Niaspan ER and conversion

I'm writing this at 4:50am as I am awake because of a flushing episode. I've been taking Niaspan ER 500mg to raise my good cholesterol for about 9 months. So far it's raised only from 33 to 36. Doctor wants it above 40. My bad cholesterol is fine.

This is probably the 4th time I've had one of these flushing attacks in 9 months. My skin is itchy from head to toe and my body looks like I have a sunburn. The itch is pretty intense almost burning. I never take aspirin before but I heard a low dose (81mg) is supposed to help. I actually just took an aspirin now however to see if it shortens this episode. I also noticed the first time this happened that clothing makes the itch even more intense. So needless to say I'm sitting in bed typing on my iPhone w/ out my shirt on trying to get through this.

I noticed the first couple times these seem to last only 20-30 minutes and this particular one is nowhere near as intense as the first time. Or perhaps I'm just more prepared for it because I was also thinking of going to the ER the first time. In case anyone wonders why this happens, I've read 'niacin converts to nicotinamide in the body, and this is when flushing occurs', during that conversion process. Anyhow I heard there was a flush free ' nicotinamide' form of the drug you can take if the flushing is too much or too often.

Well it's now 5:21am and it's starting to subside to a point where I might be able to sleep. I think removing clothing and trying not to move around or scratch too much certainly helps when you have one of the flushing attacks. Good luck everyone.