IKOTAB
Consumer Medicine Information (CMI) summary
The full CMI on the next page has more details. If you are worried about using this medicine,
speak to your doctor or pharmacist.
IKOTAB contains the active ingredient nicorandil. IKOTAB is used to treat chronic
stable angina pectoris (chest pain or discomfort due to coronary heart disease). It
works by widening blood vessels and increases blood supply to heart muscle. For more
information, see Section 1. Why am I using IKOTAB? in the full CMI.
Do not use if you have ever had an allergic reaction to nicorandil or any of the ingredients
listed at the end of the CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines, or are pregnant or plan to become pregnant or are breastfeeding. For more information, see Section 2. What should I know before I use IKOTAB? in the full CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines, or are pregnant or plan to become pregnant or are breastfeeding. For more information, see Section 2. What should I know before I use IKOTAB? in the full CMI.
Some medicines may interfere with IKOTAB and affect how it works. A list of these
medicines is in Section 3. What if I am taking other medicines? in the full CMI.
The standard adult dose of IKOTAB is 10 mg to 20 mg twice a day. A lower starting
dose may be needed in some patients. Your doctor may have prescribed a different dose.
IKOTAB is swallowed whole with a full glass of water, in the morning and evening,
with or without food.
More instructions can be found in Section 4. How do I use IKOTAB? in the full CMI.
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Things you should do
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Tell all the doctors, dentists and pharmacists who are treating you that you are taking
IKOTAB.
If you are about to be started on any new medicine, tell your doctor and pharmacist
that you are taking IKOTAB.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or
dentist that you are taking this medicine.
If you become pregnant while you are taking this medicine, tell your doctor or pharmacist
immediately.
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Things you should not do
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Do not take more than the recommended dose unless your doctor tells you to.
Do not give this medicine to anyone else, even if they have the same condition as
you.
Do not use this medicine to treat any other complaints unless your doctor tells you
to.
Do not stop taking IKOTAB, or lower the dosage, without checking with your doctor.
Your doctor may want you to gradually reduce the amount you are using before stopping
completely.
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Driving or using machines
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Be careful driving or operating machinery until you know how IKOTAB affects you.
IKOTAB may cause dizziness or light-headedness in some people.
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Drinking alcohol
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Be careful when drinking alcohol while you are taking this medicine.
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Looking after your medicine
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Keep the medicine in a cool, dry place where the temperature stays below 25°C.
Keep IKOTAB tablets in the blister pack until it is time to take them. IKOTAB tablets
must be protected from moisture.
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For more information, see Section 5. What should I know while using IKOTAB? in the full CMI.
Common side effects include: headache, dizziness and cough; Serious side effects include:
rash, high blood pressure.
For more information, including what to do if you have any side effects, see Section 6. Are there any side effects? in the full CMI.
For more information, including what to do if you have any side effects, see Section 6. Are there any side effects? in the full CMI.
IKOTAB
Active ingredient(s):
Nicorandil
Consumer Medicine Information (CMI)
This leaflet provides important information about using IKOTAB. You should also speak to your doctor or pharmacist if you would like further information
or if you have any concerns or questions about using IKOTAB.
Where to find information in this leaflet:
IKOTAB contains the active ingredient nicorandil.
IKOTAB belongs to a group of medicines called potassium channel activators. This medicine
works by widening blood vessels and increasing blood supply to the heart muscle.
IKOTAB is used to treat chronic stable angina pectoris (chest pain or discomfort due
to coronary heart disease).
Ask your doctor if you have any questions about why this medicine has been prescribed
for you.
Your doctor may have prescribed it for another reason.
This medicine is not addictive.
Do not use IKOTAB if:
you are allergic to nicorandil or any of the ingredients listed at the end of this
leaflet. Some symptoms of an allergic reaction include shortness of breath, wheezing
or difficulty breathing, swelling of the face, lips, tongue or other parts of the
body, rash, itching or hives on the skin.
Always check the ingredients to make sure you can use this medicine.
you have a low blood pressure (which could make you feel faint, weak or dizzy, especially
when you stand up suddenly)
you suffer from any other type of serious heart diseases
you have been prescribed a type of medicine called a 'phosphodiesterase 5 inhibitor'
- these medicines are used to treat impaired sexual function
you have been prescribed any soluble guanylate cyclase stimulators e.g. riociguat
the blister in which the tablets are stored has been open for more than 30 days
the expiry date has passed
the packaging is torn or shows signs of tampering
If you are not sure whether you should start taking this medicine, talk to your doctor.
Check with your doctor if you:
have any allergies to any other medicine, any of the ingredients listed at the end
of this leaflet, any other substances, such as foods, preservatives or dyes
have or have had any other medical conditions, especially the following:
liver disease
kidney disease
diverticular disease (a condition affecting the muscles of the bowel)
low blood pressure (which can make you feel faint, weak or dizzy, especially when
you stand up suddenly)
other types of serious heart diseases
depression
glaucoma
hyperkalaemia (high potassium levels in the blood)
mouth, stomach or skin ulcers
take any medicines for any other condition
are pregnant or intend to become pregnant
if you are breast feeding or planning to breastfeed
During treatment, you may be at risk of developing certain side effects. It is important
you understand these risks and how to monitor for them. See additional information
under Section 6. Are there any side effects?
Pregnancy and breastfeeding
Do not take this medicine if you are pregnant.
It may affect your developing baby if you take it during pregnancy.
Do not breast-feed if you are taking this medicine.
Use in children
Do not give this medicine to children.
Safety and effectiveness in children have not been established.
Tell your doctor or pharmacist if you are taking any other medicines, including any
medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
supermarket or health food shop.
Some medicines and IKOTAB may interfere with each other. These include:
Phosphodiesterase 5 inhibitors - medicines often used to treat impaired sexual function
soluble guanylate cyclase stimulators
other vasodilator medicines, used to widen blood vessels
tricyclic antidepressants - used to treat depression
other nitrates - medicines used to treat angina (chest pain)
medicines used to treat high blood pressure
corticosteroid medicines
aspirin or other non-steroidal anti-inflammatories (NSAIDs) e.g. ibuprofen, diclofenac
These medicines may be affected by IKOTAB or may affect how well it works. You may
need different amounts of your medicines, or you may need to take different medicines.
Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
or supplements you are taking and if these affect IKOTAB.
How much to take
The standard adult dose of IKOTAB is 10 mg to 20 mg twice a day. A lower starting
dose may be needed in some patients.
Your doctor may have prescribed a different dose.
Follow the instructions provided and use IKOTAB until your doctor tells you to stop.
Do not stop taking the medicine till your doctor tells you to stop.
How to take IKOTAB
Swallow the tablet with a full glass of water
Take IKOTAB at about the same time each day. Taking your tablets at the same time
each day will have the best effect.
If you forget to use IKOTAB
IKOTAB should be used regularly at the same time each day.
If it is almost time for your next dose, skip the dose you missed and take your next
dose when you are meant to.
Do not take a double dose to make up for the dose you missed.
If you use too much IKOTAB
If you take too much IKOTAB, you will probably feel light-headed or dizzy, or your
heart may beat faster than normal.
If you think that you have used too much IKOTAB, you may need urgent medical attention.
You should immediately:
phone the Poisons Information Centre
(Australia telephone 13 11 26) for advice, or
(Australia telephone 13 11 26) for advice, or
contact your doctor, or
go to the Emergency Department at your nearest hospital.
You should do this even if there are no signs of discomfort or poisoning.
Things you should do
Tell all the doctors, dentists and pharmacists who are treating you that you are taking
IKOTAB.
If you are about to be started on any new medicine, tell your doctor and pharmacist
that you are taking IKOTAB.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or
dentist that you are taking this medicine.
It may affect other medicines used during surgery.
Keep all of your doctor's appointments so that your progress can be checked.
Call your doctor straight away if you:
become pregnant while you are taking this medicine, tell your doctor or pharmacist
immediately.
Things you should not do
Do not stop using this medicine suddenly.
Do not take more than the recommended dose unless your doctor tells you to.
Do not give this medicine to anyone else, even if they have the same condition as
you.
Do not use this medicine to treat any other complaints unless your doctor tells you
to.
Do not stop taking IKOTAB, or lower the dosage, without checking with your doctor.
Your doctor may want you to gradually reduce the amount you are using before stopping
completely.
Do not stop taking your tablets because you are feeling better, unless advised by
your doctor or pharmacist.
Things to be careful of
If you feel light-headed, dizzy or faint, be careful when getting up from a sitting
or lying position. Get up slowly. This may help when getting out of bed or standing
up.
If this problem continues or gets worse, talk to your doctor.
Driving or using machines
Be careful before you drive or use any machines or tools until you know how IKOTAB
affects you.
IKOTAB may cause dizziness or light- headedness in some people. Make sure you know
how you react to it before you drive a car, operate machinery, or do anything else
that could be dangerous if you feel dizzy. Do not drive if this occurs.
Drinking alcohol
Tell your doctor if you drink alcohol.
Be careful when drinking alcohol while you are taking this medicine.
IKOTAB may increase the effects of alcohol.
Looking after your medicine
Keep the medicine in a cool, dry place where the temperature stays below 25°C.
Keep IKOTAB tablets in the blister pack until it is time to take them. If you take
the tablets out of the blister pack they may not keep well.
Any unused tablets held for 30 days after opening the blister strip should be discarded.
Follow the instructions in the carton on how to take care of your medicine properly.
Store it in a cool dry place away from moisture, heat or sunlight; for example, do
not store it:
in the bathroom or near a sink, or
in the car or on window sills.
Do not use this medicine after the expiry date. Keep it where young children cannot
reach it.
Keep it where young children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
When to discard your medicine
Any unused tablets held for 30 days after opening the blister strip should be discarded.
Getting rid of any unwanted medicine
If you no longer need to use this medicine or it is out of date, take it to any pharmacy
for safe disposal.
All medicines can have side effects. If you do experience any side effects, most of
them are minor and temporary. However, some side effects may need medical attention.
See the information below and, if you need to, ask your doctor or pharmacist if you
have any further questions about side effects.
Less serious side effects
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Less serious side effects
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What to do
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headache
headaches usually occur when you begin to take IKOTAB, and generally do not last long.
dizziness and light headedness, especially when getting up from a sitting or lying
down position
tiredness, drowsiness
cough
nausea, vomiting, indigestion
diarrhoea
constipation
stomach ache
flushing, sweating
loss of appetite, weight loss
fever
leg, neck, back, chest or muscular pain, pain in the arm or general pain
trouble sleeping
nervousness
depression
itching
double vision
nose bleed
skin abscess
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Speak to your doctor if you have any of these less serious side effects and they worry
you.
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Serious side effects
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Serious side effects
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What to do
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high blood pressure
fast or irregular heart beats
swelling of the face, hands, ankles or feet
difficulty in breathing or shortness of breath
tingling or numbness of the hands or feet
rash
ringing or other persistent noise in the ears
persistent mouth ulcers or genital, anal or skin ulcers
dark bowel motions and/or bloody diarrhoea
inflammation of the bowel wall (fever, vomiting and stomach pain or discomfort)
high potassium levels in the blood
nerve paralysis
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Tell your doctor as soon as possible if you notice any of the following:
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Allergic reaction:
swelling of the face, lips, mouth or throat, which may cause difficultly in swallowing
or breathing
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Call your doctor straight away, or go straight to the Emergency Department at your
nearest hospital if you notice any of these serious side effects.
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Tell your doctor or pharmacist if you notice anything else that may be making you
feel unwell.
Other side effects not listed here may occur in some people.
Reporting side effects
After you have received medical advice for any side effects you experience, you can
report side effects to the Therapeutic Goods Administration online at www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
this medicine.
Always make sure you speak to your doctor or pharmacist before you decide to stop
taking any of your medicines.
This medicine is only available with a doctor's prescription.
What IKOTAB contains
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Active ingredient
(main ingredient)
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either 10 mg or 20 mg of nicorandil
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Other ingredients
(inactive ingredients)
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mannitol
stearic acid
croscarmellose sodium
pregelatinised maize starch
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Potential allergens
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None
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Do not take this medicine if you are allergic to any of these ingredients.
What IKOTAB looks like
IKOTAB 10 mg tablets are round and white scored on one side and marked '10' on the
other side. (AUST R 218690).
IKOTAB 20 mg tablets are round and white scored on one side and bearing the inscription
'20' on the other side. (AUST R 218689).
They are available in blister packs of 60 tablets. Each blister strip contains a desiccant.
