Europe — EMA
Nicorandil Zentiva Pharma Uk
GNH USA supplies Nicorandil Zentiva Pharma Uk (Nicorandil), a potassium channel opener nitrate vasodilator for stable angina.
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What is Nicorandil?
Nicorandil, the active ingredient in Nicorandil Zentiva Pharma Uk, is a potassium channel opener (nitrate vasodilator) presented as an oral tablet for oral use. It is used to relieve stable angina in adult patients.
GNH USA supplies Nicorandil Zentiva Pharma Uk as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Nicorandil used for?
Nicorandil is an anti‑anginal agent that works within the cardiovascular disease pathway. - Stable angina: reduces the frequency and severity of chest pain episodes. - Chronic stable angina: improves exercise tolerance and functional capacity. - Angina pectoris: provides symptomatic relief by enhancing coronary blood flow.
What are the side effects of Nicorandil?
Nicorandil may cause a range of adverse reactions, most of which are dose‑related and reversible.
Common Side Effects: - Headache: mild to moderate intensity. - Flushing: transient warmth and redness. - Dizziness or light‑headedness. - Nausea or dyspepsia. - Palpitations: awareness of heartbeat. - Mild hypotension: occasional drop in blood pressure.
Serious or Rare Side Effects: - Severe hypotension: marked blood pressure fall requiring medical attention. - Myocardial infarction: rare but reported. - Bronchospasm: especially in patients with reactive airway disease. - Severe skin reactions: such as Stevens‑Johnson syndrome. - Angioedema: swelling of face, lips, or tongue. - Tachycardia: rapid heart rate unresponsive to usual measures.
What precautions apply to Nicorandil?
Before initiating Nicorandil therapy, clinicians should consider several safety measures. - Cardiovascular assessment: evaluate baseline blood pressure and heart rate. - Monitor for hypotension: especially after dose changes. - Avoid concurrent nitrates: risk of additive vasodilation. - Caution in hepatic impairment: reduced metabolism may increase exposure. - Contraindicated in severe hypotension: do not use if systolic BP is markedly low. - Store at ambient temperature: keep in the original pack, protect from moisture.
What does Nicorandil interact with?
Nicorandil can interact with other cardiovascular agents, requiring careful management.
Major Interactions (Avoid): - Sildenafil and other PDE5 inhibitors: risk of severe hypotension. - Other nitrates (e.g., nitroglycerin): additive vasodilatory effect. - Strong antihypertensives: may cause excessive blood pressure reduction.
Moderate Interactions (Monitor Closely): - Beta‑blockers: may mask tachycardia signs. - Calcium channel blockers: additive effect on vascular tone. - Diuretics: can enhance hypotensive response.



