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04 Jul 2019 | 12:45 PM (IST)
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Nicorex 20 mg Tablet

Prescription Required

Overview

Introduction of Nicorex Tablet

Nicorex 20 mg Tablet is a medicine used in the management of angina (heart-related chest pain) caused due to narrowing of blood vessels of the heart. It is only useful in preventing an episode of angina and does not work well once the chest pain has already started. It reduces the workload of the heart and risk of future heart attack. This medicine should be used along with lifestyle changes like healthy diet, regular exercise, and smoking cessation for best results. It is generally used in patients who remain symptomatic despite treatment with other medicines or cannot tolerate them. It should not be stopped abruptly. Dizziness and headache may be seen as side effects initially, which improve with time.

Uses of Nicorex Tablet

Nicorex Tablet side effects

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

How to use Nicorex Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nicorex 20 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Nicorex Tablet works

Nicorex 20 mg Tablet 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. This reduces the frequency and severity of angina attacks.

Nicorex Tablet related warnings

Alcohol
Interaction with alcohol is unknown. Please consult your doctor.
Pregnancy
WEIGH RISKS VS BENEFITS
Nicorex 20 mg Tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the fetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Lactation
No information is available on the use of Nicorex 20 mg Tablet during lactation. Please consult your doctor.
Driving
Nicorex 20 mg Tablet may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.
Kidney
Nicorex 20 mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Nicorex 20 mg Tablet may not be needed in these patients. Please consult your doctor.
Liver
Nicorex 20 mg Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Nicorex 20 mg Tablet may not be needed in these patients. Please consult your doctor.

What if you miss a dose of Nicorex Tablet?

If you miss a dose of Nicorex 20 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
No alternate brands found for this medicine

Expert Advice

  • You must continue to take it as advised, usually for a long time.
  • Nicorex 20 mg Tablet may cause headaches. Drink plenty of water and take a suitable painkiller. Inform your doctor if it does not go away.
  • Nicorex 20 mg Tablet may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
  • Do not consume alcohol while taking Nicorex 20 mg Tablet as that may cause increased dizziness.
  • Do not take Nicorex 20 mg Tablet in combination with medicines that are used to treat erectile dysfunction (eg. sildenafil) or high blood pressure as that can cause a major drop in blood pressure.
  • Inform your doctor if you notice any sign of ulceration such as bleeding from the back passage, blood in vomit or black stools.

Interaction with Drugs

Taking Nicorex with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Suvida Force
LIFE-THREATENING
Brand(s): Joy On, One Up, Yuvagra
LIFE-THREATENING

Patient Concerns

Questions Related to Nicorex

arrow
What is the use of this tablet
Dr. Khoobsurat Najma
Ask A Chemist
It contains Ivabradine is a used to treat symptomatic stable angina pectoris (chest pain), chronic heart failure. It can be used in combination with standard therapy, including beta-blocker therapy or when beta-blockers are contraindicated or not tolerated.
What is heart attack? When heart attack coming?
Dr. Nabajit Talukdar
Heart Specialist
Related to chest pain angina commonly
arrow
Do you have any questions related to Nicorex 20 mg Tablet?

FAQs

Q. What class of drug is Nicorex and what is it used for?

Nicorex belongs to a class of medicines known as “potassium channel openers”. It helps in the removal of potassium from the walls of arteries resulting in 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 stable angina (chest pain) who cannot take other medicines (beta blockers, calcium channel antagonist) meant for angina.

Q. Can I stop taking Nicorex?

No, you should not stop taking Nicorex without speaking to your doctor first. If you stop Nicorex suddenly, your anginal pain may recur. Talk to your doctor if you are experiencing any side effects.

Q. How long does it take Nicorex to start working?

Nicorex starts working after about an hour, but full benefits may be seen only after 4 to 5 days.

Q. For how long do I need to continue Nicorex?

Continue taking your medicine for as long as your doctor tells you. Nicorex is generally prescribed for a long term. You may even need to take it for the rest of your life.

Q. What if somebody accidentally takes excess of Nicorex?

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.

Q. Can I take Nicorex if I am taking aspirin?

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

Q. Who should not use Nicorex?

People who are allergic to Nicorex 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 Nicorex. Additionally, patients taking medicines to treat erectile dysfunction (such as sildenafil, tadalafil, and vardenafil) or medicines to treat “pulmonary hypertension (such as riociguat) should not use the medication. Your blood pressure may be affected if these medicines are taken with Nicorex or if you have low blood volume.

Q. Can Nicorex affect my sex life?

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

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Disclaimer: 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 all possible side effects, drug interactions or warnings or alerts. 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.
References
  1. 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.
  2. 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.
  3. Nicorandil. Guildford, Surrey: SANOFI; 2009 [revised 16 Mar. 2018]. [Accessed 25 Jan. 2019] (online) Available from:External Link
  4. Nicorandil. Coimbra, Portugal: Bluepharma Indústria Farmacêutica, S.A; 2014. [Accessed 19 Mar. 2019] (online) Available from:External Link
  5. Nicorandil. Macquarie Park, New South Wales: Sanofi-Aventis Australia Pty Ltd.; 2017. [Accessed 18 Jun. 2019] (online) Available from:External Link
  6. Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:External Link
  7. National Health Service. Nicorandil; 2019. [Accessed 18 Jun. 2019] (online) Available from:External Link
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