Niaspan, Slo-niacin, Extended Release.

My, soon to be, former doctor told me that over-the-counter Slo-Niacin
damages the liver while Niaspan does not but he cited no research.

I have read, again without citing research, that any kind of extended release tablet is harmful.
Any comments?

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Well Niaspam is just a name brand for a pill that is just Niacin, so that really doesn't make sense. Any pill processed through the liver can cause damage and that is over 90% of them on the market.

Niacin does not instantly damage the liver at any dose, you have to continue taking it at high doses.

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i am currently taking ciprofloxacin for my kidney and bladder infection. can i take slo niacin 30 minutes or 1 hour after taking it? thanks.

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also, can i take ciprofloxacin simultaneously with metformin and lisinopril or amlodipine? take you?

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I have also heard that a delayed release pill should not be taken but no one ever gives a reason.

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Niacin formulation does impact it's degree of hepatotoxicy potential by manipulating the rate of drug exposure to different metabolic pathways in the body. Niaspan (extended release), by design, may limit the risk of hepatotoxicity compared to the immediate or slow release sold over the counter. Nothing is without risk; however, the benefit preventing cardiovasular event likely outweighs the very small risk of hepatotoxicity. Discussion with your provider is key.

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