Nicorandil Induced Perianal Ulceration

Abstract

Nicorandil is a cardioprotective drug which is used in the prophylaxis and long-term treatment of angina pectoris. Debilitating perianal ulcer is a rare complication of Nicorandil therapy which can cause diagnostic and management dilemmas. We describe the management of a case of Nicorandilinduced perianal ulcer and review pertinent contemporary literature. Key Words: cardioprotection, ischaemia, Nicorandil, perianal ulcer