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Cardiac CareFor professionals6 min read

Nicomni-5 for Doctors, Pharmacists and Distributors

Nicomni-5: Nicorandil Tablets IP 5 mg

A working reference for prescribers, pharmacists and distributors handling Nicomni-5: product profile, Schedule H obligations, cold storage at the counter, counselling points and supply enquiries.

Nicomni-5 product profile at a glance

  • Brand: Nicomni-5
  • Generic: Nicorandil Tablets IP 5 mg
  • Composition: Nicorandil IP 5 mg with approved excipients
  • Dosage form: uncoated tablet
  • Strength: 5 mg
  • Pack: bottle of 20 tablets
  • Therapeutic category: Cardiac Care
  • Regulatory status: Schedule H Prescription Drug. Not to be sold by retail without the prescription of a Registered Medical Practitioner
  • Storage: dry place, 2 degrees C to 8 degrees C
  • In use limit: discard remaining tablets 8 weeks after opening the bottle
  • Marketed by: EMK Omni Pharma, Mysuru, Karnataka. Produced at GMP certified contract manufacturing units

Nicorandil acts as a potassium channel activator with a nitrate component, reducing preload and afterload and supporting coronary vasodilatation. It is prescribed for the prevention and long term management of chronic stable angina. Dose and duration remain a prescriber decision.

Schedule H handling and dispensing at the counter

Nicomni-5 carries the Schedule H warning, so the usual obligations apply at every transaction.

  • Dispense only against a valid prescription from a registered medical practitioner, and verify that prescriber details, patient name, date, drug name and strength are legible
  • Maintain prescription and sales records as required under the Drugs and Cosmetics Rules, and retain records for the prescribed period
  • Do not dispense repeat supplies beyond what the prescription permits, and do not substitute a different molecule for a nicorandil prescription without referring the patient back to the prescriber
  • Ensure the pack shows an intact seal, readable batch number, manufacturing and expiry dates and MRP
  • Follow first expiry first out when picking stock from the shelf
  • Record and escalate any suspected quality complaint or suspected adverse drug reaction, and support reporting through the Pharmacovigilance Programme of India

Where a customer asks for the medicine without a prescription, the correct answer is a referral to a doctor, not a sale.

Storage and stock handling at the pharmacy

The storage instruction for Nicomni-5 is a dry place at 2 degrees C to 8 degrees C, so it belongs in the pharmacy refrigerator rather than on an ambient shelf.

  • Keep the unit in a calibrated pharmacy refrigerator with a working thermometer, and log temperatures according to your standard operating procedure
  • Store away from the freezer compartment and away from the door, and do not allow the stock to freeze
  • Keep bottles inside a labelled tray or container so condensation does not damage the labels
  • Maintain the cold chain during inward receipt and transfer, and check the condition of consignments on arrival
  • Have a written plan for power outages, which matter during monsoon in many parts of the country, and quarantine any stock whose exposure history is unclear pending a decision
  • Advise the patient at the counter about home storage and the 8 week in use limit after opening, since this is easily missed

Segregate expired and returned stock in a clearly marked quarantine area and dispose of it through approved channels.

Patient counselling checklist for Nicomni-5

A short conversation at the counter prevents most avoidable problems. Cover these points.

  • Swallow whole with water. Do not chew or crush the tablet
  • Take it every day at the times the doctor set, and do not treat it as a medicine for attacks only
  • Missed dose: take it if remembered soon after, skip it if the next dose is near, never double up
  • Headache is common early and often settles. Advise reporting it if it persists
  • Dizziness: rise slowly from bed or a chair, take care in the heat and while driving
  • Ulcer warning: any painful, non healing ulcer of the mouth, perianal area, skin or genitals, or unexplained abdominal pain, must be reported promptly with a mention of nicorandil
  • Strict interaction: no sildenafil, tadalafil, vardenafil or riociguat. Ask specifically, since patients often do not volunteer this
  • Caution with regular NSAIDs and steroids because of ulceration risk
  • Alcohol adds to the blood pressure lowering effect
  • Do not stop suddenly and do not share the medicine with family members
  • Storage: cold storage at home, cap closed tightly, and discard leftovers 8 weeks after opening
  • Emergency advice: chest pain at rest, worsening pain, fainting or black stools need immediate hospital assessment

Availability of Nicomni-5 through EMK Omni Pharma

EMK Omni Pharma markets Nicomni-5 as part of its Cardiac Care range alongside other cardiovascular products including Angi-NTG 2.6, Nitroglycerin Controlled Release Tablets 2.6 mg.

Pharmacies, hospitals, clinics, nursing homes and distributors who wish to stock the product can raise an enquiry through the contact page on the EMK Omni Pharma website, or reach the team directly on WhatsApp at +91 94487 74372. Please include your firm name, drug licence details, location and indicative quantity so the enquiry can be routed to the right distribution partner.

Prescribers who need product information, pack details or documentation for hospital formulary purposes can request it through the same channels.

Patients should not order directly. Nicomni-5 is dispensed by licensed chemists against a valid prescription only.

This article is for general information only and is not a substitute for advice from a registered medical practitioner.

Frequently asked questions

What are the key counselling points for Nicomni-5?
Swallow whole, keep to the daily schedule, expect possible early headache, report any non healing ulcer, and avoid all PDE5 inhibitors. Home storage and the 8 week limit should also be explained.
How should a pharmacy store Nicomni-5?
In a calibrated pharmacy refrigerator at 2 degrees C to 8 degrees C in a dry condition, away from the freezer, with temperature logs and a documented plan for power outages.
Can a chemist substitute another anti anginal brand?
No. A prescription written for nicorandil should not be substituted with a different molecule. Refer the patient back to the prescriber.
What documentation is needed for a distribution enquiry?
Share your firm name, drug licence details, location and indicative quantity through the EMK Omni Pharma contact page or WhatsApp at +91 94487 74372.
Which interaction should always be asked about at the counter?
Medicines for erectile dysfunction such as sildenafil, tadalafil and vardenafil, and riociguat. Patients rarely volunteer these, so ask directly.
Does EMK Omni Pharma manufacture Nicomni-5?
EMK Omni Pharma markets the product. The tablets are produced at GMP certified contract manufacturing units on the company's behalf.

Need Nicomni-5 for your pharmacy, hospital or clinic?

EMK Omni Pharma supplies through authorised channels across Karnataka. Send an enquiry and our team will respond during business hours.

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Medical Disclaimer

This product information is intended for general awareness only and should not be considered medical advice. Please consult a registered medical practitioner before using any prescription medicine.