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Acenomac 4mg Tablet

Prescription Required
SALT COMPOSITION
Salt Synonyms
Nicoumalone
Storage
Store below 30°C
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Product introduction

Acenomac 4mg Tablet is an oral anticoagulant that helps prevent harmful blood clots in the legs, lungs, brain, and heart. It is used for deep vein thrombosis, pulmonary embolism, and stroke prevention.

Acenomac 4mg Tablet should be taken as advised by the doctor. You may take it with or without food but it is better to take it at a fixed time. This medicine should not be stopped abruptly without consulting the doctor. You should take this medicine regularly to get the most benefit, even if you feel fine. It is preventing future harm.

Use of this medicine may increase your risk of bleeding. Let your doctor know immediately if you see a pinpoint rash or blood in your vomits, urine, or stool. If you are going under any surgery or dental treatment, you may need to stop this medicine for some time but only after consulting with your doctor.

Before taking it, you must inform the doctor if you are suffering from any kidney or liver disease. Also, let your doctor know if you are pregnant or breastfeeding and about all the other medications that you are taking regularly.

Uses of Acenomac Tablet


Side effects of Acenomac Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Acenomac

  • Hemorrhage

How to use Acenomac Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Acenomac 4mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Acenomac Tablet works

Acenomac 4mg Tablet is an oral anticoagulant. It acts by preventing the formation of harmful blood clots. Although it does not dissolve the existing blood clots, it inhibits them from growing larger and causing serious problems.

Safety advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Acenomac 4mg Tablet.
Pregnancy
UNSAFE
Acenomac 4mg Tablet is highly unsafe to use during pregnancy. Seek your doctor's advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.
Breast feeding
SAFE IF PRESCRIBED
Acenomac 4mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
SAFE
Acenomac 4mg Tablet does not usually affect your ability to drive.
Kidney
CAUTION
Acenomac 4mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Acenomac 4mg Tablet may be needed. Please consult your doctor.
Use of Acenomac 4mg Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Acenomac 4mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Acenomac 4mg Tablet may be needed. Please consult your doctor.
Use of Acenomac 4mg Tablet is not recommended in patients with severe liver disease.

What if you forget to take Acenomac Tablet?

If you miss a dose of Acenomac 4mg Tablet, skip it and continue with your normal schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Acenomac 4mg Tablet
₹12.1/Tablet
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88% costlier
Artiflo 4mg Tablet
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Nicoz 4mg Tablet
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Acethromb 4mg Tablet
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Nicomol 4mg Tablet
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Quick tips

  • Avoid making sudden major changes to your diet during treatment with this medicine.
  • Acenomac 4mg Tablet increases your risk of bleeding. Be careful while shaving, cutting fingernails or toenails, using sharp objects or engaging in contact sports (e.g. football, wrestling).
  • Notify your doctor if you see blood in your vomit, urine or stool (black, tarry stools or bright red blood).
  • Do not consume alcohol while taking Acenomac 4mg Tablet as this may increase its side effects.
  • If you are going to have a surgery or dental treatment, you may be asked to stop taking Acenomac 4mg Tablet temporarily.
  • Do not discontinue use without consulting your doctor as this may increase your chances of having another heart attack or stroke.
  • You have been prescribed Acenomac 4mg Tablet to help prevent blood clots.
  • For best results, take it at the same time every day.
  • Your doctor may get regular blood tests done to make sure Acenomac 4mg Tablet is working properly.
  • Acenomac 4mg Tablet increases your risk of bleeding. Be careful while shaving, cutting fingernails or toenails, using sharp objects or engaging in contact sports (e.g. football, wrestling).
  • Notify your doctor if you see blood in your vomit, urine or stool (black, tarry stools or bright red blood).
  • Avoid making sudden major changes to your diet during treatment with this medicine.
  • If you are going to have a surgery or dental treatment, you may be asked to stop taking Acenomac 4mg Tablet temporarily.
  • Do not consume alcohol while taking Acenomac 4mg Tablet as this may increase its side effects.
  • Do not discontinue use without consulting your doctor as this may increase your chances of having another heart attack or stroke.

Fact Box

Chemical Class
4-hydroxycoumarin Derivative
Habit Forming
No
Therapeutic Class
BLOOD RELATED
Action Class
Vitamin K Antagonists

Interaction with drugs

Taking Acenomac with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Concurrent use may increase the risk of bleeding. If concurrent use is essential, watch out for bleeding and consult your doctor immediately. Your doctor may frequently monitor yo... More
Concurrent use may increase the risk of severe bleeding. If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations.
Concurrent use may increase the risk of bleeding. If concurrent use is essential, watch out for bleeding and consult your doctor immediately. Your doctor may frequently monitor yo... More
Concurrent use may increase the risk of bleeding. If concurrent use is essential, watch out for bleeding and consult your doctor immediately. Your doctor may frequently monitor yo... More
Concurrent use may increase the risk of bleeding. Do not consume Acenocoumarol with Cilostazol. If concurrent use is essential, watch out for bleeding and consult your doctor imme... More

Patient concerns

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Deep vein thrombosis , swelling nd painful in both leg.
Dr. Sunil Sekhri
Diabetology
You need to take a surgical consultation
Looking for a specialist in Deep vein thrombosis preferably in Kochi
Dr. Nabajit Talukdar
Cardiology
See a vascular surgeon
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User feedback


FAQs

How long do I need to take Acenomac 4mg Tablet?

You should continue taking Acenomac 4mg Tablet for as long as recommended by your doctor. Depending upon the condition you are being treated for, you may have to take it for several months or years or maybe for the rest of your life.

What should I avoid while taking Acenomac 4mg Tablet?

You should avoid alcohol while taking Acenomac 4mg Tablet as alcohol may interfere with working of Acenomac 4mg Tablet. In addition to that, avoid cranberry juice or other cranberry products as there may be a risk of enhanced blood thinning. Avoid breastfeeding or getting pregnant as it may harm your child.

Do I need to stop Acenomac 4mg Tablet if I have to undergo a surgery?

Depending on the type of surgery that is to be performed, your doctor will tell you whether to continue or stop Acenomac 4mg Tablet. It will be decided by your doctor after weighing the risks and benefits of discontinuing Acenomac 4mg Tablet.

Is Acenomac 4mg Tablet same as warfarin?

Both Acenomac 4mg Tablet and warfarin are blood thinners, but they have some differences. Warfarin has a more stable blood thinning effect.

How long does it take for Acenomac 4mg Tablet to start working?

It takes a little longer for Acenomac 4mg Tablet to start working. On an average, it may take 2-3 days for Acenomac 4mg Tablet to show its blood-thinning effect. For these 2-3 days, heparin may be used and then discontinued.

What if I forget to take a dose?

If you forget to take a dose of Acenomac 4mg Tablet, take it as soon as you remember. However, if it is time for your next dose then skip the missed dose. Do not double the dose and continue your normal schedule. Keep a diary or set a reminder, so that you do not forget it often.

What monitoring is required while taking Acenomac 4mg Tablet?

The bleeding times should be carefully monitored from 2nd or 3rd dose of Acenomac 4mg Tablet and till the clotting status is stabilized. Thereafter, the bleeding time can be monitored monthly. This frequency may be more in elderly.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Weitz JI. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 865-71
  2. Acenocoumarol. Luxembourg: Merus Labs Luxco II S.à R.L.; 1972 [revised 08 Oct. 2015]. (online) Available from:External Link
  3. Castellano JM, Narayan RL, Vaishnava P, et al. Anticoagulation during pregnancy in patients with a prosthetic heart valve. Nat Rev Cardiol. 2012;9(7):415-24. [Accessed 14 Mar. 2019] (online) Available from:External Link
  4. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Acenocoumarol. [Updated 2020 Jan 20]. [Accessed 19 Feb. 2020] (online) Available from:External Link
  5. Central Drugs Standard Control Organisation (CDSCO). Acenocoumarol. [Accessed 14 Mar. 2019] (online) Available from:External Link
  6. Abbott. Acenocoumarol [Product Information]. [Accessed 09 Jun, 2023] (online) Available from:External Link

Marketer details

Name: Macleods Pharmaceuticals Pvt Ltd
Address: Atlanta Arcade, Marol Church Road, Andheri (East), Mumbai - 400059, INDIA.
Country of origin: India

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10.0 tablets in 1 strip
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