Niaspan Controlled-Release Tablets, also called nicotinic acid, is a B vitamin (vitamin B3). It occurs naturally in plants and animals, and is also added to many foods as a vitamin supplement. Niaspan Controlled-Release Tablets is also present in many multiple vitamins and nutritional supplements.
Niaspan Controlled-Release Tablets is used to treat and prevent a lack of natural Niaspan Controlled-Release Tablets in the body, and to lower cholesterol and triglycerides (types of fat) in the blood. It is also used to lower the risk of heart attack in people with high cholesterol who have already had a heart attack. Niaspan Controlled-Release Tablets is sometimes used to treat coronary artery disease (also called atherosclerosis).
Niaspan Controlled-Release Tablets may also be used for purposes not listed in this medication guide.
Niaspan Controlled-Release Tablets indications
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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Therapy with lipid-altering agents should be only one component of multiple risk factor intervention in individuals at significantly increased risk for atherosclerotic vascular disease due to hyperlipidemia. Niaspan Controlled-Release Tablets, USP therapy is indicated as an adjunct to diet when the response to a diet restricted in saturated fat and cholesterol and other nonpharmacologic measures alone has been inadequate.
1.
Niaspan Controlled-Release Tablets Extended-Release Tablets USP are indicated to reduce elevated TC, LDL-C, Apo B and TG levels, and to increase HDL-C in patients with primary hyperlipidemia and mixed dyslipidemia.
2.
In patients with a history of myocardial infarction and hyperlipidemia, Niaspan Controlled-Release Tablets, USP is indicated to reduce the risk of recurrent nonfatal myocardial infarction.
3.
In patients with a history of coronary artery disease (CAD) and hyperlipidemia, Niaspan Controlled-Release Tablets, USP, in combination with a bile acid binding resin, is indicated to slow progression or promote regression of atherosclerotic disease.
4.
Niaspan Controlled-Release Tablets Extended-Release Tablets USP in combination with a bile acid binding resin are indicated to reduce elevated TC and LDL-C levels in adult patients with primary hyperlipidemia.
5.
Niaspan Controlled-Release Tablets, USP is also indicated as adjunctive therapy for treatment of adult patients with severe hypertriglyceridemia who present a risk of pancreatitis and who do not respond adequately to a determined dietary effort to control them.
Limitations of Use
Addition of Niaspan Controlled-Release Tablets Extended-Release Tablets USP did not reduce cardiovascular morbidity or mortality among patients treated with simvastatin in a large, randomized controlled trial (AIM-HIGH).
How should I use Niaspan Controlled-Release Tablets?
Use Niaspan Controlled-Release Tablets controlled-release tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.
An extra patient leaflet is available with Niaspan Controlled-Release Tablets controlled-release tablets. Talk to your pharmacist if you have questions about this information.
To minimize flushing and upset stomach, take Niaspan Controlled-Release Tablets controlled-release tablets at bedtime after a low-fat snack (eg, low-fat yogurt, banana, crackers with a glass of milk) unless your doctor directs otherwise. Do not take Niaspan Controlled-Release Tablets controlled-release tablets on an empty stomach. Do not take Niaspan Controlled-Release Tablets controlled-release tablets with alcohol, a hot drink, or spicy foods.
Do not take bile acid sequestrants (eg, colestipol, cholestyramine) within 4 to 6 hours of taking Niaspan Controlled-Release Tablets controlled-release tablets.
Swallow Niaspan Controlled-Release Tablets controlled-release tablets whole. Do not break, crush, or chew before swallowing.
If you miss a dose of Niaspan Controlled-Release Tablets controlled-release tablets, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. If you miss several doses, contact your doctor.
Ask your health care provider any questions you may have about how to use Niaspan Controlled-Release Tablets controlled-release tablets.
Uses of Niaspan Controlled-Release Tablets in details
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
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Niaspan Controlled-Release Tablets (nicotinic acid) is used to prevent and treat Niaspan Controlled-Release Tablets deficiency (pellagra). Niaspan Controlled-Release Tablets deficiency may result from certain medical conditions (such as alcohol abuse, malabsorption syndrome, Hartnup disease), poor diet, or long-term use of certain medications (such as isoniazid).
Niaspan Controlled-Release Tablets deficiency can cause diarrhea, confusion (dementia), tongue redness/swelling, and peeling red skin. Niaspan Controlled-Release Tablets is also known as vitamin B3, one of the B-complex vitamins. Vitamins help to support the body's ability to make and break down natural compounds (metabolism) needed for good health. Niacinamide (nicotinamide) is a different form of vitamin B3 and does not work the same as Niaspan Controlled-Release Tablets. Do not substitute unless directed by your doctor.
Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar names may contain different ingredients meant for different purposes. Taking the wrong product could harm you.
OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug, but may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.
Niaspan Controlled-Release Tablets may also be used to improve cholesterol and lower fat levels (triglycerides) in the blood under the care of your doctor. It is generally used after non-drug treatments have not been fully successful at lowering cholesterol. Doses for treating these blood fat problems are usually much higher than for dietary problems.
How to use B-3 Niaspan Controlled-Release Tablets
Take this medication by mouth with a low-fat meal or snack as directed by your doctor, usually 1-3 times daily. Taking Niaspan Controlled-Release Tablets on an empty stomach increases side effects (such as flushing, upset stomach). Follow all directions on the product package. If your doctor has prescribed this medication, take it as directed. If you are uncertain about any of the information, consult your doctor or pharmacist.
Niaspan Controlled-Release Tablets is available in different formulations (such as immediate and sustained release). Do not switch between strengths, brands, or forms of Niaspan Controlled-Release Tablets. Severe liver problems may occur.
Swallow extended-release capsules whole. Do not crush or chew extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
To lessen the chance of side effects such as flushing, avoid alcohol, hot beverages, and eating spicy foods near the time you take Niaspan Controlled-Release Tablets. Taking a plain (non-enteric coated, 325 milligram) aspirin or a nonsteroidal anti-inflammatory drug (such as ibuprofen, 200 milligrams) 30 minutes before taking Niaspan Controlled-Release Tablets may help prevent flushing. Ask your doctor if this treatment is right for you.
If you also take certain other drugs to lower cholesterol (bile acid-binding resins such as cholestyramine or colestipol), take Niaspan Controlled-Release Tablets at least 4 to 6 hours before or after taking these medications. These products interact with Niaspan Controlled-Release Tablets, preventing its full absorption. Continue to take other medications to lower your cholesterol as directed by your doctor.
The dosage is based on your medical condition and response to treatment. If you are taking this for lipid problems, your doctor may direct you to start this medication at a low dose and gradually increase your dose to reduce your risk of side effects. Your dose will need to be increased slowly even if you are already taking Niaspan Controlled-Release Tablets and are being switched from another Niaspan Controlled-Release Tablets product to this product. Follow your doctor's instructions carefully.
Do not stop taking this medicine unless instructed by your doctor. If you stop taking Niaspan Controlled-Release Tablets, you may need to return to your original dose and gradually increase it again. Ask your doctor or pharmacist for instructions on restarting your dose if you have not taken your medication for several days.
Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.
It is very important to continue to follow your doctor's advice about diet and exercise.
If your condition persists or worsens, or if you think you may have a serious medical problem, get medical help right away.
Niaspan Controlled-Release Tablets description
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A water-soluble vitamin of the B complex occurring in various animal and plant tissues. It is required by the body for the formation of coenzymes NAD and NADP. It has pellagra-curative, vasodilating, and antilipemic properties. [PubChem]
Niaspan Controlled-Release Tablets dosage
Niaspan Controlled-Release Tablets Extended-Release Tablets should be taken at bedtime, after a low-fat snack, and doses should be individualized according to patient response. Therapy with Niaspan Controlled-Release Tablets Extended-Release Tablets must be initiated at 500 mg at bedtime in order to reduce the incidence and severity of side effects which may occur during early therapy. The recommended dose escalation is shown in Table 1 below.
1 Niaspan Controlled-Release Tablets Extended-Release 500 mg Tablet at bedtime
SCHEDULE
5 to 8
1000 mg
1 Niaspan Controlled-Release Tablets Extended-Release 1000 mg Tablet or
2 Niaspan Controlled-Release Tablets Extended-Release 500 mg Tablets at bedtime
*
1500 mg
2 Niaspan Controlled-Release Tablets Extended-Release 750 mg Tablets or
3 Niaspan Controlled-Release Tablets Extended-Release 500 mg Tablets at bedtime
*
2000 mg
2 Niaspan Controlled-Release Tablets Extended-Release 1000 mg Tablets or
4 Niaspan Controlled-Release Tablets Extended-Release 500 mg Tablets at bedtime
* After Week 8, titrate to patient response and tolerance. If response to 1000 mg daily is inadequate, increase dose to 1500 mg daily; may subsequently increase dose to 2000 mg daily. Daily dose should not be increased more than 500 mg in a 4-week period, and doses above 2000 mg daily are not recommended. Women may respond at lower doses than men.
Maintenance Dose
The daily dosage of Niaspan Controlled-Release Tablets Extended-Release Tablets should not be increased by more than 500 mg in any 4-week period. The recommended maintenance dose is 1000 mg (two 500 mg tablets or one 1000 mg tablet) to 2000 mg (two 1000 mg tablets or four 500 mg tablets) once daily at bedtime. Doses greater than 2000 mg daily are not recommended. Women may respond at lower Niaspan Controlled-Release Tablets Extended-Release Tablet doses than men.
Single-dose bioavailability studies have demonstrated that two of the 500 mg and one of the 1000 mg tablet strengths are interchangeable but three of the 500 mg and two of the 750 mg tablet strengths are not interchangeable.
Flushing of the skin may be reduced in frequency or severity by pretreatment with aspirin (up to the recommended dose of 325 mg taken 30 minutes prior to Niaspan Controlled-Release Tablets Extended-Release Tablet dose). Tolerance to this flushing develops rapidly over the course of several weeks. Flushing, pruritus, and gastrointestinal distress are also greatly reduced by slowly increasing the dose of Niaspan Controlled-Release Tablets and avoiding administration on an empty stomach. Concomitant alcoholic, hot drinks or spicy foods may increase the side effects of flushing and pruritus and should be avoided around the time of Niaspan Controlled-Release Tablets Extended-Release Tablet ingestion.
Equivalent doses of Niaspan Controlled-Release Tablets Extended-Release Tablets should not be substituted for sustained-release (modified-release, timed-release) Niaspan Controlled-Release Tablets preparations or immediate-release (crystalline) Niaspan Controlled-Release Tablets. Patients previously receiving other Niaspan Controlled-Release Tablets products should be started with the recommended Niaspan Controlled-Release Tablets Extended-Release Tablet titration schedule, and the dose should subsequently be individualized based on patient response.
If Niaspan Controlled-Release Tablets Extended-Release Tablet therapy is discontinued for an extended period, reinstitution of therapy should include a titration phase.
Niaspan Controlled-Release Tablets Extended-Release Tablets should be taken whole and should not be broken, crushed or chewed before swallowing.
Dosage in Patients with Renal or Hepatic Impairment
Use of Niaspan Controlled-Release Tablets Extended-Release Tablets in patients with renal or hepatic impairment has not been studied. Niaspan Controlled-Release Tablets Extended-Release Tablets are contraindicated in patients with significant or unexplained hepatic dysfunction. Niaspan Controlled-Release Tablets Extended-Release Tablets should be used with caution in patients with renal impairment.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: "blood thinners" (such as warfarin, heparins).
Check all prescription and nonprescription medicine labels carefully since vitamins/dietary supplements may also contain Niaspan Controlled-Release Tablets or niacinamide (nicotinamide). These may increase your risk of side effects if taken together. Ask your doctor or pharmacist for more details.
This medication may interfere with certain laboratory tests (including urine or blood catecholamines, copper-based urine glucose tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
As well as its needed effects, Niaspan Controlled-Release Tablets (the active ingredient contained in Niaspan Controlled-Release Tablets SR) may cause unwanted side effects that require medical attention.
Major Side Effects
If any of the following side effects occur while taking Niaspan Controlled-Release Tablets, check with your doctor immediately:
Less common:
Darkening of urine
light gray-colored stools
loss of appetite
severe stomach pain
yellow eyes or skin
Minor Side Effects
Some Niaspan Controlled-Release Tablets side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:
Less common:
Abdominal or stomach pain
cough
diarrhea
feeling of warmth
flushing or redness of the skin, especially on the face and neck
The results of a survey conducted on ndrugs.com for Niaspan Controlled-Release Tablets are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Niaspan Controlled-Release Tablets. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.
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