Ikorel Tablets 10mg
- Name:
Ikorel Tablets 10mg
- Company:
SANOFI
- Active Ingredients:
- Legal Category:
Product subject to medical prescription which may be renewed (B)
Patient Information Leaflet Patient Information Leaflet last updated on medicines.ie: 22/03/21

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SANOFI

Company Products
When a pharmaceutical company changes any document, a new version is published on medicines.ie. For each version, we show the dates it was published on medicines.ie and the reasons for change.
Updated on 22 March 2021 PIL
Reasons for updating
- Change to section 4 - possible side effects
- Change to section 4 - how to report a side effect
- Change to section 6 - what the product contains
- Change to section 6 - what the product looks like and pack contents
- Change to section 6 - marketing authorisation holder
- Change to section 6 - marketing authorisation number
- Change to section 6 - manufacturer
- Change to section 6 - date of revision
Updated on 22 March 2021 SPC
Reasons for updating
- Change to section 4.4 - Special warnings and precautions for use
- Change to Section 4.8 – Undesirable effects - how to report a side effect
Legal category: Product subject to medical prescription which may be renewed (B)
Updated on 6 July 2020 PIL
Reasons for updating
- XPIL Removed
Updated on 5 June 2019 SPC
Reasons for updating
- Improved presentation of SPC
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Update from Word to PDF doc
Updated on 12 June 2018 SPC
Reasons for updating
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 6.1 - List of excipients
- Change to section 6.3 - Shelf life
- Change to section 6.4 - Special precautions for storage
- Change to section 6.6 - Special precautions for disposal and other handling
- Change to section 10 - Date of revision of the text
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Section 1 Wording amended in paragraph
Section 2 Sentence re-formatted Added:-
Excipient(s) with known effect:
This medicine contains less than 1 mmol sodium (23 mg) per dosage unit, that is to say essentially ‘sodium-free’.
Section 3
Rewording of sentence
round replaces circular
inscription replaces marking
doses replaces halves
Section4.4
Spelling amended Desiccant
Capsule replaces tablets as
These tablets replaced with this desiccant capsule
Section 4.5
Heading wording amended:-
Interactions with Other Medicinal Products and Other Forms of Interaction
Section6.1
Added:-
Grammatical errors amended
(E570)
(E421)
Section 6.3
Added:-
After opening
at below mentioned storage conditions.
Section 6.4 Added and replaces previous wording:-
For each blister strip, there are:
10 cavities containing Ikorel tablets, and
1 bigger cavity containing a silica gel desiccant capsule positioned at one end of the strip.
Each cavity containing Ikorel tablet is connected with the desiccant capsule by a channel.
The desiccant capsule must not be swallowed.
The blister pack is sealed with the aluminium cover foil on the removal side.
Pack sizes available are: 30 or 60 tablets.
Not all pack sizes may be marketed.
Section 6.6 amendment to section title to Special Precautions for Disposal and other Handling
Added:- Any unused medicinal product or waste material should be disposed of in accordance with local requirements
Updated on 12 June 2018 PIL
Reasons for updating
- Change to section 1 - what the product is used for
- Change to section 2 - use in children and adolescents
- Change to section 3 - how to take/use
- Change to section 5 - how to store or dispose
- Change to section 6 - what the product looks like and pack contents
Updated on 27 January 2017 PIL
Reasons for updating
- New PIL for new product
Updated on 27 January 2017 PIL
Reasons for updating
- Improved presentation of PIL
Updated on 20 October 2015 SPC
Reasons for updating
- New SPC for new product
Legal category: Product subject to medical prescription which may be renewed (B)
Updated on 20 October 2015 PIL
Reasons for updating
- Change to, or new use for medicine
- Change to warnings or special precautions for use
- Change of contraindications
- Change to side-effects
- Change to drug interactions
Updated on 20 October 2015 SPC
Reasons for updating
- Change to section 4.1 - Therapeutic indications
- Change to section 4.2 - Posology and method of administration
- Change to section 4.3 - Contraindications
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 4.6 - Pregnancy and lactation
- Change to section 4.7 - Effects on ability to drive and use machines
- Change to section 4.8 - Undesirable effects
- Change to Section 4.8 – Undesirable effects - how to report a side effect
- Change to section 4.9 - Overdose
- Change to section 5 - Pharmacological properties
- Change to section 5.1 - Pharmacodynamic properties
- Change to section 5.2 - Pharmacokinetic properties
- Change to section 5.3 - Preclinical safety data
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Wording of indicated use changed.
4.2 Posology and Method of Administration
Use of the word "bid" removed
Elderly- Recommends use of the lowest effective dose
"Children not recommended" removed
No special dosage requirements stated for patients with hepatic/ renal impairments
Ikorel is not recommended in paediatric patients
Method of administration suggested through oral route.
4.3 Contra-indications
-Hypersentivity to nicorandil or to any of the excipients listen in section 6.1
-Patients with shock, severe hypotension, or left ventricular dysfunction with low filling pressure or cardiac decompensation
-Use of phosphodiesterase 5 inhibitors
-Hypoyolaemia
-Acute pulmonary oedema
4.4 Special warnings and precautions for use
Edited/updated
-Decrease of blood-pressure
-Heart failure
Hyperkalaemia
-Dessicant
-Paediatric population
-G6PD deficiency
4.7 Effects on Ability to Drive and Use Machines
Influence on ability to drive and use machines expanded on further.
4.9, 5.1, 5.2 and 5.3 wording updated
Updated on 20 October 2015 PIL
Reasons for updating
- Change to date of revision
- PIL Submitted in error
Updated on 2 June 2014 SPC
Reasons for updating
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 4.8 - Undesirable effects
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Updated on 27 May 2014 PIL
Reasons for updating
- Change to warnings or special precautions for use
- Change to side-effects
- Change to drug interactions
Updated on 19 March 2013 SPC
Reasons for updating
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.8 - Undesirable effects
- Change to section 4.9 - Overdose
- Change to section 10 - Date of revision of the text
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
SPC updated in line with CCDS version 5:-
Section 4.4: ‘If ulcerations develop it is recommended to discontinue the nicorandil treatment’ is replaced with ‘If ulcerations develop nicorandil should be discontinued’
Section 4.8: Eye disorders added
Section 4.9: Terminology ‘substitution of fluid’ is replaced with ‘fluid resuscitation’.
Updated on 18 March 2013 PIL
Reasons for updating
- Change to warnings or special precautions for use
- Change to side-effects
- Change to further information section
- Change to marketing authorisation holder
Updated on 20 September 2012 SPC
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- Change to section 10 - Date of revision of the text
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Updated on 1 April 2011 SPC
Reasons for updating
- Change to section 4.3 - Contraindications
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 4.7 - Effects on ability to drive and use machines
- Change to section 4.8 - Undesirable effects
- Change to section 4.9 - Overdose
- Change to section 5.1 - Pharmacodynamic properties
- Change to section 5.2 - Pharmacokinetic properties
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Type Ib C.I.3.a variation to align the SPC and Patient information leaflet for Ikorel 10mg and 20mg Tablets, in line with the harmonised Company Core Safety Information, Version 4, and incorporating the CSP updates from the CSP WSP AT/H/PSUR/0023/001.
Updated on 1 April 2011 PIL
Reasons for updating
- Change due to harmonisation of PIL
Updated on 16 September 2009 SPC
Reasons for updating
- Improved electronic presentation
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Updated on 7 July 2009 PIL
Reasons for updating
- Change to improve clarity and readability
Updated on 19 March 2009 SPC
Reasons for updating
- Change to section 4.3 - Contraindications
- Change to section 4.4 - Special warnings and precautions for use
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 4.8 - Undesirable effects
- Change to section 4.9 - Overdose
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Updated on 1 December 2008 PIL
Reasons for updating
- Improved electronic presentation
Updated on 12 June 2008 SPC
Reasons for updating
- Improved electronic presentation
Legal category: Product subject to medical prescription which may be renewed (B)
Updated on 9 November 2007 SPC
Reasons for updating
- Change to section 3 - Pharmaceutical form
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Updated on 6 November 2007 SPC
Reasons for updating
- Change to section 3 - Pharmaceutical form
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Updated on 18 December 2006 PIL
Reasons for updating
- Improved electronic presentation
Updated on 18 December 2006 SPC
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- Change to section 10 - Date of revision of the text
Legal category: Product subject to medical prescription which may be renewed (B)
Free text change information supplied by the pharmaceutical company
Updated on 19 July 2005 PIL
Reasons for updating
- Change of manufacturer
Updated on 16 December 2004 PIL
Reasons for updating
- Improved electronic presentation
Updated on 3 December 2004 PIL
Reasons for updating
- Improved electronic presentation
Updated on 3 December 2004 SPC
Reasons for updating
- Change to section 4.3 - Contraindications
- Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
- Change to section 4.8 - Undesirable effects
- Change to section 10 - Date of revision of the text
Legal category: Product subject to medical prescription which may be renewed (B)
Updated on 19 August 2004 PIL
Reasons for updating
- New PIL for medicines.ie
Updated on 21 June 2004 SPC
Reasons for updating
- Change to section 3 - Pharmaceutical form
Legal category: Product subject to medical prescription which may be renewed (B)
Updated on 3 December 2003 SPC
Reasons for updating
- Change to section 7 - Marketing authorisation holder
- Change to section 10 - Date of revision of the text
Legal category: Product subject to medical prescription which may be renewed (B)
Updated on 17 November 2003 SPC
Reasons for updating
- Improved electronic presentation
Legal category: Product subject to medical prescription which may be renewed (B)
Updated on 23 June 2003 SPC
Reasons for updating
- Improved electronic presentation
Legal category: Product subject to medical prescription which may be renewed (B)
Updated on 11 June 2003 SPC
Reasons for updating
- New SPC for medicines.ie
Legal category: Product subject to medical prescription which may be renewed (B)