Niaspan Precautions and Warnings

Some Niaspan Precautions and Warnings

Some precautions and warnings to be aware while taking Niaspan include:
 
  • If you are over the age of 65 or have severe kidney disease, your healthcare provider may decide to monitor your progress more closely and make any necessary dosing adjustments.
     
  • Niaspan can interact with certain medications (see Niaspan Drug Interactions).
     
  • A common side effect of Niaspan is flushing of the face and neck. Since Niaspan is taken at night before bed, these symptoms usually occur when you are sleeping. If you wake up in the middle of the night feeling flushed, make sure to get up slowly, especially if you feel dizzy or faint.
     
  • Niaspan can interfere with glucose metabolism in the body leading to hyperglycemia (high blood sugar). If you have diabetes, your healthcare provider may choose to monitor your condition more carefully and make any necessary dosing adjustments.
     
  • If you have gout, Niaspan can increase uric acid levels in the blood, making your condition worse. If you experience any pain or other symptoms associated with gout while taking Niaspan, contact your healthcare provider right away.
     
  • If you are having any kind of surgery, including dental surgery, let the doctor or dentist know that you are taking Niaspan.
     
  • Niaspan has been associated with some cases of severe liver toxicity. If you have a history of liver disease or are a frequent user of large amounts of alcohol, your healthcare provider may choose to monitor your progress more closely.
     
  • Niaspan may cause an increase in liver enzymes. Therefore, it is recommended that you have a blood test that looks at your liver function before starting Niaspan and several months after treatment has started. These tests may also be recommended if the Niaspan dosage is changed (see Niaspan and Muscle Pain).
     
  • Niaspan in combination with HMG-CoA reductase inhibitors (statins) has been associated with the rare but serious condition known as rhabdomyolysis (severe breakdown of muscles). Your risk increases if you are elderly, have kidney disease, or are not being properly treated for hypothyroidism. Let your healthcare provider know immediately if you experience any muscle pain, tenderness, or weakness, especially if they are accompanied by unexplained tiredness or fever (see Niaspan and Muscle Pain).
     
  • Niaspan may decrease the levels of phosphorus in your body. Your healthcare provider may choose to monitor your phosphorus levels if you are at risk of hypophosphatemia (low phosphorus).
     
  • Niaspan is considered a pregnancy Category C medication. This means it has not been studied in pregnant women. However, when studied in animals, it did produce a negative effect on the fetus. If you are pregnant, you should take Niaspan only if the benefit outweighs the possible risk to your unborn child. If you become pregnant while taking Niaspan, contact your healthcare provider immediately (see Niaspan and Pregnancy).
     
  • It is known that Niaspan passes through breast milk. Therefore, if you are nursing and taking Niaspan, it is recommended to either stop nursing or stop taking Niaspan. Your healthcare provider should make this decision.
     
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Niaspan Drug

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