Nicotinic acid


Thông tin thuốc gốc
Chỉ định và Liều dùng
Oral
Hyperlipidaemias
Adult: Initially, 250 mg once daily in the evening. Increase dose every 4-7 days until desired LDL cholesterol and/or triglyceride level is achieved or dose of 1.5-2 g/day is reached. If hyperlipidaemia is not adequately controlled after 2 mth w/ this dose, it can be increased at 2- to 4-wk intervals to 1 g tid. Max: 6 g daily. As extended-release tab: Initially, 500 mg at night, gradually increased according to response to a maintenance of 1-2 g at bedtime.

Oral
Vasodilation
Adult: 100-150 mg 3-5 times daily. As extended-release tab: 300-400 mg 12 hrly.

Oral
Treatment and prophylaxis of nicotinic acid deficiency
Adult: For treatment of pellagra: 300-500 mg daily in divided doses. For management of Hartnup disease: 50-200 mg daily.
Child: For treatment of pellagra: 100-300 mg daily in divided doses.

Topical/Cutaneous
Mild to moderate inflammatory acne
Adult: As 4% gel: Apply to affected area bid.
Cách dùng
Should be taken with food. Take at bedtime after a low-fat snack.
Chống chỉ định
Patient w/ active liver disease or unexplained persistent elevations of serum transaminases, active peptic ulcer disease, arterial bleeding.
Thận trọng
Patient w/ unstable angina, acute MI, CHD, DM, gout, history of peptic ulceration. Patient who consume large amount of alcohol. Patient undergoing surgery. Renal or hepatic impairment. Pregnancy and lactation.
Phản ứng phụ
Flushing, sensation of heat, faintness, pounding in the head, tingling, itching, headache, dizziness, tachycardia, palpitations, dyspnoea, sweating, chills, oedema; dryness of skin, pruritus, hyperpigmentation, rash, cramps, cough, diarrhoea, nausea and vomiting, anorexia, activation of peptic ulcer, eye disorders including cystoid macular oedema and toxic amblyopia; decreased glucose tolerance, hyperglycaemia, hyperuricaemia; abnormal LFTs, jaundice; hypophosphataemia, reduced platelet counts, prolonged prothrombin time, arrhythmias, hypersensitivity reactions including angioedema; insomnia, myalgia and hypotension.
IM/IV/Parenteral/PO/SC: C
MonitoringParameters
Monitor LFTs and blood glucose frequently.
Tương tác
Increased risk of myopathy and rhabdomyolysis w/ concomitant HMG-CoA reductase inhibitors. Reduced bioavailability w/ colestyramine or colestipol. Decreased metabolic clearance w/ aspirin. May potentiate effects of ganglionic blocking agents and vasoactive drugs resulting in postural hypotension.
Food Interaction
Avoid alcohol or hot drinks and spicy foods as it may increase risk of flushing and pruritus.
Lab Interference
May produce false elevations in some fluorometric determinations of plasma or urinary catecholamines. May give false-positive results w/ cupric sulfate soln (Benedict's reagent) in urine glucose determination.
Tác dụng
Description: Nicotinic acid is a derivative of vitamin B3 and is incorporated into coenzymes nicotinamide adenine dinucleotide (NAD) and nicotinamide adenine dinucleotide phosphate (NADP), which are involved in multiple cellular metabolic pathways. Nicotinic acid also reduces total serum cholesterol, LDL, VLDL, apolipoprotein B and triglycerides, and increases HDL cholesterol.
Pharmacokinetics:
Absorption: Readily absorbed from the GI tract.
Distribution: Widely distributed in body tissues and appears in breast milk.
Metabolism: Converted to N-methylnicotinamide, 2-pyridone and 4-pyridone derivatives.
Excretion: Via urine in small amounts as unchanged drug. Plasma elimination half-life: 20-45 min.
Đặc tính

Chemical Structure Image
Nicotinic acid

Source: National Center for Biotechnology Information. PubChem Database. Nicotinic acid, CID=938, https://pubchem.ncbi.nlm.nih.gov/compound/Nicotinic-acid (accessed on Jan. 22, 2020)

Bảo quản
Store between 20-25°C.
Phân loại ATC
C10AD02 - nicotinic acid ; Belongs to the class of nicotinic acid and derivatives. Used in the treatment of hyperlipidemia.
C04AC01 - nicotinic acid ; Belongs to the class of nicotinic acid agents. Used as peripheral vasodilators.
References
Anon. Niacin. Lexicomp Online. Hudson, Ohio. Wolters Kluwer Clinical Drug Information, Inc. https://online.lexi.com. Accessed 10/10/2014.

Buckingham R (ed). Nicotinic acid. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 10/10/2014.

Joint Formulary Committee. Nicotinic acid. British National Formulary [online]. London. BMJ Group and Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 10/10/2014.

McEvoy GK, Snow EK, Miller J et al (eds). Niacin, Niacinamide. AHFS Drug Information (AHFS DI) [online]. American Society of Health-System Pharmacists (ASHP). https://www.medicinescomplete.com. Accessed 10/10/2014.

McEvoy GK, Snow EK, Miller J et al (eds). Niacin. AHFS Drug Information (AHFS DI) [online]. American Society of Health-System Pharmacists (ASHP). https://www.medicinescomplete.com. Accessed 10/10/2014.

Niacor-Niacin Tablet (Upsher-Smith Laboratories Inc.). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 10/10/2014.

Niaspan-Niacin Tablet, Film Coated, Extended Release. DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 26/08/2015.

Thông báo miễn trừ trách nhiệm: Thông tin này được MIMS biên soạn một cách độc lập dựa trên thông tin của Nicotinic acid từ nhiều nguồn tài liệu tham khảo và được cung cấp chỉ cho mục đích tham khảo. Việc sử dụng điều trị và thông tin kê toa có thể khác nhau giữa các quốc gia. Vui lòng tham khảo thông tin sản phẩm trong MIMS để biết thông tin kê toa cụ thể đã qua phê duyệt ở quốc gia đó. Mặc dù đã rất nỗ lực để đảm bảo nội dung được chính xác nhưng MIMS sẽ không chịu trách nhiệm hoặc nghĩa vụ pháp lý cho bất kỳ yêu cầu bồi thường hay thiệt hại nào phát sinh do việc sử dụng hoặc sử dụng sai các thông tin ở đây, về nội dung thông tin hoặc về sự thiếu sót thông tin, hoặc về thông tin khác. © 2021 MIMS. Bản quyền thuộc về MIMS. Phát triển bởi MIMS.com
Register or sign in to continue
Asia's one-stop resource for medical news, clinical reference and education
Sign up for free
Already a member? Sign in