Abirapro 250mg Tablet (Abiraterone Acetate): Comprehensive Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Yellowing of the skin or eyes (jaundice)
- Dark urine or pale stools
- Severe abdominal pain, especially in the right upper quadrant
- Unexplained fatigue, weakness, or loss of appetite
- Chest pain, shortness of breath, or irregular heartbeat
- Severe headache with visual changes
- Sudden swelling of the face, lips, tongue, or throat
- Muscle weakness or cramps that do not improve
- Decreased urine output or sudden weight gain
- Fever, chills, or signs of infection
If experiencing severe symptoms, call emergency services immediately.
What is abura 250mg tablet used for?
This medicine contains abiraterone acetate, a targeted therapy for metastatic prostate cancer. It works by blocking an enzyme called CYP17A1, which reduces testosterone production and slows cancer growth. It is taken orally once daily on an empty stomach, usually with prednisone, and requires regular monitoring of liver function and blood pressure.
- Generic Name: Abiraterone Acetate
- Manufacturer: MSN Laboratories
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 abura 250mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एबिरेटेरोन एसीटेट नामक सक्रिय तत्व से बनी है और मुख्य रूप से प्रोस्टेट कैंसर के इलाज में उपयोग की जाती है। यह उन पुरुषों के लिए है जिनका प्रोस्टेट कैंसर शरीर के अन्य हिस्सों में फैल चुका है और हार्मोन थेरेपी के बाद भी बढ़ रहा है। यह दवा शरीर में टेस्टोस्टेरोन बनाने वाले एंजाइम को रोकती है, जिससे कैंसर कोशिकाओं की वृद्धि धीमी हो जाती है। इसे प्रेडनिसोन या प्रेडनिसोलोन नामक स्टेरॉयड के साथ लेना जरूरी होता है। यह दवा केवल डॉक्टर की सलाह पर ही लेनी चाहिए और इलाज के दौरान लिवर की जांच और ब्लड प्रेशर की निगरानी नियमित रूप से करानी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में थकान, जोड़ों में सूजन या दर्द, उच्च रक्तचाप, गर्म लहरें, दस्त, मतली, उल्टी और शरीर में पानी जमा होना शामिल हैं। कुछ मरीजों में पोटैशियम की कमी हो सकती है, जिससे मांसपेशियों में कमजोरी या ऐंठन हो सकती है। गंभीर दुष्प्रभावों में लिवर को नुकसान, गंभीर उच्च रक्तचाप, दिल की समस्याएं और अधिवृक्क अपर्याप्तता शामिल हैं। अगर आपको आंखों या त्वचा का पीलापन, गहरे रंग का पेशाब, गंभीर पेट दर्द या असामान्य थकान महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे खाली पेट लेना चाहिए, खासकर अगर आप 1000 मिलीग्राम की खुराक ले रहे हैं। खाने के साथ लेने से दवा का असर बढ़ सकता है और दुष्प्रभाव हो सकते हैं। प्रेडनिसोन को अचानक बंद न करें। इलाज के दौरान लिवर फंक्शन टेस्ट, ब्लड प्रेशर और पोटैशियम की नियमित जांच कराएं। ग्रेपफ्रूट और उसका जूस न लें। अगर आपको कोई अन्य दवा लेनी है तो डॉक्टर को बताएं। शराब का सेवन न करें। अगर खुराक भूल जाएं तो उसी दिन याद आने पर ले लें, लेकिन अगली खुराक का समय हो तो छोड़ दें और दोहरी खुराक न लें।
💊 abura 250mg tablet Uses & Benefits
[{"condition":"Metastatic castration-resistant prostate cancer (mCRPC)","description":"Used in combination with prednisone or prednisolone to treat men with metastatic castration-resistant prostate cancer who have progressed on androgen deprivation therapy.","evidence":"Well-established"},{"condition":"Metastatic high-risk castration-sensitive prostate cancer (mCSPC)","description":"Used in combination with prednisone or prednisolone, and often with androgen deprivation therapy, for men with newly diagnosed high-risk metastatic castration-sensitive prostate cancer.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Non-metastatic castration-resistant prostate cancer","description":"Sometimes used off-label in men with non-metastatic castration-resistant prostate cancer, but this is not an approved indication in all regions.","evidence":"Limited"}]
Primary treatment for: Prostate cancer
Also treats: Metastatic castration-resistant prostate cancer, Metastatic high-risk castration-sensitive prostate cancer
📋 Drug Information
| Generic Name(s) | Abiraterone Acetate |
| Brand Name | Abirapro 250mg Tablet |
| Manufacturer | MSN Laboratories |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI NEOPLASTICS |
| Action Class | Anticancer-others |
| Route of Administration | Oral |
| Storage | Store at room temperature between 20°C and 25°C (68°F to 77°F). Keep the tablets in their original container, tightly closed, and protect from moisture and light. Do not store in a bathroom. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine is a selective inhibitor of the enzyme CYP17A1, which is also known as 17α-hydroxylase/C17,20-lyase. This enzyme is essential for the production of androgens in the testes, adrenal glands, and prostate tumor tissue. By blocking CYP17A1, this medicine reduces the production of testosterone and other androgens that can stimulate the growth of prostate cancer cells. Unlike other androgen deprivation therapies, this medicine also targets androgen production within the tumor itself, providing a more complete blockade of androgen signaling.
Mechanism Steps
💡 How to Take abura 250mg tablet
Strength: Abiraterone acetate 250 mg immediate-release tablet for oral administration.
Dosage Information
| Adult Dosage | The recommended dose of this medicine for adults is 1000 mg (four 250 mg tablets) taken orally once daily on an empty stomach, in combination with prednisone 5 mg twice daily. For metastatic castration-sensitive prostate cancer, the dose may be 1000 mg once daily with prednisone 5 mg once daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Dose adjustments are required for patients with moderate hepatic impairment (250 mg once daily) and for those who develop hepatotoxicity during treatment. Do not take with food if on the 1000 mg regimen; if you cannot swallow tablets whole, consult your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients based on age alone. However, elderly patients may be more sensitive to side effects such as hypertension, hypokalemia, and fluid retention. Close monitoring is advised. |
| Renal Impairment | No dose adjustment is necessary for patients with renal impairment. However, patients with severe renal impairment should be monitored for fluid and electrolyte imbalances. |
| Hepatic Impairment | For patients with mild hepatic impairment (Child-Pugh Class A), no dose adjustment is needed. For moderate hepatic impairment (Child-Pugh Class B), the dose should be reduced to 250 mg once daily. This medicine is contraindicated in patients with severe hepatic impairment (Child-Pugh Class C). If hepatotoxicity occurs during treatment, interrupt therapy and adjust dose as per guidelines. |
| Maximum Daily Dose | The maximum recommended daily dose is 1000 mg (four 250 mg tablets) once daily. In patients with moderate hepatic impairment, the maximum dose is 250 mg once daily. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of abura 250mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Rifampin | Major | |
| Prednisone | Moderate | |
| Furosemide | Moderate | |
| Metoprolol | Moderate | |
| Warfarin | Moderate | |
| Amlodipine | Minor | |
| St. John's wort | Major | |
| Clarithromycin | Major | |
| Carbamazepine | Major |
🚨 Major Interactions
- Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, ritonavir)
- Strong CYP3A4 inducers (e.g., rifampin, carbamazepine, phenytoin, St. John's wort)
- CYP2D6 substrates (e.g., metoprolol, dextromethorphan)
⚡ Moderate Interactions
- Diuretics (e.g., furosemide, hydrochlorothiazide)
- Antihypertensives
- Corticosteroids (e.g., prednisone, dexamethasone)
🍷 Alcohol Interaction
Alcohol may increase the risk of liver damage and worsen side effects such as dizziness, fatigue, and low blood pressure. It is advisable to limit or avoid alcohol while taking this medicine, especially if you have liver impairment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy or women who may become pregnant","Severe hepatic impairment (Child-Pugh Class C)","Known hypersensitivity to abiraterone acetate or any excipient in the tablet","Concurrent use with strong CYP3A4 inducers or inhibitors without dose adjustment"]
⚠️ Warnings & Precautions
["This medicine can cause fetal harm. Men with female partners of childbearing potential must use effective contraception during treatment and for at least 3 weeks after the last dose.","Do not donate blood while taking this medicine and for at least 3 weeks after stopping to prevent exposure to a pregnant woman.","Monitor liver function closely; hepatotoxicity can be severe and life-threatening.","Monitor blood pressure and potassium levels; mineralocorticoid excess can cause hypertension and hypokalemia.","Corticosteroids should not be stopped abruptly; taper gradually to avoid adrenal insufficiency.","Use with caution in patients with a history of cardiovascular disease.","Avoid grapefruit and grapefruit juice as they may increase drug levels.","Inform your doctor if you have any infection, as this medicine may increase the risk of infections."]
🤱 Lactation Safety
This medicine is not indicated for use in women, and it is not known whether abiraterone is excreted in human milk. Because of the potential for serious adverse reactions in nursing infants, breastfeeding is not recommended during treatment with this medicine.
💊 Overdose Management
There is no specific antidote for overdose with this medicine. In case of suspected overdose, treatment should be symptomatic and supportive. Monitor for signs of mineralocorticoid excess such as hypertension, hypokalemia, and fluid retention. Liver function should be monitored. Contact a poison control center or emergency department immediately if overdose is suspected.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember on the same day. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
This medicine must be taken exactly as prescribed by your oncologist. Do not stop or change the dose without medical advice. You will need regular blood tests to check your liver function, potassium levels, and blood pressure. Avoid taking this medicine with food if you are on a high-dose regimen, as food can increase absorption and side effects. However, if you are on a low-dose regimen with prednisone, you may take it with or without food as directed. Inform your doctor about all other medicines, supplements, and herbal products you are taking, especially those that affect liver enzymes. Use effective contraception during treatment and for at least three weeks after the last dose if you are a man with a female partner of childbearing potential. Do not donate blood while taking this medicine and for at least three weeks after stopping. Avoid grapefruit and grapefruit juice as they may increase drug levels. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, particularly hypertension, hypokalemia, and fluid retention. Close monitoring of blood pressure, electrolytes, and liver function is recommended. Dose adjustments may be needed based on tolerability.
🤰 Pregnancy Planning (TTC)
This medicine is not indicated for use in women and can cause fetal harm. Men with female partners of childbearing potential should use effective contraception during treatment and for at least 3 weeks after the last dose. If you are planning to father a child, discuss with your doctor about the potential risks.
🏥 Post-Surgery Considerations
If you are undergoing surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may affect blood pressure and electrolyte balance during surgery. Your doctor may advise you to temporarily stop the medicine before surgery. Do not stop without medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may increase the risk of bleeding or infection. Your dentist may recommend precautions. Do not stop the medicine without consulting your oncologist.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause fatigue, dizziness, and muscle weakness. Avoid strenuous exercise until you know how the medicine affects you. If you experience joint pain or swelling, opt for low-impact activities like swimming or cycling. Always consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause fatigue, dizziness, or high blood pressure, which can affect your ability to drive or operate heavy machinery. Avoid driving or operating machinery until you know how this medicine affects you. Most patients can continue their daily activities with some adjustments. Discuss any work-related concerns with your doctor.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Treatment is usually continued until disease progression or unacceptable toxicity. If you experience severe side effects such as liver toxicity, your doctor may interrupt or discontinue treatment. Always follow your doctor's guidance regarding when to stop.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to persistent hypertension, hypokalemia, and fluid retention, which require ongoing management. Liver toxicity can occur at any time, so regular monitoring is essential. Prolonged androgen suppression may also lead to osteoporosis, muscle wasting, and metabolic changes. Patients should be monitored for these effects and managed accordingly. Treatment is generally continued until disease progression or unacceptable toxicity.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
An alternative androgen receptor inhibitor that may be used if this medicine is not tolerated or effective.
Evidence: Well-establishedMay be considered for metastatic prostate cancer, especially if hormonal therapies are no longer effective.
Evidence: Well-establishedA radiopharmaceutical used for bone metastases in castration-resistant prostate cancer.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine may increase the risk of infections. Discuss with your doctor whether you should receive any vaccines, especially live vaccines, before starting treatment. Avoid live vaccines during treatment. Inactivated vaccines may be given, but their effectiveness may be reduced.
📦 Storage Guide
✅ DO
Store at room temperature (20-25°C)
❌ DON'T
Do not refrigerate or freeze
✅ DO
Keep in original container with lid tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a doctor's letter explaining your medical condition and the need for this medicine, especially for international travel. Keep the medicine in your carry-on luggage to avoid loss or temperature extremes. Store at room temperature and protect from moisture. If crossing time zones, continue taking your dose at the same time each day as close as possible to your usual schedule. Do not pack this medicine in checked baggage. Check local customs regulations for controlled substances before traveling.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts reducing testosterone levels within days, but clinical effects such as a decline in PSA levels may take several weeks to become apparent. The full benefit may take months. Your doctor will monitor your response with regular PSA tests.
A: If you are on the 1000 mg daily dose, you must take this medicine on an empty stomach. Food can significantly increase absorption and lead to more side effects. If you are on a lower dose, follow your doctor's instructions.
A: If you miss a dose, take it as soon as you remember on the same day. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: No, do not stop prednisone suddenly. It is given to manage side effects of this medicine. Stopping it abruptly can cause serious adrenal insufficiency. Always follow your doctor's instructions.
A: This medicine is not a cure for prostate cancer. It can help slow the growth and spread of cancer and improve survival, but it is not expected to eliminate the disease completely.
🤔 Common Patient Concerns
🔄 Substitutes for abura 250mg tablet
View AllAlternative brands with exact same active ingredient:
-
abtmed 250mg tabletMedicamen Biotech Ltd ₹6,496.88 54.3% CHEAPER
-
zelgor 250mg tabletSun Pharmaceutical Industries Ltd ₹12,187.50 14.4% CHEAPER
-
mytera 250 tabletMylan Pharmaceuticals Pvt Ltd ₹13,125.00 7.8% CHEAPER
-
abitate 250mg tabletRPG Life Sciences Ltd ₹15,600.00 9.6% COSTLIER
-
abirakast 250mg tabletAprazer Healthcare Pvt Ltd ₹18,281.25 28.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Abiraterone acetate is a chemotherapy drug.
Fact: This medicine is not chemotherapy. It is a targeted therapy that blocks androgen production, which is different from traditional chemotherapy that kills cancer cells directly. - Myth: You can take abiraterone acetate with food to reduce stomach upset.
Fact: Taking this medicine with food can significantly increase its absorption and lead to more side effects. It should be taken on an empty stomach unless your doctor specifically instructs otherwise. - Myth: Once you start abiraterone acetate, you can stop prednisone.
Fact: Prednisone is given with this medicine to manage side effects. Stopping prednisone suddenly can cause serious adrenal insufficiency. Always follow your doctor's instructions. - Myth: Abiraterone acetate is safe for pregnant women.
Fact: This medicine can harm a developing fetus and is contraindicated in pregnancy. Men taking it must use effective contraception.
🔄 Alternative Options
Generic Alternatives
- Abiraterone acetate 250 mg tablet (generic)
Brand Alternatives
- Zytiga
- Yonsa