-Aspirin
-Medications for blood pressure, chest pain, or heart disease
-Medications for cholesterol or triglycerides
-Nitroglycerin
-Nutritional supplements that contain niacin or nicotinamide

They need to know if you have any of these conditions:
-Bleeding problems
-Frequently drink alcohol
-Liver disease
-Ulcers of intestine or stomach
-An unusual or allergic reaction to niacin, other supplements, medications, foods, dyes, or preservatives
-Pregnant or trying or get pregnant
-Breast-feeding

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse. You may need blood work while you are taking this supplement.
This supplement may affect your coordination, reaction time, or judgment. Do not drive or operate machinery until you know how this supplement affects you. Sit up or stand slowly to reduce the risk of dizzy or fainting spells. Drinking alcohol with this supplement can increase the risk of these side effects.
Do not drink hot drinks or alcohol at the same time you take this supplement. Hot drinks and alcohol can increase the flushing caused by this supplement, which can be uncomfortable. Alcohol also can increase possible dizziness. Taking aspirin or an NSAID, such as ibuprofen, 30 minutes before this supplement may help reduce flushing.
Taking this supplement is only part of a total heart healthy program. Ask your care team if there are other changes you can make to improve your overall health.
If you are a person with diabetes, close regulation and monitoring of your blood sugars can help control your blood fat levels. This supplement may change the way your diabetic medication works, and will sometimes require that your dosages be adjusted. Check with your care team.

Keep out of the reach of children and pets.
Store between 15 and 30 degrees C (59 and 86 degrees F). Keep the container tightly closed. Get rid of any unused supplement after the expiration date.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.