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The most common side effects of niacin are: stomach upset, flushing, headache, reduced blood pressure upon standing (orthostatic hypotension), vomiting, diarrhea, itching and ; tingling sensations of the extremities. Flushing may be reduced by taking 325 mg of aspirin 30 minutes before the niacin and by increasing the dose of niacin slowly.
Increasing slowly to your normal dose will help reduce side effects. Also, niacin doses differ depending on the type you choose. You should avoid the long-acting niacins, because they can cause liver problems. Also avoid no-flush niacins, since they probably arenât as effective. Regardless of what type of niacin you use, it is important to see your healthcare provider on a regular basis so they can monitor your cholesterol, liver function, blood sugar, and uric acid.