Nicorace 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 dizziness or fainting
- Chest pain that does not respond to usual treatment
- Mouth ulcers that are painful or persistent
- Black, tarry stools or vomiting blood
- Swelling of face, lips, or throat
- Rapid or irregular heartbeat
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is nicorace 5mg tablet used for?
This medicine is a prescription tablet used to prevent angina chest pain by relaxing blood vessels and improving blood flow to the heart.
- Generic Name: Information coming soon
- Manufacturer: Multiple manufacturers
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nicorace 5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एंजाइना (सीने में दर्द) को रोकने और इलाज के लिए इस्तेमाल की जाती है। यह रक्त वाहिकाओं को फैलाकर दिल तक रक्त का प्रवाह बढ़ाती है और दिल पर दबाव कम करती है। यह दवा दिल के दौरे के तत्काल इलाज के लिए नहीं है, बल्कि नियमित रूप से लेने पर एंजाइना के दौरों को कम करती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में सिरदर्द, चक्कर आना, चेहरे पर लालिमा और जी मिचलाना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर निम्न रक्तचाप, मुंह के छाले और पेट के अल्सर शामिल हो सकते हैं। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। डॉक्टर की सलाह के बिना खुराक न बदलें और न ही दवा लेना बंद करें। इस दवा के साथ शराब न लें क्योंकि इससे रक्तचाप कम हो सकता है। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं।
💊 nicorace 5mg tablet Uses & Benefits
[{"condition":"Chronic stable angina","description":"This medicine is used to reduce the frequency and severity of angina attacks in patients with chronic stable angina pectoris.","evidence":"Well-established"},{"condition":"Unstable angina","description":"This medicine may be used in the management of unstable angina as part of a comprehensive treatment plan.","evidence":"Established"},{"condition":"Vasospastic angina","description":"This medicine can help relieve chest pain caused by coronary artery spasm.","evidence":"Limited"}]
Off-label uses: [{"condition":"Heart failure","description":"Sometimes prescribed off-label to improve symptoms in patients with heart failure, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Angina pectoris
Also treats: Coronary artery disease, Heart failure
📋 Drug Information
| Generic Name(s) | Information coming soon |
| Brand Name | nicorace 5mg tablet |
| Manufacturer | Multiple manufacturers |
| 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. |
| 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, leading to relaxation and widening of the blood vessels. It also has nitrate-like effects that increase the supply of nitric oxide, which further relaxes blood vessels. This results in improved blood flow to the heart and reduced cardiac workload.
Mechanism Steps
💡 How to Take nicorace 5mg tablet
Strength: 5 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose is 5 mg twice daily, taken orally. The dose may be increased to 10 mg twice daily based on response and tolerability. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| 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. Start with a lower dose and monitor closely. |
| Renal Impairment | Dose adjustment may be needed in patients with severe renal impairment. Consult a doctor. |
| Hepatic Impairment | Dose adjustment may be needed in patients with severe hepatic impairment. Consult a doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 20 mg, but this may vary based on clinical judgment. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nicorace 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 | |
| Nitroglycerin | Major | |
| Alcohol | Moderate | |
| Amlodipine | Moderate | |
| Aspirin | Minor |
🚨 Major Interactions
- Phosphodiesterase-5 inhibitors (e.g., sildenafil)
- Nitrates
⚡ Moderate Interactions
- Alcohol
- Antihypertensives
🍷 Alcohol Interaction
Alcohol may enhance the blood pressure-lowering effect of this medicine, leading to dizziness or fainting. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to nicorandil","Cardiogenic shock","Severe hypotension","Concurrent use of phosphodiesterase-5 inhibitors","Concurrent use of nitrates"]
⚠️ Warnings & Precautions
["Use with caution in patients with low blood pressure.","May cause dizziness; avoid driving until you know how it affects you.","Report any mouth ulcers immediately.","Avoid alcohol.","Use with caution in elderly patients."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose may cause severe hypotension, dizziness, and fainting. Seek immediate medical attention. Treatment is supportive and symptomatic.
⏰ 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 double dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice. Avoid alcohol while taking this medicine as it may increase the risk of low blood pressure. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not take this medicine if you are allergic to nicorandil or any of its ingredients. Keep this medicine out of reach of children.
👴 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 for dizziness and falls.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor to review the risks and benefits of this medicine. It should only be used if clearly needed.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine, as it may affect blood pressure during surgery. It may need to be temporarily stopped before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, as it may cause dizziness or interact with medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise until you know how this medicine affects you, as it may cause dizziness. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or lightheadedness. Avoid driving or operating heavy machinery until you know how it affects you. It should not interfere with most daily activities if taken as prescribed.
🛑 When to Stop This Medicine
Do not stop taking 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 this medicine is generally safe when monitored by a doctor. Regular check-ups for blood pressure, heart rate, and signs of ulcers are recommended. Report any new symptoms promptly.
🌿 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
No specific vaccine interactions are established. However, consult your doctor before receiving any vaccine while on this medicine.
📦 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 avoid extreme heat or cold. If traveling across time zones, adjust dosing times gradually in consultation with your doctor. 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: This medicine starts working within 30 minutes, but its full benefits in reducing angina frequency may take a few weeks.
A: No, do not stop without consulting your doctor, as it may worsen angina.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: Nicorandil can be taken for immediate relief of an angina attack.
Fact: This medicine is for prevention, not immediate relief. For acute attacks, use fast-acting nitrates as prescribed. - Myth: Nicorandil is safe to take with erectile dysfunction drugs.
Fact: Combining this medicine with PDE5 inhibitors can cause dangerous drops in blood pressure and is contraindicated.
🔄 Alternative Options
Generic Alternatives
- Nicorandil 5 mg tablet
Brand Alternatives
- Nicorace 5mg tablet