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Nikoran 2mg Injection

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

Overview

Introduction

Nikoran 2mg 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.

Nikoran 2mg 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.

Nikoran 2mg 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 Nikoran 2mg Injection. Your doctor may ask you to avoid salt substitutes.

Uses of Nikoran Injection

Benefits of Nikoran Injection

In Angina (heart-related chest pain)

Nikoran 2mg Injection helps in prevention as well as treatment of angina. Angina is a 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. Nikoran 2mg 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.

It is given as an injection by your doctor or healthcare professional and should not be self-administered. Your doctor may prescribe oral medicines for the follow-up treatment after this medicine.

Side effects of Nikoran 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 Nikoran

  • Headache
  • Ulcer
  • Dizziness
  • Weakness
  • Nausea
  • Vomiting
  • Palpitations
  • 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 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 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 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 Palpitations
    If this happens regularly after you take your medicine, try to take the medicine at a time when you can sit or lie down when the symptoms are worse. It may help to cut down on alcohol, smoking, caffeine and big meals as these might make the problem worse. If you are still having problems after a week, speak to your doctor as you may be offered a different type of medicine.
  • 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 Nikoran Injection

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

How Nikoran Injection works

Nikoran 2mg 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. This reduces the frequency and severity of angina attacks.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Nikoran 2mg Injection.
Pregnancy
CONSULT YOUR DOCTOR
Nikoran 2mg 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.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Nikoran 2mg Injection during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Nikoran 2mg Injection may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
SAFE IF PRESCRIBED
Nikoran 2mg Injection is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Nikoran 2mg Injection may not be needed in these patients. Please consult your doctor.
Liver
SAFE IF PRESCRIBED
Nikoran 2mg Injection is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Nikoran 2mg Injection may not be needed in these patients. Please consult your doctor.

What if you forget to take Nikoran Injection?

If you miss a dose of Nikoran 2mg Injection, consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Nikoran 2mg Injection
₹78.0/Injection
Protecor 2mg Injection
Neon Laboratories Ltd
₹49.55/Injection
save 36%
₹78/Injection
same price

Quick Tips

  • You must continue to take it as advised, usually for a long time.
  • Nikoran 2mg Injection may cause headaches. Drink plenty of water and take a suitable painkiller. Inform your doctor if it does not go away.
  • Nikoran 2mg 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 Nikoran 2mg Injection as that may cause increased dizziness.
  • Do not take medications like sildenafil or tadalafil (prescribed for erectile dysfunction) while on treatment with Nikoran 2mg 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.

Fact Box

Chemical Class
Nicotinamides Derivatives
Habit Forming
No

Interaction with Drugs

Taking Nikoran 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

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What is heart attack? When heart attack coming?
Dr. Nabajit Talukdar
Cardiology
Related to chest pain angina commonly
Chest pain headache vetrigo Angina pain
Dr. Nabajit Talukdar
Cardiology
Get echo n ECG done
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Do you have any questions related to Nikoran 2mg Injection ?

User Feedback


FAQs

Q. What is Nikoran and what is it used for?

Nikoran 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. How long does it take Nikoran to start working?

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

Q. What if somebody accidentally takes excess of Nikoran?

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 Nikoran if I am taking aspirin?

You should avoid taking Nikoran 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 Nikoran.

Q. Who should not use Nikoran?

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

Q. Can Nikoran affect my sex life?

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

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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. National Health Service. Nicorandil; 2019. [Accessed 18 Jun. 2019] (online) Available from:External Link
  4. Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
A licensed vendor partner from your nearest location will deliver Nikoran 2mg Injection. 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.
MRP78  Get 15% OFF
Best Price
₹66.3
Valid only on the orders above ₹500
1 Injection in 1 vial
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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.
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