Product image of Nicorandil Zentiva Pharma Uk (Nicorandil) supplied by GNH India

Nicorandil Zentiva Pharma Uk

Active Ingredient:
Nicorandil
Origin:
EU

Nicorandil Zentiva Pharma Uk (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 India supplies Nicorandil Zentiva Pharma Uk as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Zentiva Pharma Uk Limited

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Indications & Clinical Uses

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.

How It Works

  • Nicorandil exerts a dual pharmacological effect: it donates nitric oxide, producing nitrate‑like vasodilation of coronary and peripheral vessels, and it opens ATP‑sensitive potassium channels in vascular smooth muscle, leading to hyperpolarisation and further vasodilation. The combined actions lower preload and afterload while increasing coronary artery blood flow, thereby alleviating myocardial oxygen demand.

Side Effects

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.

Precautions & Warnings

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.

Avoid Interactions

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.

Frequently Asked Questions

Nicorandil Zentiva Pharma Uk is prescribed to manage stable angina, a condition characterized by chest pain due to reduced blood flow to the heart muscle. It helps relieve symptoms and improves exercise tolerance by dilating coronary arteries and reducing cardiac workload.

Nicorandil combines nitrate‑like nitric oxide donation with opening of ATP‑sensitive potassium channels. This dual action relaxes vascular smooth muscle, lowers preload and afterload, and increases coronary blood flow, thereby decreasing myocardial oxygen demand and alleviating angina.

The exact dose of Nicorandil Zentiva Pharma Uk is determined by the prescribing clinician based on the patient’s clinical condition, response, and tolerance. Dosage adjustments are made individually and should follow the prescriber’s instructions.

The safety of Nicorandil during pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Nicorandil’s unique dual mechanism—nitrate‑like vasodilation plus potassium‑channel opening—offers both arterial and venous dilation, which can provide symptom relief where traditional nitrates or beta‑blockers alone may be insufficient. Its side‑effect profile differs, with a higher incidence of headache but lower risk of reflex tachycardia compared with pure nitrates.

Nicorandil tablets should be stored at ambient temperature, below 25 °C, in the original packaging to protect from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged.

Nicorandil Zentiva Pharma Uk is taken orally, usually with or without food, as directed by the prescriber. Swallow the tablet whole with a glass of water; do not crush or chew unless specifically instructed.

Serious risks include severe hypotension, myocardial infarction, bronchospasm, angioedema, and rare severe skin reactions such as Stevens‑Johnson syndrome. Patients should seek immediate medical attention if they experience sudden dizziness, fainting, severe chest pain, or any signs of an allergic reaction.

Nicorandil is contraindicated in patients with severe hypotension, known hypersensitivity to the drug, or those taking other nitrate preparations. Caution is also advised for individuals with significant hepatic impairment or reactive airway disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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