Nicorandil: Uses, Side Effects & Brands in Pakistan

Nicorandil is a potassium channel opener used for angina. It is a prescription medicine used for angina prevention and stable angina. In Pakistan it is available as tablets, made by 3 different manufacturers. On this page you can read how it works, its common side effects and precautions, and compare the brands and prices available at Medimart.

How Nicorandil works

Nicorandil has two actions. It opens potassium channels in the muscle of blood vessel walls and also works in a similar way to a nitrate, so both arteries and veins relax and widen. This improves blood flow to the heart muscle and reduces the amount of work the heart has to do.

What is Nicorandil used for?

• Angina prevention and stable angina

Nicorandil is used to prevent chest pain (angina) in people with coronary heart disease, usually when other angina medicines such as beta-blockers or calcium channel blockers are unsuitable or have not controlled symptoms well enough. It is taken regularly to reduce how often attacks happen and is not meant to relieve an attack that has already started.

Side effects of Nicorandil

Headache is the side effect people notice most with Nicorandil, and it often eases after the first days. Other common effects are:

• Headache
• Flushing
• Dizziness
• Nausea or vomiting
• Feeling weak

Contact your doctor promptly about any ulcers in the mouth, on the skin, around the anus or in the gut, as treatment may need to stop; get emergency help for chest pain that does not settle or for fainting.

Precautions and warnings

• Never take Nicorandil with sildenafil, tadalafil or similar erectile dysfunction medicines, as the combination can cause a dangerous fall in blood pressure.
• Tell your doctor if you have low blood pressure, heart failure or a history of ulcers, or if you take aspirin, anti-inflammatory painkillers or steroids, which increase the risk of gut ulcers and bleeding.
• Ask your doctor before stopping it because of headaches, as they commonly settle with time.
• Avoid driving or using machinery if you feel dizzy, and be careful with alcohol, which adds to its blood pressure-lowering effect.
• If you are pregnant or breastfeeding, discuss whether it is suitable with your doctor.

Frequently asked questions about Nicorandil

What is the price of Nicorandil in Pakistan?

At Medimart, Nicorandil products currently in stock range from Rs 2 to Rs 482 per pack, depending on the brand, strength and pack size. The lowest-priced option right now is Nicoget 20mg Tablet at Rs 2. Prices are updated regularly, so the product list on this page always shows the latest price.

Which brands of Nicorandil are available in Pakistan?

Nicorandil is sold in Pakistan under brand names such as Nicoget (Getz Pharma Ltd Pharma), Nicodil (Pulse), Ikodil (Obs-pharma Ltd), Nicoril (Ferozsons Laboratories Limited), Flocard (Nabiqasim Industries Ltd) and Mycoral (Mcolson Research Labotraies).

Do I need a prescription for Nicorandil?

Yes. Nicorandil is a prescription medicine in Pakistan. Use it only when a doctor has prescribed it, at the dose and for the time they advise.

Can Nicorandil be used during pregnancy?

If you are pregnant or breastfeeding, discuss whether it is suitable with your doctor.

Are all Nicorandil brands the same?

Brands that contain the same amount of Nicorandil in the same form are expected to work in the same way, although inactive ingredients, pack sizes and prices differ. Ask your doctor or pharmacist before switching from one brand to another.

Nicorandil brands and prices in Pakistan

Medimart lists 3 products containing Nicorandil from different manufacturers. Compare strengths, pack sizes and prices below and order online with cash on delivery.

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