Nictoris 20 | 14pcs Strip | 28pcs Box | Discount Price | ePharma
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Nictoris 20mg 14pcs Tablet

Generic: Nicorandil

Type: Tablet

Pack Size: 14 pcs

Angina is a serious condition that requires medical attention. Nicorandil, is a potassium-channel activator used to prevent or treat angina pectoris (chest pain).


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Discount Price: ৳ 131.6
MRP: ৳ 140 6% Off

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✅ Description:

Angina pectoris is a type of chest pain that occurs due to reduced blood flow to the heart, resulting in an insufficient oxygen supply to the heart muscle. This condition is a symptom of coronary artery disease (CAD). The chest pain associated with angina is often triggered by emotional stress or physical activity.

Symptoms of Angina

  • A sensation of pressure, heaviness, tightness, or squeezing in the chest.
  • Feeling lightheaded or faint.
  • Difficulty in breathing, often accompanied by a feeling of tightness in the chest.
  • Feeling sick to the stomach.
  • Unusual fatigue and a lack of energy.
  • The feeling of impending doom or excessive worry.
  • Profuse sweating even without physical exertion.

Risk Factors for Angina

  • Increases the risk of plaque buildup in arteries, reducing blood flow.
  • High blood sugar levels can damage blood vessels.
  • Excess weight increases the heart's workload.
  • Puts extra strain on the heart and arteries.
  • This can lead to the buildup of plaques in the coronary arteries.
  • inactivity contributes to heart disease.
  • Family history or previous heart conditions can increase the risk.

Prevention and Management

  • Quit smoking, adopt a healthy diet, and engage in regular physical activity.
  • Use prescribed medications to manage risk factors like high blood pressure, high cholesterol, and diabetes.
  • Practice stress-reducing techniques such as meditation or yoga.
  • Monitor heart health and manage any underlying conditions with the help of a healthcare provider.

Safety Advices


Alcohol
UNSAFE

Avoid consumption of alcohol while taking KORANDIL 10MG TABLET because it might further lower your blood pressure.


Pregnancy
CONSULT YOUR DOCTOR

Nictoris 20 is not recommended for use in pregnant women. Consult your doctor before taking Nictoris 20


Breastfeeding
CONSULT YOUR DOCTOR

Nictoris 20 is not recommended for use in breastfeeding women. Consult your doctor before taking Nictoris 20.


Driving
CAUTION

Do not drive or operate any machines if you feel dizzy or weak after taking Nictoris 20.


Kidney
CONSULT YOUR DOCTOR

Nictoris 20 should be taken with caution in patients with kidney problems. Consult your doctor before taking Nictoris 20.


Liver
CAUTION

Nictoris 20 should be taken with caution in patients with liver disease such as fibrosis of the liver and chronic liver disease. Consult your doctor before taking Nictoris 20.

Similar Products

✔️ Composition of Nictoris 20

Nicorandil

✔️ Uses of Nictoris 20
  • Angina (heart-related chest pain)
✔️ Side Effects of Nictoris 20

Headache, Dizziness, Flushing, Palpitations, Gastrointestinal ulcer, Eye ulcer, Skin ulcer

✔️ How does Nictoris 20 work?

Nictoris 20 works by increasing blood flow through the heart vessels, leading to improved blood and oxygen supply to the heart muscle thus reducing the workload of the heart which results in reducing the frequency and severity of angina attacks.

✔️ Quick Suggestions:
  • Exercise regularly. It helps in maintaining proper weight and lowers cholesterol.
  • Limit salt and sugar intake.
  • Avoid smoking and alcohol consumption.
  • Nictoris 20 may cause headaches. Drink plenty of water and take a suitable painkiller. Inform your doctor if it does not go away.
  • Nictoris 20 may cause dizziness or sleepiness. Do not drive or do anything which requires concentration until you know how it affects you.
  • Do not consume alcohol while taking Nictoris 20 as that may cause increased dizziness.
  • Do not take medications like sildenafil or tadalafil (prescribed for erectile dysfunction) while on treatment with Nictoris 20 as it may cause low blood pressure.
✔️ Pharmacology

Nicorandil works by dilating arterioles and large coronary arteries through the opening of potassium channels. Additionally, it stimulates guanylate cyclase, leading to venous vasodilation. These actions collectively reduce preload and afterload on the heart and enhance coronary blood flow.

✔️ Dosage & Administration:

Adults:

  • Usual Therapeutic Range: 10 to 20 mg twice daily.
  • Starting Dose: 10 mg twice daily (morning and evening). This dose can be increased based on patient needs, response, and tolerance, up to a maximum of 40 mg twice daily.
  • Lower Starting Dose: 5 mg twice daily may be considered for patients particularly prone to headaches.

Elderly:

  • There are no special dosage requirements for elderly patients.
  • The lowest effective dose should be used, and it should be administered with care, starting with lower dosages.

Children:

  • Nicorandil is not recommended for use in children and adolescents under 18 years of age.

Patients with Hepatic Impairment:

  • Nicorandil should be used with caution in patients with serious hepatic dysfunction.
  • Dose reduction may be necessary depending on the severity of the hepatic condition.
✔️ Interaction

Interactions: While no significant pharmacological or pharmacokinetic interactions have been observed in animal and human studies with Nictoris (Nicorandil) when used with beta-blockers, calcium antagonists, digoxin, a combination of digoxin/furosemide, rifampicin, and cimetidine, the following should be noted:

  • Potential Potentiation: Nicorandil may enhance the effects of other vasodilators, tricyclic antidepressants, and antihypertensive drugs when used concurrently, especially with alcohol.
✔️ Nicorandil is contraindicated in the following conditions:
  • Hypersensitivity: Patients who have shown hypersensitivity to Nicorandil.
  • Cardiogenic Shock and Acute Myocardial Infarction: Patients with cardiogenic shock or acute myocardial infarction with acute left ventricular failure and low filling pressures.
  • Hypotension: Patients with hypotension.
  • Phosphodiesterase-5 Inhibitors: Concurrent use with phosphodiesterase-5 inhibitors can lead to a serious drop in blood pressure.
✔️ Warnings and Precautions:
  • Blood Volume Depletion: Use Nicorandil with caution in patients who may have blood volume depletion.
  • Low Systolic Blood Pressure: Use with caution in patients with low systolic blood pressure (below 100 mm Hg).
  • Mouth Ulceration and Stomatitis: Discontinue Nicorandil if mouth ulceration, stomatitis, or persistent/severe buccal ulcerations occur, and take appropriate measures.
  • Glaucoma: Caution is advised for patients with glaucoma.
  • Hypotensive Effect: The hypotensive effect of Nicorandil may be increased when taken with other vasodilators, tricyclic antidepressants, or alcohol.
  • Combination with Antihypertensives: Nicorandil should be used with care when prescribed antihypertensive drugs as it may further lower blood pressure in hypertensive patients.
  • Mutagenicity and Carcinogenicity: Animal studies have not revealed any adverse mutagenic or carcinogenic effects when Nicorandil is used under experimental conditions.
✔️ Storage Conditions:

Store in a cool and dry place, protected from light.

Frequently Asked Questions (FAQ)

No, Nictoris 20 is not recommended for use during pregnancy and in women who are breastfeeding. It is advised to consult a doctor for guidance if planning to get pregnant or during breastfeeding due to potential risks.

No, Nictoris 20 is intended for adults and is not recommended for use in children and adolescents under 18 years of age. Alternative therapies should be considered for pediatric patients based on their condition.

If you miss a dose of Nictoris 20, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for the missed one.
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Check our pricing section for Nictoris 20mg 14pcs Tablet price in Bangladesh. After Submitting Order, You will receive a phone call for verification, price and delivery confirmation. We deliver inside/outside Dhaka (Delivery all over Bangladesh). We offer express/urgent medicine delivery inside Dhaka. Do not forget to check discount/cashback offers if you are eligible to avail any.

Disclaimer:
ePharma sole intention is to ensure that its consumers get proper information as musch as possible. Although we do not guarantee the accuracy and the completeness of the information that provided and here information is for informational purposes only. The information contained herein should NOT be used as a substitute for the advice of a qualified physician. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your healthcare professional and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

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