or breathing problems,
swelling of your lips, face, throat or
tongue
You have low blood pressure (signs
include feeling dizzy, light-headed or
faint)
You have a heart problem where it is
damaged and cannot pump enough
blood around the body
You have heart failure (signs include
shortness of breath, swollen ankles and
legs, and feeling tired)
Do not take this medicine if any of the
above apply to you. If you are not sure,
talk to your doctor or pharmacist before
taking Nicorandil. |
| Before Consuming
the Medicine
|
| Avoid Drug |
You are allergic (hypersensitive) to
nicorandil or any of the other
ingredients of Nicorandil (listed in Section 6
below)
Signs of an allergic reaction include: a
rash, swallowing or breathing problems,
swelling of your lips, face, throat or
tongue
You have low blood pressure (signs
include feeling dizzy, light-headed or
faint)
You have a heart problem where it is
damaged and cannot pump enough
blood around the body
You have heart failure (signs include
shortness of breath, swollen ankles and
legs, and feeling tired)
Do not take this medicine if any of the
above apply to you. If you are not sure,
talk to your doctor or pharmacist before
taking Nicorandil. |
| Drug Special Care |
Check with your doctor or pharmacist
before taking your medicine if:
? You have been told by your doctor that
you have a low blood volume or low
systolic blood pressure
? You have recently had a heart attack
? You have a build up of fluid in the
lungs (pulmonary oedema)
? You have mouth ulcers
If you are not sure if any of the above
apply to you, talk to your doctor or
pharmacist before taking Nicorandil. |
| Drug Drug Interactions |
Please tell your doctor or pharmacist if you
are taking or have recently taken any other
medicines. This includes medicines you buy
without a prescription, including herbal
medicines. This is because Nicorandil can affect
the way some other medicines work. Also
some medicines can affect the way Nicorandil works.In particular, do not take this medicine,
and tell your doctor if you are taking:
• Medicines for impotence such as
sildenafil, tadalafil or vardenafil
Tell your doctor if you are taking any of
the following:
• Medicines that widen the blood vessels
such as hydralazine, minoxidil or
nitroprusside (vasodilators)
• Medicines for high blood pressure
• Medicines for depression
• Medicines for inflammation (corticosteroids
such as prednisolone) |
| Drug Pregnancy Interaction |
Talk to your doctor before taking this
medicine if you are pregnant, might
become pregnant, or think you may be
pregnant |
| Drug Breast feeding Interaction |
You should not breast-feed if you are taking
Nicorandil. This is because small amounts may
pass into mothers’ milk. If you are breast-
feeding or planning to breast-feed, talk to
your doctor or pharmacist before taking any
medicine |
| Drug Machinery Interaction |
You may feel dizzy while taking this
medicine. If this happens, do not
drive or use any tools or machines. |
| Drug More Information |
Do not drink alcohol while you are taking
Nicorandil |
| How to take the
Medicine
|
| Consumption Info |
Always take Nicorandil exactly as your doctor
has told you. You should check with your
doctor or pharmacist if you are not sure.
You should not take the tablets, which are
included in the pack to protect Nicorandil
Tablets from moisture. If you do accidentally
take any of these tablets, they should do
you no harm, but you should tell you
doctor straight away. |
| Drug quanitty |
• The usual dose is 10mg or 20mg taken
in the morning and evening.
• Your doctor might increase this to 30mg
twice a day if necessary.
• If you have a tendency to get headaches,
your doctor may start you on a lower dose
of 5mg (half a 10mg tablet) twice a day.
Children
Nicorandil is not recommended in children. |
| Drug Dose |
• Take this medicine by mouth
• Swallow the tablets whole with a drink of
water. Do not crush or chew the tablets
• If you feel the effect of your medicine is
too weak or too strong, do not change
the dose yourself, but ask your
doctor |
| Excess Drug Consumption |
If you take more tablets than you should,
tell a doctor or go to a hospital casualty
department straight away. Take the
medicine pack with you. This is so the
doctor knows what you have taken. The
following effects may happen: you may feel
dizzy or weak or have difficulty in breathing
or wheezing |
| Forgot Drug Consumption |
If you forget a dose, take it as soon as you
remember it. However, if it is nearly time
for the next dose, skip the missed dose.
Do not take a double dose to make up for
a forgotten tablet |
| Stop Drug Consumption |
Keep taking Nicorandil until your doctor tells you
to stop. Do not stop taking Nicorandil because
you feel better. If you stop, your illness may
get worse or come back.
If you have any further questions on
the use of this product, ask your
doctor or pharmacist |
| Possible Side
Effects
|
| General Information |
• Red and lumpy skin rash, swollen eyelids,
face, lips, mouth or tongue, itching,
difficulty breathing or swallowing. This
could be an allergic reaction (angioedema). |
| Common Drug Side Effects |
• Increased or fast heart-beat
Rare
• Blood in your stools or vomit, due to
ulcers in the stomach or gut
• Ulcers of the back passage, bleeding from
the back passage
Very rare
• Ulcers of the genital tract
• Skin ulcers, possibly on the hands, legs,
or feet
• Ulcers in the nasal passages
• Ulcers around a stoma (in those with an
artificial opening for waste removal such
as a colostomy or ileostomy) |
| Rare Drug Side Effects |
• Feeling dizzy, lightheaded or fainting (due
to low blood pressure)
• Mouth ulcers
• Pain in your muscles
Rare (affects less than 1 in 1000 people)
• Skin rashes
Very Rare (affects less than 1 in 10,000
people)
• Stomach pain
Talk to your doctor or pharmacist if any of
the side effects gets serious or lasts longer
than a few days, or if you notice any side
effects not listed in this leaflet. |
| Very Rare Drug Side Effects |
• Yellowing of your skin or eyes (which
may be signs of liver problems) |
| Drug Side Effects Symptoms |
• Headache. These are more common when
you first start taking Nicorandil
Common (affects less than 1 in 10 people)
• Feeling dizzy or weak
• Feeling sick or being sick
• Flushing of the skin |
| How to Store the
Medicine
|
| How to Store the Medicine |
Keep this medicine in a safe place where
children cannot see or reach it.
Do not use Nicorandil after the expiry date which
is stated on the carton after ‘EXP’.
The expiry date refers to the last day of that
month.
Do not store above 25°C. Keep the blister
strip in the outer carton in order to protect from moisture In particular, do not take this medicine, wastewater or household waste. Ask your
pharmacist how to dispose of medicines no
longer required. These measures will help to
protect the environment |
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