Carginil 48mg Injection

Nicorandil (48mg)

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Authenticity Assured

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required

Cold stored

Stored between 2-8°C

Carginil 48mg Injection is a medicine used to prevent and treat heart-related chest pain (angina). It is usually prescribed when other heart medicines are not suitable or have not worked. It reduces the risk of an angina attack by widening blood vessels and improving blood flow to the heart.

Written By Dr. Anuj Saini, MMST, MBBS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 21 Sep 2025 | 05:27 PM (IST)

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General Information

Contains

Nicorandil (48mg)

Marketer

Celon Laboratories Ltd

Storage

Store in a refrigerator (2 - 8°C). Do not freeze.

The content is shown in English

Product introduction

Carginil 48mg Injection is administered under the supervision of a healthcare professional and should not be self administered. Your doctor will decide the dose and how often you should take them. Your doctor is likely to prescribe you oral medicines after the treatment with this medicine. You can improve the health of your heart by making some lifestyle changes such as quitting smoking, cutting down on alcohol, eating well, taking exercising regularly and managing stress.

The most common side effect of this medicine is headache, especially during the first few days of treatment. You can reduce this by drinking plenty of fluids and avoiding alcohol, but it usually goes after a week. Other common side effects include ulcer, feeling dizzy or weak, nausea and vomiting, palpitation, and flushing (sense of warmth in the face, ears, neck and trunk). Talk to your doctor if these bother you or do not go away.

Carginil 48mg Injection is not suitable for some people. Tell your doctor if you have low blood pressure, a problem with fluid in your lungs or kidney problems. Also let your healthcare team know all other medications you are using as some may affect, or be affected by this medicine. You should not take any medicines for erectile dysfunction with this medicine. This medicine is not usually recommended during pregnancy or breastfeeding. Drinking alcohol can increase the blood pressure-lowering effect of Carginil 48mg Injection. Your doctor may ask you to avoid salt substitutes.

Uses of Carginil Injection

Benefits of Carginil Injection

Treatment of Angina (heart-related chest pain)
Carginil 48mg Injection helps in prevention as well as treatment of angina. Angina is chest pain that is usually caused by the narrowing of the blood vessels which supply your heart. This means your heart does not get enough oxygen. Carginil 48mg Injection relaxes and widens the blood vessels so more blood (and oxygen) gets to your heart. This reduces the pain and discomfort that angina causes thereby improving your ability to exercise and go about your daily life more easily. This medicine needs to be taken regularly to be effective so keep taking it even if you are not having any angina symptoms.

Side effects of Carginil Injection

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Carginil

Headache
Ulcer
Dizziness
Weakness
Nausea
Vomiting
Palpitations
Flushing (sense of warmth in the face, ears, neck and trunk)

How to use Carginil Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Carginil Injection works

Carginil 48mg Injection is a vasodilator. It works by reducing the workload of the heart. As a result, heart muscle does not need as much blood and oxygen supply. It also relaxes coronary artery (that carries blood to heart). This reduces the frequency and severity of angina attacks.

All substitutes for Carginil 48mg Injection

For information purposes only. Consult a doctor before taking any medicine.

Quick tips

You must continue to take it as advised, usually for a long time.
Carginil 48mg Injection may cause headaches. Drink plenty of water and take a suitable painkiller. Inform your doctor if it does not go away.
Carginil 48mg Injection may cause dizziness or sleepiness. Do not drive or do anything which requires concentration until you know how it affects you.
Do not consume alcohol while taking Carginil 48mg Injection as that may cause increased dizziness.
Do not take medications like sildenafil or tadalafil (prescribed for erectile dysfunction) while on treatment with Carginil 48mg Injection as it may cause low blood pressure.
Inform your doctor if you notice any bleeding from the anal passage, blood in vomit or black stools.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Carginil 48mg Injection.

Pregnancy

CONSULT YOUR DOCTOR

Carginil 48mg Injection may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Information regarding the use of Carginil 48mg Injection during breastfeeding is not available. Please consult your doctor.

Driving

UNSAFE

Carginil 48mg Injection may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Carginil 48mg Injection should be used with caution in patients with severe kidney disease. Dose adjustment of Carginil 48mg Injection may be needed. Please consult your doctor.

Liver

CAUTION

Carginil 48mg Injection should be used with caution in patients with severe liver disease. Dose adjustment of Carginil 48mg Injection may be needed. Please consult your doctor.

Interaction with drugs

Taking Carginil with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Severe

Sildenafil (Oral Route)

Do not consume Sildenafil with Nicorandil.

Severe

Tadalafil (Oral Route)

Do not consume Tadalafil with Nicorandil.

Severe

Vardenafil (Oral Route)

Do not consume Vardenafil with Nicorandil.

Severe

Sildenafil (Oral Route)

Do not consume Sildenafil with Nicorandil.

Severe

Sildenafil (Injection Route)

Do not consume Sildenafil with Nicorandil.

Frequently asked questions

What is Carginil 48mg Injection and what is it used for?

Carginil 48mg Injection belongs to a class of medicines known as potassium channel openers. It causes widening of the arteries. This decreases the workload of the heart to pump the blood. It also improves the blood and oxygen supply to your heart muscle. It is prescribed to patients of unstable angina (heart-related chest pain) who cannot take other medicines (beta blockers, calcium channel antagonist) meant for angina.

How long does it take Carginil 48mg Injection to start working?

Carginil 48mg Injection starts working after about an hour of taking the medicine, but full benefits may be seen only after 4 to 5 days.

What if somebody accidentally takes excess of Carginil 48mg Injection?

He or she should be taken to the hospital immediately. The person may experience signs of low blood pressure, which include feeling weak or dizzy. He or she may also experience irregular or fast heart beat.

Can I take Carginil 48mg Injection if I am taking aspirin?

You should avoid taking Carginil 48mg Injection and aspirin together. Taking these two medicines together increases the risk of ulcer or bleeding in the mouth, stomach or intestine. Immediately consult your doctor, If you notice blood in your stool or vomit while using Carginil 48mg Injection.

Who should not use Carginil 48mg Injection?

People who are allergic to Carginil 48mg Injection or any of its ingredients should avoid using this medicine. Also, patients who have heart problems such as cardiogenic shock or left ventricular failure with low filling pressure or cardiac decompensation or have a build-up of fluid in the lungs (pulmonary edema) should not use Carginil 48mg Injection. Additionally, patients taking medicines to treat erectile dysfunction (e.g., sildenafil, tadalafil, and vardenafil) or medicines to treat pulmonary hypertension (e.g., riociguat) should not use the medication. Your blood pressure may be affected if these medicines are taken with Carginil 48mg Injection or if you have low blood volume.

Can Carginil 48mg Injection affect my sex life?

No, Carginil 48mg Injection does not affect your sex life. However, it is not recommended to take medicines used to treat erectile dysfunction (e.g., sildenafil or tadalafil) or premature ejaculation (e.g., vardenafil or dapoxetine) while taking Carginil 48mg Injection. Taking them together can lead to a serious drop in your blood pressure.

Fact Box

Chemical Class

Nicotinamides Derivatives

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Potassium Channel Openers (KCOs)

Related lab tests

Kidney Function Test

References

Opie LH, Horowitz JD. Nitrates and Newer Antianginals β-Blocking Agents. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. p. 57.
Katzung BG, Chatterjee K. Vasodilator & the Treatment of Angina Pectoris. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 198.
Central Drugs Standard Control Organisation (CDSCO). Nicorandil. [Accessed 19 Mar. 2019] (online) Available from:
Nicorandil [Patient Information Sheet]. Ahmedabad, Gujarat: Torrent Pharmaceuticals Ltd.; 2014. [Accessed 25 Jul. 2023] (online) Available from:

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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Celon Laboratories Ltd
Address: Plot No 264, Patrika Nagar Madhapur, Hitech City Hyderabad, Telangana India - 500081

Vendor Details

Country of origin: India

Lab tests offered by us

Why we need a prescription?

Carginil 48mg Injection

Save more with additional offers

General Information

Contains

Marketer

Storage

Product introduction

Uses of Carginil Injection

Benefits of Carginil Injection

Side effects of Carginil Injection

How to use Carginil Injection

How Carginil Injection works

All substitutes for Carginil 48mg Injection

Nikoran IV 48 Injection

Nicoduce 48mg Injection

Niconova I.V. 48 Injection

Protecor 48mg Injection

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Interaction with drugs

Sildenafil (Oral Route)

Tadalafil (Oral Route)

Vardenafil (Oral Route)

Sildenafil (Oral Route)

Sildenafil (Injection Route)

Frequently asked questions

What is Carginil 48mg Injection and what is it used for?

How long does it take Carginil 48mg Injection to start working?

What if somebody accidentally takes excess of Carginil 48mg Injection?

Can I take Carginil 48mg Injection if I am taking aspirin?

Who should not use Carginil 48mg Injection?

Can Carginil 48mg Injection affect my sex life?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

Related lab tests

Kidney Function Test

References

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

Lab tests offered by us

Related/Popular tests