So, you may have to do something like that. If you are on a very high dose
of Niaspan then less common side effects can be fever, diarrhea, muscle aches, nausea, vomiting, headache and rash. But my husband is on 500mg with no problem. I don't know what they consider a high dose. The Niaspan is only really for lowering your Triglycerides not the cholesterol. The new data that has come out shows it doesn't really work on the cholesterol only the triglycerides.