Author Details
Written By
MDS, BDS
Reviewed By
MD (Pharmacology), MBBS
Last updated:
01 Jun 2020 | 06:26 PM (IST)
Want to know more?
Read Our Editorial Policy
Have issue with the content?
Report Problem

Nicostar OD 10 Tablet PR

Prescription Required
Manufacturer
SALT COMPOSITION
Storage
Store in a refrigerator (2 - 8°C). Do not freeze.
arrow
arrow

Overview

Introduction

Nicostar OD 10 Tablet PR 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.

Nicostar OD 10 Tablet PR may be taken with or without food. It should be swallowed whole with water at the same time(s) each day. Your doctor will decide the dose and how often you should take it. This may change from time to time depending on how well it is working. You should take this medicine regularly to get the maximum benefit, even if you feel fine. Doing so will help you prevent any further harm. If you stop taking it, your chest pain may come back. You can improve the health of your heart by making some lifestyle changes such as quitting smoking, cutting down on alcohol, eating well, 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 dizziness or weakness, nausea, 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.

It is not suitable for some people. Tell your doctor if you have low blood pressure or heart failure. Also let your doctor 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. Avoid drinking alcohol, as it can increase the blood pressure-lowering effect of this medicine. Your doctor may ask you to avoid salt substitutes.

Uses of Nicostar Tablet PR

Benefits of Nicostar Tablet PR

In Angina (heart-related chest pain)

Nicostar OD 10 Tablet PR helps in prevention as well as treatment of angina. Angina is a chest pain that is usually caused by narrowing of the blood vessels which supply your heart. This means your heart does not get enough oxygen. Nicostar OD 10 Tablet PR 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 Nicostar Tablet PR

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 Nicostar

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

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Weakness
    Make sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine.
  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Flushing (sense of warmth in the face, ears, neck and trunk)
    Sip cold or iced drinks. Try cutting down on coffee, tea and alcohol. It might help to keep the room cool and use a fan. You could also spray cool water on your face. Wear layers of light clothing that you can easily take off if you overheat. Breathe deeply and try to relax. Have a lukewarm shower or bath instead of a hot one. Avoid smoking and cut down on alcohol. The flushing should go away after a few days. If it does not go away or causes problems, contact your doctor. There may be medicines that can help.

How to use Nicostar Tablet PR

Use it as advised by your doctor or check the label for directions before use. Nicostar OD 10 Tablet PR may be taken with or without food, but it is better to take it at a fixed time.

How Nicostar Tablet PR works

Nicostar OD 10 Tablet PR 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.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Nicostar OD 10 Tablet PR.
Pregnancy
CONSULT YOUR DOCTOR
Nicostar OD 10 Tablet PR 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.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Nicostar OD 10 Tablet PR during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Nicostar OD 10 Tablet PR may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Nicostar OD 10 Tablet PR is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Nicostar OD 10 Tablet PR may not be needed in these patients. Please consult your doctor.
Liver
SAFE IF PRESCRIBED
Nicostar OD 10 Tablet PR is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Nicostar OD 10 Tablet PR may not be needed in these patients. Please consult your doctor.

What if you forget to take Nicostar Tablet PR?

If you miss a dose of Nicostar OD 10 Tablet PR, 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.
Nicostar OD 10 Tablet PR
₹19.13/Tablet PR
Nikoran OD 10 Tablet PR
Torrent Pharmaceuticals Ltd
₹26.12/Tablet PR
37% costlier

Quick Tips

  • You must continue to take it as advised, usually for a long time.
  • Nicostar OD 10 Tablet PR may cause headaches. Drink plenty of water and take a suitable painkiller. Inform your doctor if it does not go away.
  • Nicostar OD 10 Tablet PR 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 Nicostar OD 10 Tablet PR as that may cause increased dizziness.
  • Do not take medications like sildenafil or tadalafil (prescribed for erectile dysfunction) while on treatment with Nicostar OD 10 Tablet PR 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.

Fact Box

Chemical Class
Nicotinamides Derivatives
Habit Forming
No

Interaction with Drugs

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

Patient Concerns

arrow
What is heart attack? When heart attack coming?
Dr. Nabajit Talukdar
Cardiology
Related to chest pain angina commonly
Acidity and having pain in chest heart burn
Dr. Sunil Sekhri
Diabetology
Tab Rekool 40 1 Od empty stomach x 10 days
arrow
Do you have any questions related to Nicostar OD 10 Tablet PR ?

User Feedback


FAQs

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

Nicostar 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 (heart-related chest pain) who cannot take other medicines (beta blockers, calcium channel antagonist) meant for angina.

Q. Can I stop taking Nicostar?

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

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

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

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

Continue taking your medicine for as long as your doctor tells you. Nicostar 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 Nicostar?

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 Nicostar if I am taking aspirin?

You should avoid taking Nicostar and aspirin together. Taking the 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 Nicostar.

Q. Who should not use Nicostar?

People who are allergic to Nicostar 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 Nicostar. 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 Nicostar or if you have low blood volume.

Q. Can Nicostar affect my sex life?

No, Nicostar 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 Nicostar. Taking them together can lead to a serious drop in your blood pressure.

Related Products

Related Ayurvedic Ingredients

Want to share the information?

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

Manufacturer/Marketer Address

Lupin Ltd, 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
A licensed vendor partner from your nearest location will deliver Nicostar OD 10 Tablet PR. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
MRP191.3  Get 15% OFF
Best Price
₹162.6
Valid only on the orders above ₹500
10 Tablet pr in 1 strip
Add To Cart
Not returnable Read policy
Estimated delivery by Friday, Aug 7
The order should be placed with a valid prescription

Delivery time includes added precautions taken across warehouses for your safety
Delivering to
CHANGE
Additional offers
Paytm: Pay with Paytm and get cashback up to ₹500. Minimum cashback to be won is ₹50. Valid only for new Paytm customers with minimum order value of ₹1000 from 1st August to 31st August, 2020.
Show more show_more

INDIA’S LARGEST HEALTHCARE PLATFORM

150M+
Visitors
25M+
Orders Delivered
1000+
Cities
Get the link to download App
Reliable

All products displayed on 1mg are procured from verified and licensed pharmacies. All labs listed on the platform are accredited

Secure

1mg uses Secure Sockets Layer (SSL) 128-bit encryption and is Payment Card Industry Data Security Standard (PCI DSS) compliant

Affordable

Find affordable medicine substitutes, save up to 50% on health products, up to 80% off on lab tests and free doctor consultations.

India's only LegitScript and ISO/IEC 27001 certified online healthcare platform
Know More About 1mgdownArrow
Access medical and health information

1mg provides you with medical information which is curated, written and verified by experts, accurate and trustworthy. Our experts create high-quality content about medicines, diseases, lab investigations, Over-The-Counter (OTC) health products, Ayurvedic herbs/ingredients, and alternative remedies.

Order medicines online

Get free medicine home delivery in over 1000 cities across India. You can also order Ayurvedic, Homeopathic and other Over-The-Counter (OTC) health products. Your safety is our top priority. All products displayed on 1mg are procured from verified and licensed pharmacies.

Book lab tests

Book any lab tests and preventive health packages from certified labs and get tested from the comfort of your home. Enjoy free home sample collection, view reports online and consult a doctor online for free.

Consult a doctor online

Got a health query? Consult doctors online from the comfort of your home for free. Chat privately with our registered medical specialists to connect directly with verified doctors. Your privacy is guaranteed.