Take the missed dose as soon as you remember. Be sure to take the missed dose with food if you normally take your niacin dose with a meal or snack.
If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.
Overdose symptoms may include nausea, dizziness, itching, vomiting, upset stomach, and flushing.
Avoid drinking hot beverages shortly after taking niacin. Hot drinks can worsen niacin's flushing effect (warmth, itching, redness, or tingly feeling under your skin).
Avoid drinking alcohol while taking niacin. Alcohol may increase your risk of liver damage, and can also worsen the flushing effects of niacin.Avoid taking colestipol (Colestid) or cholestyramine (Locholest, Prevalite, Questran) at the same time you take niacin. If you take either of these other medications, take them at least 4 to 6 hours before or after you take niacin.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
feeling light-headed, fainting;
fast, pounding, or uneven heart beats;
feeling short of breath;
swelling;
jaundice (yellowing of your skin or eyes); or
muscle pain, tenderness, or weakness with fever or flu symptoms and dark colored urine.
Less serious side effects of niacin include:
mild dizziness;
warmth, redness, or tingly feeling under your skin;
itching, dry skin;
sweating or chills;
muscle pain, leg cramps; or
sleep problems (insomnia).
This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.
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