Acenocoumarol

Indications
Oral
Thromboembolic disorders
Adult: 4-12 mg on the 1st day and 4-8 mg on the 2nd day. Maintenance: 1-8 mg daily given in a single dose at the same time everyday.
Contraindications
Active haemorrhage or risk of serious haemorrhage; severe hypertension; pregnancy.
Warnings / Precautions
Bleeding disorders; peptic ulcers; severe wounds; cerebrovascular disorders, bacterial endocarditis; renal or hepatic impairment; lactation. Avoid alcohol.
Adverse Reactions
Alopecia; fever, nausea, vomiting, diarrhoea; skin rash; cholestatic liver damage.
Potentially Fatal: Haemorrhage.
Drug Interactions
Potentiates hypoglycaemic agents. Bismuth carbonate and Mg reduce absorption. Cimetidine, allopurinol, diuretics and other oral anticoagulants enhance effect. vit K reverses effect.
Potentially Fatal: Potentiated by NSAIDs, amiodarone, antibacterial agents eg, co-trimoxazole, cephalosporins, erythromycin, quinolone antibiotics, chloramphenicol, doxycycline, INH and neomycin. Rifampicin, barbiturates and griseofulvin diminish effect.
See Below for More acenocoumarol Drug Interactions
Food Interactions
Renal excretion of metabolites is decreased when administered with grapefruit juice.
Mechanism of Actions
Acenocoumarol inhibits synthesis of vitamin K-dependent coagulation factors VII, IX, X and II including anticoagulant protein C and its cofactor proteins.
Absorption: Readily absorbed from the GI tract.
Distribution: Extensively bound to plasma proteins.
Excretion: Largely in the urine mainly as metabolites. Elimination half-life: 8-11 hr.
Storage Conditions
Oral: Store at 20-25°C.
ATC Classification
B01AA07 - acenocoumarol ; Belongs to the class of vitamin K antagonists. Used in the treatment of thrombosis.
Storage
Oral: Store at 20-25°C.
Available As
  • Acenocoumarol 1 mg
  • Acenocoumarol 2 mg
  • Acenocoumarol 3 mg
  • Acenocoumarol 4 mg
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