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Medicine, Its Use And Remidies for Ailments - Acenocoumarol
Acenocoumarol (Ass-senn-oh-kew-mah-rol) is a medicine which is used in treatment and prevention of thromboembolic diseases.
Acenocoumarol has been prescribed for your current medical problems and should not be used for other medical problems. Do not share your medicine with other people as it may not be suitable for them and could cause them harm. In the same way, you should not use medicines that belong to other people.
The pharmacy label on your medicine tells you how much medicine you should take. It also tells you how often to take your medicine. This is the dose that you and your prescriber have agreed you should take. Depending on your response to the medicine, how the medicine works and the goals of your treatment, your prescriber may vary your dose. You should not change the dose of your medicine unless you are told to do so by your prescriber.
Acenocoumarol is used to prevent and treat blood clots. It works by blocking the production of chemicals that are needed to form a blood clot. Acenocoumarol may also prevent existing clots from getting bigger. This can help to prevent some of the more serious problems that can be caused by larger blood clots.
The dose of Acenocoumarol needs to be carefully adjusted and regular blood tests are needed to decide the right dose for each person. It is important that you understand and follow your prescriber's instructions. For more information, speak to your prescriber, pharmacist or nurse.
Other information about Acenocoumarol:
- your prescriber may vary the dose of your medicine to find what is best for you
If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.
Stopping your medicine
If your medical team decides that it is best that you do not take this medicine any more, they may advise that you do not stop Acenocoumarol abruptly. This is because, in some instances, stopping Acenocoumarol abruptly can cause your original condition to return. In these instances, reducing the dose of Acenocoumarol gradually over time may reduce the chances of this happening.
Is the medicine suitable for you
Acenocoumarol is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.
Your prescriber may not prescribe this medicine if you:
- are about to have or have had surgery or dental procedures
- are allergic to any of the ingredients in the medicine
- are allergic to coumarin-related medicines
- are an alcoholic
- are elderly
- are having other medicines injected into muscles
- are pregnant
- are prone to bleeding
- have bleeding problems
- have blood problems
- have conditions which may affect the way Acenocoumarol works - these may include thyroid problems, tumours,
- nfections or inflammations
- have gastrointestinal problems
- have had a stroke caused by a bleed in the brain
- have kidney problems
- have liver problems
- have or have had certain heart problems
- have peptic ulcers
- have psychiatric problems
Furthermore, the prescriber may not prescribe this medicine for a child or for people who are senile or are unable to co-operate.
As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:
- to determine whether or not the medicine is suitable and whether it must be prescribed with extra caution
- to confirm that this is the right dose
- to check that this medicine is not having any undesired effects
Over time it is possible that Acenocoumarol can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Acenocoumarol has become unsuitable, it is important that the prescriber is contacted immediately.
Side-effects
A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.
Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.
Some side-effects may be serious while others may only be a mild inconvenience. Very occasionally, certain side-effects can be beneficial.
Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.
The frequency of these side-effects is unknown
- allergic reactions
- fever
- gastrointestinal problems
- hair loss
- increased risk of bleeding - this may be fatal
- liver problems
- loss of appetite
- nausea
- skin problems
- skin rash or rashes
- urticaria
- vasculitis
- vomiting
If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away.
Taking other medicines
If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.
The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.
Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.
The following medicines may interact with Acenocoumarol:
- 5-fluorouracil and analogues
- allopurinol
- aminoglutethimide
- amiodarone
- amoxicillin
- aspirin
- atorvastatin
- azathioprine
- carbamazepine
- chloramphenicol
- cimetidine
- ciprofloxacin
- clarithromycin
- clofibric acid and derivatives
- clopidogrel
- co-amoxiclav
- colestyramine
- co-trimoxazole
- dextrothyroxine
- diflunisal
- dipyridamole
- disulfiram
- econazole
- erythromycin
- etacrynic acid
- fenofibrate
- fluconazole
- fluoxetine
- fluvastatin
- gemfibrozil
- glibenclamide
- glimepiride
- glucagon
- griseofulvin
- heparin
- indinavir
- ketoconazole
- metronidazole
- miconazole
- nelfinavir
- neomycin
- norfloxacin
- ofloxacin
- para-aminosalicylic acid
- paroxetine
- phenylbutazone
- phenytoin
- quinidine
- rifampicin
- ritonavir
- salicylic acid and derivatives
- saquinavir
- simvastatin
- sulfinpyrazone
- tamoxifen
- tetracycline
- vitamin K
The following types of medicine may interact with Acenocoumarol:
- anabolic steroids
- androgens
- antiarrhythmics
- antibacterials
- antiplatelets
- barbiturates
- COX-2 inhibitors
- H2 antagonists
- hydantoin derivatives
- imidazole derivatives
- low molecular weight heparins
- macrolides
- medicines that affect bleeding
- non-steroidal anti-inflammatories
- oral antidiabetics
- oral contraceptives
- protease inhibitors
- pyrazolone derivatives
- quinolones
- selective serotonin re-uptake inhibitors
- statins
- sulfonamides
- sulphonylurea derivatives
- tetracyclines
- thiazide diuretics
- thyroid hormones
If you are taking Acenocoumarol and one of the above medicines or types of medicines, make sure your prescriber knows about it.
Complementary preparations and vitamins
Medicines can interact with complementary preparations and vitamins.
Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.
Your prescriber can then decide whether it is appropriate for you to take together combinations that are known to interact.
- this medicine may interact with St. Johns Wort, cranberry preparations or vitamin K
If you have been prescribed Acenocoumarol you should only take something on the above list on the specific advice of your prescriber or pharmacist.
Driving and operating machinery
When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.
Like all medicines Acenocoumarol can cause side effects. You should see how this medicine affects you and then judge if you are safe to drive or operate machinery. If you are in any doubt, talk to your prescriber.
Diet
Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.
- this medicine interacts with cranberry juice
For more advice speak to your prescriber, nutritionist or pharmacist.
Alcohol
Alcohol can interact with certain medicines.
- this medicine may interact with alcohol
If you choose to drink alcohol while taking this medicine, it is best that you only drink alcohol in moderation. For more advice speak to your prescriber.
Family planning and pregnancy
Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.
- you must not take Acenocoumarol during pregnancy. If you could become pregnant, you must use effective contraception or abstain from penetrative sex. You must contact your prescriber if you become pregnant, or think you have become pregnant, while taking Acenocoumarol
This medicine is not suitable during pregnancy. It is essential that you seek urgent medical advice if you become pregnant or think you have become pregnant while taking this medicine.
If you are planning to become pregnant, you should discuss your personal circumstances with your doctor so that together you can make a decision about what treatment you may need during your pregnancy.
Breast-feeding
Certain medicines can pass into breast milk and may reach your baby through breast-feeding.
- this medicine passes into breast milk. Taking Acenocoumarol and breast-feeding is unlikely to affect your baby
Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.
Disclaimer - eHealth Treats does not endorse or recommend any commercial products, processes, or services. Consulting a Qualified Medical Practitioner is always recommended. eHealth Treats does not and should not be taken as a substitute for a Qualified Medical Practitioner.
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