Nicorandil 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.
Q. What class of drug is Nicodil and what is it used for?
Nicodil 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 Nicodil?
No, you should not stop taking Nicodil without speaking to your doctor first. If you stop Nicodil suddenly, your anginal pain may recur. Talk to your doctor if you are experiencing any side effects.
Q. How long does it take Nicodil to start working?
Nicodil 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 Nicodil?
Continue taking your medicine for as long as your doctor tells you. Nicodil 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 Nicodil?
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 Nicodil if I am taking aspirin?
You should avoid taking Nicodil 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 Nicodil.
Q. Who should not use Nicodil?
People who are allergic to Nicodil 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 Nicodil. 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 Nicodil or if you have low blood volume.
Q. Can Nicodil affect my sex life?
No, Nicodil 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 Nicodil. Taking them together can lead to a serious drop in your blood pressure.
Information last updated by Dr. Varun Gupta, MD Pharmacology on 18th Feb 2020. The medicine details are for information purpose only. Consult a doctor before taking any medicine.