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compositionComposition:NICOUMALONE-2MG
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Prescription Medicine
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Acitrom 2 Tablet is used to prevent and treat blood clots. It supports smooth blood flow in the body by decreasing the amount/number of clotting proteins in the blood. Some people may experience unusual bleeding or a skin rash. Inform your doctor if you are pregnant or breastfeeding, taking any other medicines or have pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

NICOUMALONE-2MG

Manufacturer/Marketer :

Abbott India Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Acitrom 2 Tablet

Acitrom 2 Tablet is a prescription medication used to prevent and treat harmful blood clots in the blood vessels. It is commonly prescribed to protect individuals from serious conditions like deep vein thrombosis, pulmonary embolism, and strokes caused by irregular heartbeats. By keeping your blood flowing smoothly, this medicine plays a crucial role in preventing life-threatening blockages.

To get the best results, you must take Acitrom 2 Tablet once a day at the same time. You can take this medication with or without food, but consistency is key to keeping your blood clotting times stable. Maintaining a steady diet, especially regarding foods rich in Vitamin K, is also essential for this medication to work safely.

While taking this medicine, you may notice that you bruise more easily or take longer to stop bleeding from small cuts. These are common side effects, but you must contact your doctor immediately if you experience severe nosebleeds, blood in your urine, or unusual bruising.

Do not take this if you have a high risk of active bleeding, severe kidney or liver damage, or uncontrolled high blood pressure. It is also important to tell your doctor before starting this medicine if you are pregnant, as it can harm an unborn baby.

This medicine can interact with several common pain relievers, alcohol, and certain herbal supplements, which may increase your risk of bleeding. If you are pregnant, breastfeeding, or an older adult, consult your healthcare provider to discuss the risks and benefits before starting treatment.

Uses of Acitrom 2 Tablet

Acitrom 2 Tablet is used to prevent and treat harmful blood clots in the blood vessels. The detailed uses of Acitrom 2 Tablet are as follows:

  • Deep vein thrombosis (DVT): Acitrom 2 Tablet helps prevent the formation of blood clots in the deep veins of your legs and stops existing clots from growing larger.
  • Pulmonary embolism (PE): This medicine lowers the risk of a blood clot travelling to your lungs and causing a life-threatening blockage.
  • Stroke prevention in atrial fibrillation: It helps prevent clots from forming in the heart chambers due to an irregular heart rhythm, significantly reducing the risk of a stroke.
  • Clot prevention after heart valve replacement: It keeps your blood flowing smoothly over mechanical or artificial heart valves to prevent clotting on the valve surfaces.

Key Benefits

Acitrom 2 Tablet helps prevent and treat harmful blood clots by reducing the blood's ability to clot. With regular use as prescribed, it helps protect against serious complications such as stroke and pulmonary embolism while supporting long-term cardiovascular health.

  • Prevents Harmful Blood Clots: By reducing the blood's tendency to clot, this medicine helps prevent new blood clots from forming and stops existing clots from becoming larger.
  • Reduces the Risk of Serious Complications: This medicine helps lower the risk of conditions such as stroke, pulmonary embolism, and other clot-related complications, supporting better cardiovascular health.
  • Supports Long-Term Recovery: By allowing the body's natural processes to gradually break down existing clots while preventing new ones, this medicine helps support recovery and enables you to carry on with your daily activities with greater confidence under medical supervision.

Directions for Use

  • Acitrom 2 Tablet can be taken with or without food, as advised by your doctor. However, avoid taking it with cranberry juice, as this may reduce the effectiveness of the medication.
  • Your doctor may adjust the dosage and timing of Acitrom 2 Tablet based on your health condition.
  • Swallow Acitrom 2 Tablet as a whole with a glass of water.
  • Do not break, chew, or crush it.

How Acitrom 2 Tablet Works

Your body relies on a complex process to form blood clots when you are injured, which involves a series of proteins made in the liver. Many of these proteins require Vitamin K to be produced. Acitrom 2 Tablet contains nicoumalone, which works by blocking the action of Vitamin K in your liver, slowing down the production of these clotting proteins. By reducing the level of active clotting proteins, the medicine thins your blood and increases the time it takes for a clot to form. This controlled delay prevents abnormal clots from forming inside your blood vessels while still allowing your body to manage normal healing processes when managed correctly with regular blood tests.
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Alcohol

Caution

You are recommended to avoid the consumption of alcohol with Acitrom 2 Tablet as it may increase the risk of bleeding.

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Pregnancy

Caution

Acitrom 2 Tablet is recommended not to be used in pregnancy. Your doctor will discuss with you the potential risk of taking Acitrom 2 Tablet during pregnancy. Please consult your doctor.

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Breast Feeding

Caution

Acitrom 2 Tablet should not be taken until prescribed. Your doctor will weigh the benefits and any potential risks before prescribing them to you. Please consult your doctor. You and your child may require blood tests if you are breastfeeding while you are taking Acitrom 2 Tablet . However, as a precaution, your doctor may prescribe vitamin K to your child to prevent their blood from being thinned.

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Driving

Safe if prescribed

Acitrom 2 Tablet has no or negligible influence on the ability to drive or use machines.

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Liver

Caution

Take Acitrom 2 Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Caution

Take Acitrom 2 Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Caution

Acitrom 2 Tablet should not be taken until prescribed. Your doctor will weigh the benefits and any potential risks before prescribing it to you. If Acitrom 2 Tablet is used in children or adolescents, blood tests should be conducted more frequently to assess how well the medicine is working.

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Heart

Consult your doctor

Inform your doctor if you have any existing heart disease. Your doctor will prescribe this medicine only if the potential benefits outweigh the risks.

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Geriatrics

Caution

Acitrom 2 Tablet should be given with caution in elderly patients due to an increased risk of side effects. Dose adjustment may be required based on their health condition.

What if I have taken an overdose of Acitrom 2 Tablet

If you take too much of this medicine, seek immediate medical attention or contact an emergency room right away, even if you do not notice any bleeding. An overdose greatly increases your risk of severe internal bleeding, which requires urgent clinical monitoring.

Diet & Lifestyle Advise

  • Keep your Vitamin K intake consistent: Foods like spinach, kale, broccoli, and Brussels sprouts are high in Vitamin K, which can decrease the effect of your medicine. Do not suddenly increase or decrease your intake of these foods.
  • Prevent physical injuries: Avoid high-impact contact sports, strenuous activities, or hobbies that carry a high risk of falls, cuts, or bruising.
  • Use safe grooming tools: Switch to a soft-bristled toothbrush to prevent bleeding gums, and use an electric shaver instead of a manual razor to lower your risk of skin cuts.
  • Wear medical identification: Always carry a medical alert card or wear a bracelet stating that you are taking an oral blood thinner in case of an emergency.
  • Limit alcohol consumption: Avoid drinking alcohol, as it can unpredictably affect how your liver processes this medicine and increase your risk of bleeding.
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Have a query?

How Soon It Starts Working

The time required for Acitrom 2 Tablet to start to work: The time required for Acitrom 2 Tablet to show its action is unknown.

The time for which the effects of Acitrom 2 Tablet last: The duration of action for Acitrom 2 Tablet is clinically unknown.

What if you forget to take Acitrom 2 Tablet

If you miss a dose, take it as soon as you remember on the same day. If you do not remember until the next day, skip the missed dose entirely and take your regular scheduled dose. Never take a double dose to make up for a missed one. Write down the missed dose and let your doctor or pharmacist know at your next visit.

Storage

•Store Acitrom 2 Tablet tablets in their original packaging at room temperature, ideally between 20°C and 25°C (68°F to 77°F). •Keep the medication in a dry place away from direct heat, light, and moisture.

Drug Warnings

  • Keep every scheduled appointment for your blood clotting tests (INR), as these are vital to keeping your dose in a safe, therapeutic range.
  • Inform all healthcare professionals, including your dentist, surgeon, or physical therapist, that you are taking Acitrom 2 Tablet before undergoing any procedure or starting a new treatment.
  • Check your skin daily for any unexplained bruises, small red dots, or signs of bleeding under the skin, and notify your doctor if you see them.
  • Consult your pharmacist before starting any new over-the-counter medications, vitamins, or herbal remedies, as many can dangerously alter your clotting times.
  • If you experience a fall, a blow to the head, or a minor accident, seek medical advice immediately, even if you feel fine, to rule out internal bleeding.
     

Drug-Drug Interactions

verifiedApollotooltip
  • Pain Relievers (NSAIDs and Aspirin): Taking Acitrom 2 Tablet with pain relievers such as aspirin, ibuprofen, or naproxen can significantly increase the risk of stomach bleeding and other bleeding complications. Your doctor may recommend alternative pain relief or closer monitoring.
  • Certain Antibiotics, Antifungals, and Heart Medicines: Some antibiotics, antifungal medicines, and heart medications can increase or decrease the blood-thinning effect of Acitrom 2 Tablet , raising the risk of either bleeding or blood clots. Your doctor may monitor your blood clotting more frequently and adjust your dose if needed.
     
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip
  • Vitamin K-Rich Foods: Foods high in vitamin K, such as spinach, cabbage, and green tea, can reduce the effectiveness of Acitrom 2 Tablet by lowering its blood-thinning effect. Maintain a consistent intake of these foods rather than making sudden changes to your diet.
  • Cranberry Juice and Grapefruit Juice: Cranberry juice and grapefruit juice may increase the levels or effects of Acitrom 2 Tablet , raising the risk of bleeding. Consult your doctor before consuming these beverages regularly while taking this medicine.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[ANTICOAGULANT/ANTITHROMBOTIC]

FAQs

Acitrom 2 Tablet is used to prevent and treat various types of thromboembolic diseases (blood clots inside blood vessels), including deep vein thrombosis (blood clots in leg veins) and pulmonary embolism (blood clots in the lung).
Yes, taking Acitrom 2 Tablet can increase the risk of bleeding as it contains aspirin, which is a blood thinner. So, please be very cautious while shaving, cutting fingernails or toenails, or using sharp objects to avoid any bleeding.
Acitrom 2 Tablet works by increasing the time it takes for your blood to clot, reducing the risk of a stroke or heart attack.
Please consult your doctor if Acitrom 2 Tablet needs to be stopped before undergoing surgery. The doctor might ask you to stop taking Acitrom 2 Tablet a few days before surgery to avoid the increased risk of bleeding during the procedure.
When a blood clot is treated, guidelines recommend that patients take blood thinners for the rest of their lives. If they do not, the chance of developing a second clot is 30 to 40 per cent in the next ten years.
No, you are usually not advised to have a tattoo or body piercing while taking Acitrom 2 Tablet as it may increase the risk of bleeding and infection. If you still wish to proceed further, contact your doctor so that the dose may be adjusted or any antibiotics may be prescribed, and let the piercer or tattooist know in advance that you are on treatment with a blood thinner.
No, you are not recommended to stop taking Acitrom 2 Tablet without consulting your doctor, as it may worsen the condition. Therefore, take Acitrom 2 Tablet for as long as your doctor has prescribed it.
You can have platelet count, factor V assay, fibrinogen level test, prothrombin time test (PT or PT-INR) and the INR, or international normalised ratio, to analyse your blood clotting time.
Acitrom 2 Tablet may cause side effects like unusual bleeding or skin rash. Most of these side effects of Acitrom 2 Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
Acitrom 2 Tablet can be taken with or without food, or as advised by the doctor.
No, you should limit or avoid alcohol. Alcohol can interfere with how your liver processes the medicine, making your blood too thin and increasing your risk of bleeding. Talk to your doctor or pharmacist for personalised advice.
For minor cuts, apply firm, direct pressure with a clean cloth for at least 10 minutes. If the bleeding does not stop after 10 to 15 minutes of continuous pressure, seek emergency medical care immediately. Talk to your doctor if you experience frequent bleeding episodes.
You should avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin unless specifically instructed by your healthcare provider, as they can greatly increase your risk of stomach bleeding. Talk to your doctor or pharmacist about safe pain relief alternatives.
Regular blood tests (INR tests) are necessary to measure how quickly your blood clots. This allows your doctor to adjust your dose of Acitrom 2 Tablet safely, ensuring your blood is not too thin (which causes bleeding) or too thick (which causes clots). Talk to your doctor about your testing schedule.
Yes, but you must take precautions. Avoid sitting still for long periods during flights or car rides, as this can increase clot risks. Ensure you have enough medication for your trip and access to blood testing if you are travelling for a long time. Talk to your doctor before planning your trip.
This medicine is generally not recommended during pregnancy because it can cause harm to the developing baby. If you are planning a pregnancy or breastfeeding, you must discuss alternative options. Talk to your doctor to understand the safest choice for you.
The duration of your treatment depends entirely on your specific medical condition, such as whether you had a temporary clot or have a long-term condition like an artificial heart valve. Talk to your doctor to understand how long you will need to continue treatment.
Many vitamins (especially vitamin K) and herbal supplements (such as garlic, ginkgo biloba, or St. John's wort) can severely affect how this medicine works in your body. Never start a new supplement without checking first. Talk to your doctor or pharmacist before taking any new products.

Disclaimer

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Country of origin

India

Manufacturer/Marketer address

401, LSC, C-Block, Mohan Place Saraswati Vihar Delhi DL 110034 In
Other Info - ACI0014
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