Grunic 10 10'S Tablet belongs to a class of medication called 'vasodilators' used to prevent or treat angina pectoris (heart-related chest pain) in adults who cannot take beta-blockers (blood pressure-lowering pills). Angina pectoris is a kind of chest pain due to decreased blood flow to the heart. It is a symptom of coronary artery disease.

Grunic 10 10'S Tablet contains Nicorandil, a potassium-channel activator that opens potassium channels present on the muscle cells within the walls of blood vessels and relaxes these muscle cells and widens blood vessels. Thereby, Grunic 10 10'S Tablet reduces the heart's workload by making it easier for the heart to pump blood around the body and does not require much oxygen. Also, Grunic 10 10'S Tablet helps to prevent angina by increasing oxygen and blood supply to the heart muscle by widening coronary arteries within the heart.

Take Grunic 10 10'S Tablet as prescribed by your doctor. You are advised to take Grunic 10 10'S Tablet for as long as your doctor has prescribed it for you based on your medical condition. Some people may experience headache, nausea, vomiting, dizziness, weakness, flushing (reddening of the skin) or very fast, forceful or uneven heartbeat. Most of these side effects of Grunic 10 10'S Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

If you are allergic to Grunic 10 10'S Tablet or any other medicines, please tell your doctor. Do not take Grunic 10 10'S Tablet if you are pregnant or breastfeeding and consult a doctor. Grunic 10 10'S Tablet is not recommended for children as the safety and effectiveness were not established. Drive only if you are alert as Grunic 10 10'S Tablet may cause dizziness or weakness. Avoid alcohol consumption with Grunic 10 10'S Tablet as it may cause severely low blood pressure. Avoid taking vardenafil, sildenafil, tadalafil and riociguat with Grunic 10 10'S Tablet as it may affect blood pressure.

Grunic 10 10'S Tablet contains Nicorandil, a potassium-channel activator used to prevent or treat angina pectoris (chest pain). Grunic 10 10'S Tablet works by opening potassium channels present on the muscle cells within the blood vessels' walls and relaxes these muscle cells and widens blood vessels. Thereby, Grunic 10 10'S Tablet reduces the heart's workload by making it easier for the heart to pump blood around the body and does not require much oxygen. Also, Grunic 10 10'S Tablet helps to prevent angina by increasing oxygen and blood supply to the heart muscle by widening coronary arteries within the heart. Grunic 10 10'S Tablet is given to adults who cannot tolerate other heart medicines such as calcium antagonists or beta-blockers. 

• Headache
• Nausea
• Vomiting
• Dizziness
• Weakness
• Flushing (reddening of the skin)
• Uneven heartbeat

If you are allergic to Grunic 10 10'S Tablet or any other medicines, please tell your doctor. Avoid taking Grunic 10 10'S Tablet if you have hypotension (severe low blood pressure), low blood volume, pulmonary oedema (accumulation of fluid in the lungs) or any heart problems. Do not take Grunic 10 10'S Tablet if you are pregnant or breastfeeding and consult a doctor. Grunic 10 10'S Tablet is not recommended for children as the safety and effectiveness were not established. Drive only if you are alert as Grunic 10 10'S Tablet may cause dizziness or weakness. Avoid alcohol consumption with Grunic 10 10'S Tablet as it may cause severely low blood pressure. Avoid taking vardenafil, sildenafil, tadalafil and riociguat with Grunic 10 10'S Tablet as it may affect blood pressure. If you notice in blood in stools while taking Grunic 10 10'S Tablet, inform your doctor immediately as it may be due to ulcers in the stomach, intestines or back passage.

Drug-Drug Interaction: Grunic 10 10'S Tablet may interact with medicines used to treat erectile dysfunction (vardenafil, sildenafil, tadalafil), drugs to treat pulmonary hypertension (riociguat), medicine to treat premature ejaculation (dapoxetine), pain reliever (aspirin), steroids (prednisolone), high blood pressure-lowering medicines (lisinopril, ramipril, losartan, valsartan, candersartan).

Drug-Food Interaction: Grunic 10 10'S Tablet may interact with alcohol. Therefore, avoid alcohol intake while taking Grunic 10 10'S Tablet as it may cause severely low blood pressure.

Drug-Disease Interaction: Avoid taking Grunic 10 10'S Tablet if you have hypotension (severe low blood pressure), low blood volume, pulmonary oedema (build-up of fluid in the lungs) or any heart problems.

• VARDENAFIL
• SILDENAFIL
• TADALAFIL
• RIOCIGAUT
• DAPOXETINE
• ASPIRIN
• PREDNISOLONE
• LISINOPRIL
• RAMIPRIL
• LOSARTAN
• VALSARTAN
• CANDESARTAN

• Follow a cholesterol-lowering diet.
• Consume low-salt and a low-fat diet.
• Exercise regularly. It helps in maintaining proper weight and lowers cholesterol.
• Limit salt and sugar intake.
• Avoid smoking and alcohol consumption.
• Choose healthy fats and cut down on trans-fat.
• Include omega-3 fatty acids, fibre-rich food, fruits and vegetables.
• Get active by doing any physical activity such as swimming, brisk walking or jogging. Take the stairs instead of elevators/lifts.

• Avoid consumption of alcohol with name as it may cause severe low blood pressure.
• Regular exercise is recommended along with Grunic 10 10'S Tablet for effective results.

Angina pectoris: It is a kind of chest pain caused due to decreased blood flow to the heart, which means insufficient oxygen supply to the heart muscle. The chest pain is often triggered by emotional stress or physical activity. Angina is a symptom of coronary artery disease. The symptoms of angina include dizziness, shortness of breath, nausea, tiredness, anxiety or excessive sweating. The risk factors for angina include smoking, diabetes, overweight, high blood pressure, high cholesterol, not exercising, or a history of heart disease.