Alcoran 5mg Tablet (Nicorandil): Comprehensive Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe chest pain that does not respond to usual angina treatment
- Fainting or severe dizziness
- Swelling of the face, lips, tongue, or throat
- Difficulty breathing
- Irregular or very fast heartbeat
- Yellowing of the skin or eyes
- Severe abdominal pain with nausea and vomiting
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is asnicor 5mg tablet used for?
This medicine contains Nicorandil 5 mg, a potassium channel opener used to prevent angina (chest pain) in adults. It works by relaxing blood vessels to improve blood flow to the heart. It is taken twice daily, usually with or without food. Common side effects include headache and dizziness. It should not be used with erectile dysfunction drugs like sildenafil.
- Generic Name: Nicorandil
- Manufacturer: Siochem Pharma Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 asnicor 5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा निकोरैंडिल 5 मिलीग्राम टैबलेट के रूप में उपलब्ध है और मुख्य रूप से एंजाइना (सीने में दर्द) को रोकने और इलाज के लिए इस्तेमाल की जाती है। यह रक्त वाहिकाओं को फैलाकर हृदय तक रक्त का प्रवाह बढ़ाती है और हृदय पर दबाव कम करती है। यह उन वयस्कों के लिए निर्धारित की जाती है जिन्हें अन्य दवाओं के बावजूद एंजाइना की समस्या बनी रहती है। यह दवा तीव्र एंजाइना हमले के तत्काल राहत के लिए नहीं है। इसे डॉक्टर की सलाह के अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, चक्कर आना, चेहरे पर लालिमा और जी मिचलाना शामिल हैं। कुछ लोगों को मुँह के छाले भी हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर निम्न रक्तचाप, एलर्जी प्रतिक्रिया और हृदय की धड़कन में अनियमितता शामिल हो सकती है। यदि आपको कोई भी दुष्प्रभाव परेशान करता है तो डॉक्टर से सलाह लें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। गर्भावस्था या स्तनपान के दौरान इस दवा का उपयोग करने से पहले डॉक्टर से सलाह लें। शराब का सेवन न करें क्योंकि इससे रक्तचाप कम हो सकता है और चक्कर आ सकते हैं। जब तक आपको पता न चले कि यह दवा आप पर कैसे असर करती है, वाहन न चलाएं। दवा को कमरे के तापमान पर सूखी जगह पर रखें। बच्चों की पहुंच से दूर रखें।
💊 asnicor 5mg tablet Uses & Benefits
[{"condition":"Chronic stable angina","description":"This medicine is used to prevent angina attacks in patients with chronic stable angina who remain symptomatic despite treatment with beta-blockers or calcium channel blockers.","evidence":"Well-established"},{"condition":"Unstable angina","description":"In some cases, this medicine may be used as part of the treatment for unstable angina, but only under close medical supervision.","evidence":"Moderate"},{"condition":"Vasospastic angina","description":"This medicine can help relieve chest pain caused by coronary artery spasm.","evidence":"Limited"}]
Off-label uses: [{"condition":"Prevention of contrast-induced nephropathy","description":"Some studies suggest Nicorandil may help protect the kidneys from damage caused by contrast dyes used in imaging procedures, but this is not an approved use.","evidence":"Limited"},{"condition":"Heart failure","description":"Nicorandil has been studied as an add-on therapy in heart failure, but its role remains investigational.","evidence":"Limited"}]
Primary treatment for: Angina pectoris
Also treats: Coronary artery disease, Chronic stable angina, Vasospastic angina
📋 Drug Information
| Generic Name(s) | Nicorandil |
| Brand Name | Alcoran |
| Manufacturer | Siochem Pharma Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Potassium channel opener |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by opening potassium channels in the smooth muscle cells of blood vessels, which leads to relaxation and widening of the blood vessels. Additionally, it has a nitrate-like effect that further dilates veins and arteries. This dual action reduces the workload on the heart and improves blood flow to the heart muscle, thereby relieving and preventing angina.
Mechanism Steps
💡 How to Take asnicor 5mg tablet
Strength: 5 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5 mg taken twice daily (morning and evening). The dose may be increased gradually up to 10 mg twice daily, depending on clinical response and tolerability. The maximum recommended daily dose is 20 mg. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially hypotension. Start with a low dose and titrate slowly. Monitor blood pressure regularly. |
| Renal Impairment | No specific dose adjustment is recommended for mild to moderate renal impairment. In severe renal impairment, use with caution and monitor closely. |
| Hepatic Impairment | No specific dose adjustment is recommended for mild to moderate hepatic impairment. In severe hepatic impairment, use with caution and monitor liver function. |
| Maximum Daily Dose | 20 mg per day |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of asnicor 5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Sildenafil | Major | |
| Tadalafil | Major | |
| Riociguat | Major | |
| Nitroglycerin | Major | |
| Isosorbide mononitrate | Major | |
| Alcohol | Moderate | |
| Amlodipine | Moderate | |
| Metoprolol | Moderate | |
| Furosemide | Moderate | |
| Ibuprofen | Minor |
🚨 Major Interactions
- Phosphodiesterase-5 inhibitors (e.g., sildenafil, tadalafil)
- Soluble guanylate cyclase stimulators (e.g., riociguat)
- Nitrates (e.g., nitroglycerin, isosorbide mononitrate)
⚡ Moderate Interactions
- Alcohol
- Antihypertensives (e.g., ACE inhibitors, beta-blockers, calcium channel blockers)
- Diuretics
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effect of this medicine, leading to dizziness, lightheadedness, and increased risk of fainting. It is advisable to avoid alcohol or limit its consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to Nicorandil or any component of the formulation","Cardiogenic shock","Severe hypotension","Concomitant use with phosphodiesterase-5 inhibitors","Concomitant use with soluble guanylate cyclase stimulators","Acute myocardial infarction with low filling pressures","Severe aortic stenosis"]
⚠️ Warnings & Precautions
["May cause severe hypotension, especially in volume-depleted patients or those on other antihypertensives.","Mouth ulcers may occur; if they develop, consult a doctor as dose reduction may be needed.","Use with caution in patients with glaucoma or raised intracranial pressure.","Avoid abrupt discontinuation; taper dose gradually under medical supervision.","Not recommended for use in children due to lack of safety and efficacy data.","Elderly patients may be more sensitive to the effects, especially hypotension."]
🤱 Lactation Safety
It is not known whether Nicorandil passes into breast milk. Breastfeeding mothers should consult their doctor before taking this medicine.
💊 Overdose Management
Overdose may cause severe hypotension, tachycardia, and dizziness. Treatment is supportive and symptomatic. If overdose is suspected, seek immediate medical attention. Gastric lavage may be considered if ingestion is recent. Monitor vital signs and provide cardiovascular support as needed.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Before taking this medicine, inform your doctor if you have ever had low blood pressure, heart failure, or any liver or kidney problems. Do not take this medicine if you are pregnant or planning to become pregnant without consulting your doctor. It is not known if this medicine passes into breast milk, so breastfeeding mothers should seek medical advice. Avoid alcohol while taking this medicine, as it can increase the risk of low blood pressure and dizziness. Do not drive or operate heavy machinery until you know how this medicine affects you, as it may cause dizziness. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to make up for a missed one. Store this medicine at room temperature, away from moisture and direct sunlight. Keep it out of reach of children. Do not share this medicine with others, even if they have the same symptoms. Regular follow-up with your doctor is important to monitor your condition and adjust the dose if needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the blood pressure-lowering effects of this medicine. Start with a low dose and monitor blood pressure regularly. Falls due to dizziness or low blood pressure are a concern; take precautions when standing up.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not well established, and your doctor will weigh the benefits against potential risks.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may interact with certain anesthetic agents and affect blood pressure during surgery. Your doctor may advise temporary discontinuation before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may cause low blood pressure, and certain dental anesthetics may interact. Your dentist may take precautions to monitor your blood pressure during the procedure.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may experience dizziness or low blood pressure, especially when starting treatment or changing doses. Avoid strenuous exercise or sudden changes in posture until you know how the medicine affects you. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or lightheadedness, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. If your job involves such activities, discuss with your doctor about adjusting the dose or timing. Most people can continue their normal daily activities with caution.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your condition changes, your doctor may adjust the dose or switch to another medicine. Abrupt discontinuation may lead to worsening of angina.
📅 Long-Term Use Effects
Long-term use of this medicine is generally well tolerated. However, regular monitoring of blood pressure, heart rate, and symptoms is recommended. Some patients may develop mouth ulcers, which may require dose adjustment. There is no evidence of tolerance to its anti-anginal effects with long-term use. Periodic review with your doctor is important to assess the continued need and effectiveness of the medicine.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Heart-healthy diet, regular exercise, smoking cessation, and stress management can complement medicine for angina.
Evidence: Well-establishedFirst-line therapy for chronic stable angina; may be used alone or with this medicine.
Evidence: Well-establishedAlternative or add-on therapy for angina, especially if beta-blockers are not tolerated.
Evidence: Well-establishedAnother anti-anginal medicine that can be used when other treatments are insufficient.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, always inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If crossing time zones, continue taking your doses at approximately the same intervals as prescribed; consult your doctor for specific advice. Check local customs regulations regarding prescription medicines before travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 30 minutes after oral administration, but its full benefits in preventing angina may take a few days to become noticeable.
A: Yes, this medicine can be taken with or without food. However, avoid grapefruit juice as it may increase drug levels.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: The safety of this medicine during pregnancy is not well established. Consult your doctor before taking it if you are pregnant or planning to become pregnant.
A: No, do not stop taking this medicine without consulting your doctor, as it may worsen your angina. Your doctor may gradually reduce the dose.
🤔 Common Patient Concerns
🔄 Substitutes for asnicor 5mg tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia nicorandil 5mg tabletDavaindia Generic Pharmacy ₹20.00 88% CHEAPER
-
drnic 5mg tabletDR Best pharmaceuticals Pvt Ltd ₹37.50 77.4% CHEAPER
-
danavish nicorandil 5mg tabletDanavish Healthcare ₹44.91 72.9% CHEAPER
-
nicotis tabletPositif Life sciences ₹45.94 72.3% CHEAPER
-
nicotif 5mg tabletSmayan Healthcare Pvt Ltd ₹55.00 66.9% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for immediate relief of an acute angina attack.
Fact: This medicine is for prevention of angina attacks, not for immediate relief. A fast-acting nitrate is used for acute attacks. - Myth: This medicine is safe to take with sildenafil.
Fact: Combining this medicine with sildenafil can cause a dangerous drop in blood pressure and is contraindicated. - Myth: Once you feel better, you can stop taking this medicine.
Fact: Do not stop this medicine without consulting your doctor, as it may worsen angina.
🔄 Alternative Options
Generic Alternatives
- Nicorandil 5 mg tablet
Brand Alternatives
- Alcoran 5mg Tablet