Abura 500 Tablet (Abiraterone Acetate 500 mg): Complete Medicine 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 eyes or skin, or dark urine, which may indicate liver injury.
- Severe tiredness, weakness, or confusion, which may indicate liver problems or low potassium.
- Chest pain, shortness of breath, or fainting, which may indicate heart problems.
- Irregular or very fast heartbeat, which may be due to low potassium.
- Severe headache, blurred vision, or very high blood pressure readings.
- Sudden swelling of the face, lips, or throat, or difficulty breathing, which may be a severe allergic reaction.
- Severe muscle pain, weakness, or dark urine, which may indicate muscle breakdown.
- Sudden weight gain or swelling in the legs or abdomen, which may indicate fluid retention.
- Fever, severe abdominal pain, or vomiting that does not stop.
- Seizures or loss of consciousness.
If experiencing severe symptoms, call emergency services immediately.
What is abura 500 tablet used for?
This medicine contains abiraterone acetate 500 mg. It is an oral tablet used with prednisone or prednisolone to treat certain types of prostate cancer. It works by blocking an enzyme called CYP17A1, which lowers androgen levels and slows cancer growth. It must be taken on an empty stomach, and regular blood tests are needed to monitor liver function, potassium, and blood pressure.
- Generic Name: Abiraterone Acetate (500mg)
- Manufacturer: MSN Laboratories
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 abura 500 tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एबिराटेरोन एसीटेट 500 मिलीग्राम की एक टैबलेट है, जिसका उपयोग प्रोस्टेट कैंसर के कुछ प्रकारों के इलाज के लिए किया जाता है। यह आमतौर पर प्रेडनिसोन या प्रेडनिसोलोन के साथ दी जाती है। यह शरीर में एंड्रोजन (जैसे टेस्टोस्टेरोन) बनाने वाले एंजाइम को रोककर कैंसर कोशिकाओं की वृद्धि को धीमा करती है। यह दवा केवल कैंसर रोग विशेषज्ञ की सलाह से ही लेनी चाहिए। इसे खाली पेट लेना जरूरी है, क्योंकि भोजन के साथ लेने से दवा का असर और दुष्प्रभाव बढ़ सकते हैं। इलाज के दौरान लिवर, पोटैशियम और ब्लड प्रेशर की नियमित जांच करानी चाहिए। महिलाओं, खासकर गर्भवती या गर्भवती हो सकने वाली महिलाओं को यह दवा नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में थकान, जोड़ों में दर्द या सूजन, उच्च रक्तचाप, गर्म लहरें (हॉट फ्लश), दस्त, जी मिचलाना, उल्टी, कब्ज, पैरों में सूजन, पोटैशियम की कमी, मूत्र मार्ग में संक्रमण, खांसी और सिरदर्द शामिल हैं। गंभीर दुष्प्रभावों में लिवर को गंभीर नुकसान, बहुत तेज ब्लड प्रेशर, दिल की समस्याएं, पोटैशियम की गंभीर कमी, और एड्रेनल अपर्याप्तता शामिल हैं। अगर आंखों या त्वचा का रंग पीला पड़े, पेशाब गहरा हो, बहुत ज्यादा थकान हो, दिल की धड़कन अनियमित हो, या अचानक वजन बढ़े, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा डॉक्टर के बताए अनुसार ही लें। इसे खाली पेट लें, यानी खाने से कम से कम 1 घंटा पहले या खाने के कम से कम 2 घंटे बाद। टैबलेट को पानी के साथ पूरा निगलें, चबाएं या तोड़ें नहीं। अपने आप दवा बंद न करें और न ही डोज बदलें। इलाज के दौरान लिवर, पोटैशियम, ब्लड प्रेशर और खून की नियमित जांच कराएं। अपने डॉक्टर को सभी दवाओं, सप्लीमेंट्स और हर्बल उत्पादों के बारे में बताएं। ग्रेपफ्रूट और उसका जूस न लें। पुरुषों को इलाज के दौरान और आखिरी खुराक के कम से कम 3 हफ्ते बाद तक प्रभावी गर्भनिरोधक तरीका अपनाना चाहिए। गर्भवती महिलाओं को इस दवा को बिना दस्ताने के नहीं छूना चाहिए। दवा को बच्चों से दूर, ठंडी और सूखी जगह पर रखें।
💊 abura 500 tablet Uses & Benefits
[{"condition":"Metastatic castration-resistant prostate cancer","description":"Used together with prednisone or prednisolone to treat adult men with prostate cancer that has spread and is no longer controlled by standard androgen deprivation therapy.","evidence":"Well-established"},{"condition":"Metastatic high-risk castration-sensitive prostate cancer","description":"Used together with prednisone or prednisolone and sometimes with other systemic therapies in adult men with newly diagnosed high-risk metastatic prostate cancer.","evidence":"Well-established"},{"condition":"High-risk non-metastatic castration-resistant prostate cancer","description":"Used in some adult men with high-risk prostate cancer that has not spread but is no longer controlled by androgen deprivation therapy, in combination with other treatments.","evidence":"Established in selected patients"}]
Off-label uses: [{"condition":"Other androgen-driven tumours","description":"Rarely used in selected patients with other tumours that depend on androgens, under specialist supervision.","evidence":"Limited"}]
Primary treatment for: Prostate cancer
Also treats: Metastatic castration-resistant prostate cancer, Metastatic high-risk castration-sensitive prostate cancer, High-risk non-metastatic castration-resistant prostate cancer
📋 Drug Information
| Generic Name(s) | Abiraterone Acetate (500mg) |
| Brand Name | abura 500 tablet |
| Manufacturer | MSN Laboratories |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI NEOPLASTICS |
| Action Class | Anticancer-others |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C. Keep it in the original container, tightly closed, away from moisture and direct sunlight. Do not store it in the bathroom. Keep it out of the reach of children and pets. |
| Shelf Life | The shelf life is usually 24 months from the date of manufacture, but you should always check the expiry date printed on the pack. Do not use the medicine after the expiry date. |
| 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 17-alpha-hydroxylase/C17,20-lyase. This enzyme is needed for the production of androgens such as testosterone and dihydrotestosterone in the testes, adrenal glands, and prostate cancer tissue. By blocking CYP17A1, this medicine reduces the amount of androgens made throughout the body. Because many prostate cancer cells need androgens to grow, lowering androgen levels helps slow or stop cancer growth. This medicine is usually given with prednisone or prednisolone to reduce the rise in certain hormones that can occur when CYP17A1 is blocked and to manage some side effects.
Mechanism Steps
💡 How to Take abura 500 tablet
Strength: Immediate-release tablet containing abiraterone acetate 500 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 1000 mg taken by mouth once daily on an empty stomach, together with prednisone or prednisolone 5 mg taken by mouth twice daily. Because this tablet contains 500 mg, the 1000 mg dose is taken as two tablets once daily. In some patients with moderate liver impairment, the dose may be reduced to 500 mg once daily. The dose must be individualized by a qualified clinician based on the indication, liver function, other medicines, and response to treatment. Do not change the dose without talking to your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatric oncologist. |
| Elderly Dosage | Older adults can usually take the same dose as younger adults, but they may be more sensitive to side effects such as high blood pressure, low potassium, and heart problems. Blood pressure, potassium, liver function, and heart function should be checked regularly. The dose must be individualized by a qualified clinician. |
| Renal Impairment | Mild to moderate kidney problems usually do not require a dose change. There is limited information in patients with severe kidney problems or those on dialysis. The dose must be individualized by a qualified clinician. |
| Hepatic Impairment | In patients with mild liver impairment, no dose change is usually needed. In patients with moderate liver impairment, the dose is usually reduced to 500 mg once daily. This medicine should not be used in patients with severe liver impairment. Liver enzymes must be checked before and during treatment. The dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is 1000 mg taken once daily on an empty stomach, unless a lower dose is prescribed because of liver problems. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of abura 500 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 | |
| Rifampicin | Major | |
| Carbamazepine | Major | |
| Phenytoin | Major | |
| St John's wort | Major | |
| Clarithromycin | Major | |
| Ritonavir | Major | |
| Furosemide | Moderate | |
| Hydrochlorothiazide | Moderate | |
| Metoprolol | Moderate |
🚨 Major Interactions
- Strong CYP3A4 inhibitors (for example, ketoconazole, clarithromycin, ritonavir)
- Strong CYP3A4 inducers (for example, rifampicin, carbamazepine, phenytoin, St John's wort)
- Medicines that can prolong the QT interval (for example, some antiarrhythmics, antipsychotics, and antibiotics)
⚡ Moderate Interactions
- CYP2D6 substrates (for example, metoprolol, codeine, tramadol)
- CYP1A2 substrates (for example, theophylline, clozapine)
- Diuretics that lower potassium (for example, furosemide, hydrochlorothiazide)
🍷 Alcohol Interaction
Alcohol may worsen some side effects such as dizziness, tiredness, and liver stress. It is best to avoid alcohol or limit it while taking this medicine, especially if you have liver problems. Talk to your doctor about safe limits.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Women who are pregnant or may become pregnant","Severe liver impairment","Known severe allergy to abiraterone acetate or any ingredient in the tablet","Use with strong CYP3A4 inducers when avoidable"]
⚠️ Warnings & Precautions
["This medicine can cause severe liver injury. Regular blood tests are needed.","This medicine can cause high blood pressure and low potassium. These need regular monitoring.","This medicine is given with prednisone or prednisolone. Do not stop the steroid suddenly.","This medicine can cause adrenal insufficiency if the steroid is stopped suddenly or during stress.","This medicine can cause fluid retention and heart problems. Tell your doctor if you have heart disease.","This medicine must be taken on an empty stomach. Food increases absorption and side effects.","Men taking this medicine should use effective contraception during treatment and for at least three weeks after the last dose.","Women who are pregnant or may become pregnant should not handle this medicine without protection such as gloves.","Tell your doctor about all other medicines, supplements, and herbal products you take.","Avoid grapefruit and grapefruit juice while taking this medicine."]
🤱 Lactation Safety
This medicine is not intended for use in women. It is not known whether abiraterone passes into breast milk. Because it can harm a nursing infant, breastfeeding is not recommended during treatment and for at least two weeks after the last dose. Women who are breastfeeding should not handle this medicine without protection.
💊 Overdose Management
There is no specific antidote for an overdose of this medicine. If you take too much, contact your doctor or a poison control centre immediately. Treatment is supportive, with close monitoring of liver function, blood pressure, potassium, and heart rhythm. Do not try to make yourself vomit unless told to do so by a medical professional.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember on the same day, but only if you have not eaten. If you have already eaten or 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, contact your doctor or pharmacist.
Additional Safety Advice
This medicine must be taken exactly as prescribed by your cancer specialist. Take it on an empty stomach, at least one hour before or at least two hours after food, because food can increase the amount of medicine absorbed and raise the risk of side effects. Swallow the tablet whole with water; do not crush, chew, or split it unless your doctor or pharmacist tells you to. Do not stop taking this medicine or change the dose on your own, even if you feel better or worse. You will need regular blood tests to check your liver, potassium level, blood pressure, and blood counts. Tell your doctor about all other medicines, supplements, and herbal products you take, because some can interact with this medicine. Avoid grapefruit and grapefruit juice while taking this medicine. Men taking this medicine should use effective contraception during treatment and for at least three weeks after the last dose if their partner is pregnant or could become pregnant. Women who are pregnant or may become pregnant should not handle this medicine without protection, such as gloves. Keep this medicine out of the reach of children. Store it at room temperature, away from moisture and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults can usually take the same dose as younger adults, but they may be more sensitive to side effects such as high blood pressure, low potassium, tiredness, and heart problems. Regular monitoring of blood pressure, potassium, liver function, and heart function is especially important. Falls and fractures are also a concern, so bone health should be reviewed.
🤰 Pregnancy Planning (TTC)
This medicine is not for use in women. Men taking this medicine should use effective contraception during treatment and for at least 3 weeks after the last dose if their partner is pregnant or could become pregnant. If you are planning to father a child, talk to your doctor about the potential effects of this medicine on fertility and pregnancy.
🏥 Post-Surgery Considerations
If you are going to have surgery, tell your surgeon and anaesthetist that you are taking this medicine and prednisone or prednisolone. You may need extra steroid cover during and after surgery because of the risk of adrenal insufficiency. Do not stop your medicines without talking to your doctor.
🦷 Dental Procedures
Tell your dentist that you are taking this medicine and prednisone or prednisolone before any dental procedure. You may need extra steroid cover for dental surgery because of the risk of adrenal insufficiency. Good oral hygiene is important, and your dentist may recommend preventive care.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Gentle exercise is usually safe and helpful, but you should avoid strenuous activity if you feel very tired, dizzy, or have heart problems. If you have bone pain or are at risk of fractures, avoid high-impact activities. Talk to your doctor before starting any new exercise programme.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause tiredness, dizziness, or high blood pressure, which can affect your ability to drive or operate machinery. Avoid driving or using heavy machines if you feel unwell. Most patients can continue their usual daily activities, but you should discuss any work-related concerns with your doctor. Regular monitoring and dose adjustments can help minimise the impact on your work and daily life.
🛑 When to Stop This Medicine
Do not stop this medicine on your own. Your doctor will decide when to stop based on your response to treatment, side effects, and overall health. If you develop serious side effects such as severe liver injury, very high blood pressure, heart problems, or severe allergic reactions, your doctor may stop the medicine. Always talk to your doctor before stopping, and never stop prednisone or prednisolone suddenly.
📅 Long-Term Use Effects
Long-term use of this medicine may continue to control prostate cancer, but it can also cause ongoing side effects such as high blood pressure, low potassium, tiredness, and joint pain. Regular monitoring of liver function, blood pressure, potassium, and heart function is needed throughout treatment. Some patients may develop liver injury, heart problems, or adrenal insufficiency over time. Your doctor will review the benefits and risks regularly and may adjust or stop treatment if needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Other oral medicines for prostate cancer that work by blocking the androgen receptor instead of lowering androgen production.
Evidence: Well-establishedUsed in some patients with advanced prostate cancer, either before or after this medicine.
Evidence: Well-establishedA radioactive medicine used for bone metastases in some patients.
Evidence: Established in selected patientsNew treatments may be available through clinical trials. Discuss with your oncologist.
Evidence: Varies💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions known with this medicine. However, because it is used with prednisone or prednisolone, which can suppress the immune system, live vaccines should be avoided during treatment. Talk to your doctor about which vaccines are safe for you, including flu and COVID-19 vaccines.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate or freeze unless the label says so.
✅ DO
Keep in the original container, tightly closed.
❌ DON'T
Do not transfer to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of the reach of children and pets.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a letter from your doctor explaining that you need this medicine for cancer treatment. Carry enough medicine for your entire trip, plus extra in case of delays. Store it at room temperature, away from heat and moisture. If you are crossing time zones, keep taking your medicine at the same interval as prescribed, but discuss any changes with your doctor. Check the customs rules of your destination country for controlled or prescription medicines. Do not put this medicine in checked luggage; keep it in your hand luggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine does not work immediately. It may take several weeks to months before a benefit is seen, such as a drop in PSA levels or improvement in symptoms. Your doctor will monitor your response with regular tests.
A: No. This medicine must be taken on an empty stomach, at least 1 hour before or 2 hours after food. Food increases the absorption of the medicine and can raise the risk of side effects.
A: Yes, this medicine is usually prescribed together with prednisone or prednisolone. The steroid helps reduce some of the side effects caused by the hormonal changes from this medicine. Do not stop the steroid suddenly.
A: You will need regular blood tests to check your liver enzymes, potassium level, blood pressure, and blood counts. Liver enzymes are usually checked every 2 weeks for the first 3 months and then monthly.
A: No. This medicine is not for use in women, especially those who are pregnant or may become pregnant, because it can harm a developing baby. Women who are pregnant or may become pregnant should not handle this medicine without protection such as gloves.
A: If you miss a dose and have not eaten, take it as soon as you remember on the same day. If you have already eaten or 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.
🤔 Common Patient Concerns
🔄 Substitutes for abura 500 tablet
View AllAlternative brands with exact same active ingredient:
-
alkeprost 500mg tabletAlkem Laboratories Ltd ₹12,187.50 35% CHEAPER
-
zelgor 500mg tabletSun Pharmaceutical Industries Ltd ₹12,187.50 35% CHEAPER
-
mytera 500 tabletMylan Pharmaceuticals Pvt Ltd ₹17,990.00 4.1% CHEAPER
-
bdron 500 tabletBDR Pharmaceuticals Internationals Pvt ₹20,250.00 8% COSTLIER
-
xbira 500 tabletCipla Ltd ₹20,625.00 10% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken with food to reduce stomach upset.
Fact: This medicine must be taken on an empty stomach because food increases its absorption and can raise the risk of side effects. - Myth: This medicine is a chemotherapy medicine.
Fact: This medicine is not chemotherapy. It is a targeted hormone therapy that lowers androgen production. - Myth: Once you feel better, you can stop taking this medicine.
Fact: You should not stop this medicine without talking to your doctor. Stopping suddenly can worsen the cancer and cause steroid-related problems. - Myth: This medicine is safe for women.
Fact: This medicine is not for use in women, especially those who are pregnant or may become pregnant, because it can harm a developing baby.
🔄 Alternative Options
Generic Alternatives
- Abiraterone acetate 500 mg tablet
Brand Alternatives
- Abura 500 Tablet