🍽️ nicorandil,(prescription)

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  1. Angina Pectoris: Nicorandil is primarily used for the prevention and treatment of angina pectoris, a condition characterized by chest pain or discomfort due to reduced blood flow to the heart muscle. It works by dilating the blood vessels (both arteries and veins), which increases blood flow to the heart and reduces the workload on the heart muscle. This helps relieve angina symptoms and may reduce the frequency and severity of angina attacks.

  2. Coronary Artery Disease (CAD): Nicorandil is beneficial in patients with coronary artery disease, where there is a buildup of plaque in the arteries that supply blood to the heart. By dilating coronary arteries, nicorandil improves blood flow to the heart muscle, which can help prevent ischemia (lack of oxygen) and reduce the risk of myocardial infarction (heart attack).

  3. Hypertension: Nicorandil's vasodilatory effects also extend to systemic arteries, leading to a reduction in peripheral vascular resistance and blood pressure. While not typically used as a first-line treatment for hypertension, nicorandil may be considered in individuals with concomitant angina and hypertension or in those who have not responded adequately to other antihypertensive medications.

  4. Coronary Artery Spasm: Nicorandil is particularly effective in preventing and relieving coronary artery spasm (vasospasm), which can lead to angina or myocardial infarction. Its dual mechanism of action as both a potassium channel opener and a nitric oxide donor helps relax smooth muscle cells in the blood vessel walls, preventing spasm and promoting vasodilation.

  5. Heart Failure: Some studies have suggested potential benefits of nicorandil in patients with heart failure, particularly those with preserved ejection fraction (HFpEF). Nicorandil's vasodilatory and anti-ischemic properties may help improve cardiac function, reduce symptoms, and enhance exercise tolerance in these patients. However, more research is needed to establish its role in heart failure management.

  6. Peripheral Arterial Disease (PAD): Nicorandil's vasodilatory effects may also benefit individuals with peripheral arterial disease by improving blood flow to the limbs, relieving symptoms such as intermittent claudication (leg pain during walking), and promoting wound healing. However, its use in this context is less common compared to other medications like cilostazol.

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Impacted of nicorandil,(prescription) On Probiotics

Rank Probiotic Impact
species Bacteroides uniformis Reduces
species Parabacteroides distasonis Reduces

Bacteria Impacted by nicorandil,(prescription)

We extend modifiers to include items that changes the parent and child taxa. I.e. for a species, that would be the genus that is belongs to and the strains in the species.

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Taxonomy Rank Effect Citations Notation
Dorea genus Decreases 👪 Source Study
Roseburia genus Decreases 👪 Source Study
Parabacteroides genus Decreases 👪 Source Study BMI, fat percent,blood pressure
Ruminococcus genus Decreases 👪 Source Study
Agathobacter genus Decreases 👪 Source Study
Bacteroides genus Decreases 👪 Source Study
Coprococcus genus Decreases 👪 Source Study
Fusobacterium genus Decreases 👪 Source Study Periodontal disease, Lemierre syndrome, skin ulcers
Lachnospira genus Decreases 👪 Source Study
Lacrimispora genus Decreases 👪 Source Study
Mediterraneibacter genus Decreases 👪 Source Study
Odoribacter genus Decreases 👪 Source Study
Phocaeicola genus Decreases 👪 Source Study
Streptococcus genus Decreases 👪 Source Study
Clostridium genus Decreases 👪 Source Study Pathogen
Enterocloster genus Decreases 👪 Source Study
Clostridium perfringens A no rank Decreases 👶 Source Study
Clostridium perfringens C no rank Decreases 👶 Source Study
Clostridium perfringens CPE no rank Decreases 👶 Source Study
Clostridium perfringens D no rank Decreases 👶 Source Study
Clostridium perfringens B no rank Decreases 👶 Source Study
Clostridium perfringens E no rank Decreases 👶 Source Study
Phocaeicola vulgatus species Decreases 📓 Source Study
Lachnospira eligens species Decreases 📓 Source Study
Bacteroides ovatus species Decreases 📓 Source Study
Bacteroides thetaiotaomicron species Decreases 📓 Source Study
Bacteroides xylanisolvens species Decreases 📓 Source Study
Dorea formicigenerans species Decreases 📓 Source Study
Fusobacterium nucleatum species Decreases 📓 Source Study Infectious bacteria
Ruminococcus bromii species Decreases 📓 Source Study
Enterocloster bolteae species Decreases 📓 Source Study
Parabacteroides merdae species Decreases 📓 Source Study Infectious bacteria
Streptococcus salivarius species Decreases 📓 Source Study Infectious bacteria
Coprococcus comes species Decreases 📓 Source Study
Agathobacter rectalis species Decreases 📓 Source Study
Lacrimispora saccharolytica species Decreases 📓 Source Study
Bacteroides fragilis species Decreases 📓 Source Study H02076 Bacteroides infection
[Ruminococcus] torques species Decreases 📓 Source Study
Odoribacter splanchnicus species Decreases 📓 Source Study
Bacteroides uniformis species Decreases 📓 Source Study Infectious bacteria
Mediterraneibacter gnavus species Decreases 📓 Source Study
Streptococcus parasanguinis species Decreases 📓 Source Study
Roseburia intestinalis species Decreases 📓 Source Study
Clostridium perfringens species Decreases 📓 Source Study Food poisoning, gas gangrene
Parabacteroides distasonis species Decreases 📓 Source Study
Fusobacterium nucleatum subsp. nucleatum subspecies Decreases 👶 Source Study

Impact of nicorandil,(prescription) on Conditions from US National Library of Medicine

A higher number indicates impact on more bacteria associated with the condition and confidence on the impact.

We have X bacteria high and Y low reported. We find that the modifier reduces some and increases other of these two groups. We just tally: X|reduces + Y|Increase = Positive   X|increases + Y|decrease = Negative.

Benefit Ratio:
Numbers above 0 have increasing positive effect.
Numbers below 0 have increasing negative effect.

Condition Positive Impact Negative Impact Benefit Ratio Impact
Abdominal Aortic Aneurysm 0.6 0.6
ADHD 3.2 0.3 9.67
Age-Related Macular Degeneration and Glaucoma 1.1 0.4 1.75
Allergic Rhinitis (Hay Fever) 2 0.4 4
Allergies 2.1 1.7 0.24
Allergy to milk products 1.1 0.7 0.57
Alopecia (Hair Loss) 0.6 0.6
Alzheimer's disease 4.1 3.8 0.08
Amyotrophic lateral sclerosis (ALS) Motor Neuron 2.1 0.3 6
Ankylosing spondylitis 1.5 1.4 0.07
Anorexia Nervosa 1.2 2.8 -1.33
Antiphospholipid syndrome (APS) 1 1
Asthma 3.5 1.1 2.18
Atherosclerosis 1.2 1.1 0.09
Atrial fibrillation 3 1.1 1.73
Autism 5.6 5.8 -0.04
Autoimmune Disease 0.3 0.7 -1.33
Barrett esophagus cancer 0.3 0.3 0
benign prostatic hyperplasia 0.3 -0.3
Biofilm 1.2 1.2
Bipolar Disorder 1.2 1.1 0.09
Brain Trauma 0.3 1.1 -2.67
Breast Cancer 0.6 0.6
Cancer (General) 0.6 0.1 5
Carcinoma 3.1 1.9 0.63
Celiac Disease 1.9 2.2 -0.16
Cerebral Palsy 0.8 1.1 -0.38
Chronic Fatigue Syndrome 3.5 4.5 -0.29
Chronic Kidney Disease 1.8 1.7 0.06
Chronic Lyme 0.8 -0.8
Chronic Obstructive Pulmonary Disease (COPD) 1.4 1.7 -0.21
Chronic Urticaria (Hives) 0.5 0.3 0.67
Coagulation / Micro clot triggering bacteria 0.7 1.1 -0.57
Cognitive Function 1.9 1.3 0.46
Colorectal Cancer 5.4 1.6 2.38
Constipation 1.6 0.5 2.2
Coronary artery disease 1.1 2.1 -0.91
COVID-19 5.3 7.8 -0.47
Crohn's Disease 5.5 4.6 0.2
Cushing's Syndrome (hypercortisolism) 1 -1
cystic fibrosis 0.8 -0.8
deep vein thrombosis 1.2 1.4 -0.17
Denture Wearers Oral Shifts 1.3 1.3
Depression 5.7 4.8 0.19
Dermatomyositis 0.3 0.3
Eczema 1 1.2 -0.2
Endometriosis 1.9 1.7 0.12
Eosinophilic Esophagitis 0.3 0.3 0
Epilepsy 1.2 1.2 0
erectile dysfunction 0.8 0.8
Fibromyalgia 2.2 1.1 1
Functional constipation / chronic idiopathic constipation 4 2.6 0.54
gallstone disease (gsd) 2 0.8 1.5
Gastroesophageal reflux disease (Gerd) including Barrett's esophagus 1.9 0.6 2.17
Generalized anxiety disorder 1.4 1.1 0.27
giant cell arteritis 0.2 -0.2
Glioblastoma 0.3 -0.3
Gout 1.5 0.5 2
Graves' disease 1 2.3 -1.3
Gulf War Syndrome 0.8 0.9 -0.13
Halitosis 1.5 0.3 4
Hashimoto's thyroiditis 2.6 0.8 2.25
Heart Failure 3.2 1.2 1.67
hemorrhagic stroke 1.3 1.3
Hidradenitis Suppurativa 1.2 1.2
High Histamine/low DAO 0.8 0.3 1.67
hypercholesterolemia (High Cholesterol) 0.5 0.5
hyperglycemia 0.4 0.7 -0.75
hypertension (High Blood Pressure 2.9 3.5 -0.21
Hypothyroidism 0.3 -0.3
Hypoxia 1.6 1.6
IgA nephropathy (IgAN) 1.6 3 -0.88
Inflammatory Bowel Disease 4.4 4.5 -0.02
Insomnia 1.9 2 -0.05
Intelligence 1 1
Intracranial aneurysms 1.3 0.3 3.33
Irritable Bowel Syndrome 4.2 4.1 0.02
ischemic stroke 1.3 1.1 0.18
Liver Cirrhosis 4.5 2.8 0.61
Long COVID 4.6 5.4 -0.17
Low bone mineral density 1.1 -1.1
Lung Cancer 0.9 -0.9
Mast Cell Issues / mastitis 0.9 0.6 0.5
ME/CFS with IBS 1 1.3 -0.3
ME/CFS without IBS 0.7 1.5 -1.14
membranous nephropathy 0.3 0.3
Menopause 0.9 0.5 0.8
Metabolic Syndrome 4 4.7 -0.18
Mood Disorders 4.5 4.1 0.1
multiple chemical sensitivity [MCS] 0.7 0.7
Multiple Sclerosis 3.4 4.3 -0.26
Multiple system atrophy (MSA) 0.1 0.3 -2
myasthenia gravis 0.3 0.7 -1.33
neuropathic pain 1.8 -1.8
Neuropathy (all types) 0.3 1.2 -3
neuropsychiatric disorders (PANDAS, PANS) 0.6 0.6
Nonalcoholic Fatty Liver Disease (nafld) Nonalcoholic 3.7 2.4 0.54
NonCeliac Gluten Sensitivity 0.3 0.3 0
Obesity 5.1 5.3 -0.04
obsessive-compulsive disorder 3.7 2.5 0.48
Osteoarthritis 1.2 0.9 0.33
Osteoporosis 1.3 1.2 0.08
pancreatic cancer 1.2 0.3 3
Parkinson's Disease 3.9 4.5 -0.15
Polycystic ovary syndrome 4.9 2.5 0.96
Postural orthostatic tachycardia syndrome 0.2 0.3 -0.5
Premenstrual dysphoric disorder 0.4 -0.4
primary biliary cholangitis 0.9 1 -0.11
Primary sclerosing cholangitis 1.6 1.5 0.07
Psoriasis 1.7 2 -0.18
rheumatoid arthritis (RA),Spondyloarthritis (SpA) 5 3.1 0.61
Rosacea 0.6 0.7 -0.17
Schizophrenia 2.9 2.3 0.26
scoliosis 0.3 0.9 -2
Sjögren syndrome 1 1.8 -0.8
Sleep Apnea 1.7 1.4 0.21
Slow gastric motility / Gastroparesis 0.6 0.6
Small Intestinal Bacterial Overgrowth (SIBO) 1.4 1.4
Stress / posttraumatic stress disorder 2.3 1.6 0.44
Systemic Lupus Erythematosus 2.6 1.8 0.44
Tic Disorder 1.6 0.6 1.67
Tourette syndrome 0.9 0.3 2
Type 1 Diabetes 2.9 2.6 0.12
Type 2 Diabetes 5.6 5 0.12
Ulcerative colitis 3.7 4.7 -0.27
Unhealthy Ageing 4.3 1.9 1.26
Vitiligo 1.9 1 0.9

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