Nicomalom 2 Tablet: Complete 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 go away
- Fainting or severe dizziness
- Blood in stool or vomit
- Severe abdominal pain
- Mouth or skin ulcers
- Swelling of face, lips, or throat
- Difficulty breathing
If experiencing severe symptoms, call emergency services immediately.
What is nicomalom 2 tablet used for?
This medicine contains nicorandil, a potassium channel opener used to prevent angina. It works by widening blood vessels to improve blood flow to the heart. It is taken orally, usually twice daily, and must be prescribed by a doctor.
- Generic Name: Information coming soon
- Manufacturer: Multiple manufacturers
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nicomalom 2 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एंजाइना (सीने में दर्द) को रोकने और कम करने के लिए इस्तेमाल की जाती है। यह दिल की धमनियों को फैलाकर दिल तक खून का प्रवाह बढ़ाती है और दिल पर दबाव कम करती है। इसे डॉक्टर के निर्देशानुसार ही लेना चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में सिरदर्द, चक्कर आना, चेहरे पर गर्मी लगना और जी मिचलाना शामिल हैं। सिरदर्द शुरुआत में आम है और कुछ दिनों में कम हो जाता है। कभी-कभी मुँह, त्वचा या पेट में अल्सर हो सकते हैं, जिसके लिए तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अचानक बंद न करें। शराब न पिएं। उठते समय धीरे-धीरे उठें। अगर आपको कम रक्तचाप, दिल की बीमारी या हाल ही में दिल का दौरा पड़ा है, तो डॉक्टर को बताएं। अन्य दवाओं के बारे में भी जानकारी दें।
💊 nicomalom 2 tablet Uses & Benefits
[{"condition":"Angina pectoris","description":"This medicine is used to prevent and reduce the frequency of angina attacks in people with coronary artery disease.","evidence":"Well-established for nicorandil"},{"condition":"Chronic stable angina","description":"It helps improve exercise tolerance and reduce chest pain in patients with chronic stable angina when used as part of a treatment plan.","evidence":"Well-established for nicorandil"}]
Off-label uses: [{"condition":"Not established from the available information.","description":"Off-label uses for this specific combination product are not established from the available information.","evidence":"Not established from the available information."}]
Primary treatment for: Angina pectoris
Also treats: Coronary artery disease, Chronic stable angina
📋 Drug Information
| Generic Name(s) | Information coming soon |
| Brand Name | nicomalom 2 tablet |
| Manufacturer | Multiple manufacturers |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | Vitamin K antagonists |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Protect from light and moisture. Keep in the original container. |
| Shelf Life | Not established from the available information. Check the expiry date on the packaging. |
| 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
Nicorandil works by opening potassium channels in the smooth muscle cells of blood vessels and by donating nitric oxide, which together cause the blood vessels to relax and widen. This leads to increased blood flow through the coronary arteries and reduced workload on the heart, which helps relieve and prevent angina. The mechanism of the second active ingredient in this combination product is not established from the available information.
Mechanism Steps
💡 How to Take nicomalom 2 tablet
Strength: Immediate-release tablet containing nicorandil 2 mg and a second active ingredient of unknown identity and strength.
Dosage Information
| Adult Dosage | The usual adult dose of nicorandil is 5 mg to 10 mg taken twice daily, but the dose for this specific combination product must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and other medicines you are taking. Do not adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the blood pressure-lowering effects of this medicine. Start with a lower dose and monitor blood pressure closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Dose adjustment may be needed in patients with kidney disease. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be needed in patients with liver disease. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose of nicorandil is typically 40 mg, but for this combination product the maximum daily dose is not established from the available information. Follow your doctor's prescription exactly. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nicomalom 2 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 | |
| Nitroglycerin | Major | |
| Amlodipine | Moderate | |
| Metoprolol | Moderate | |
| Alcohol | Moderate |
🚨 Major Interactions
- Phosphodiesterase-5 inhibitors (e.g., sildenafil, tadalafil)
- Nitrates (e.g., nitroglycerin, isosorbide mononitrate)
⚡ Moderate Interactions
- Antihypertensive drugs (e.g., ACE inhibitors, beta-blockers, calcium channel blockers)
- Alcohol
🍷 Alcohol Interaction
Alcohol can increase the blood pressure-lowering effect of this medicine and may cause dizziness, lightheadedness, or fainting. It is best to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to nicorandil or any component of this product","Cardiogenic shock","Severe hypotension","Acute myocardial infarction with low filling pressures","Concomitant use with phosphodiesterase-5 inhibitors","Concomitant use with nitrates"]
⚠️ Warnings & Precautions
["May cause severe hypotension, especially when standing up. Rise slowly.","Avoid alcohol while taking this medicine.","Report any mouth, skin, or gastrointestinal ulcers immediately.","Use with caution in patients with liver or kidney disease.","Do not stop suddenly without medical advice.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Keep out of reach of children."]
🤱 Lactation Safety
Not established from the available information. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose may cause severe hypotension, dizziness, and fainting. Seek immediate medical attention. Treatment is supportive and symptomatic. Contact a poison control center or emergency department right away.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice, because sudden discontinuation of anti-anginal medicines can worsen chest pain. Avoid alcohol while taking this medicine, as it can increase the risk of low blood pressure and dizziness. Stand up slowly from a sitting or lying position to reduce the chance of feeling faint. Tell your doctor if you have low blood pressure, heart valve disease, or have recently had a heart attack. Inform your doctor about all other medicines you take, especially those for erectile dysfunction, blood pressure, or heart conditions. Keep this medicine out of reach of children and store it in its original packaging. If you experience mouth, skin, or stomach ulcers, contact your doctor immediately. Regular follow-up visits are important to monitor your response and adjust treatment if needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the blood pressure-lowering effects. Start with a lower dose and monitor closely.
🤰 Pregnancy Planning (TTC)
Consult your doctor if you are planning pregnancy. The safety of this medicine during pregnancy is not established from the available information.
🏥 Post-Surgery Considerations
Consult your doctor before surgery. This medicine may need to be stopped temporarily.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may affect blood pressure during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe, but avoid strenuous activity if you experience chest pain. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or low blood pressure, which can affect driving or operating machinery. Avoid these activities until you know how the medicine affects you.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience severe side effects, contact your doctor immediately for advice.
📅 Long-Term Use Effects
Long-term use of nicorandil may be associated with the development of ulcers in the mouth, skin, or gastrointestinal tract. Regular monitoring and reporting of any such symptoms are important. The long-term effects of the second ingredient are not established from the available information.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet, exercise, and stress reduction can complement medicine for angina.
Evidence: Well-establishedBeta-blockers, calcium channel blockers, or nitrates may be alternatives.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Not established from the available information. Consult your doctor regarding vaccinations.
📦 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
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from light and moisture. If traveling across time zones, consult your doctor about adjusting dosing times. Keep enough supply for the entire trip and carry it in your hand luggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Nicorandil starts to relieve angina within 30 to 60 minutes after oral administration.
A: No, combining with sildenafil can cause severe low blood pressure. Avoid.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: Nicorandil is a painkiller.
Fact: Nicorandil is not a painkiller; it is a heart medicine that prevents angina by improving blood flow. - Myth: You can stop nicorandil suddenly if you feel better.
Fact: Stopping suddenly can worsen angina. Always consult your doctor before stopping.
🔄 Alternative Options
Generic Alternatives
- Nicorandil 2 mg tablet
Brand Alternatives
- Not established from the available information.