Carnisure 500 Tablet (Levo-carnitine 500mg): Complete Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Seizures or convulsions
- Difficulty breathing or swelling of face, lips, or throat
- Severe abdominal pain or persistent vomiting
- Confusion or unusual weakness
- Signs of allergic reaction such as rash or itching
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is acylcar tablet used for?
This medicine contains levo-carnitine, which is used to treat carnitine deficiency. It helps the body produce energy and remove toxic substances. It is taken orally, usually 500 mg two to three times daily, as prescribed by a doctor.
- Generic Name: Levo-carnitine
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 acylcar tablet के बारे में (Hindi Summary)
उपयोग: यह दवा लेवो-कार्निटाइन नामक सक्रिय तत्व से बनी है और मुख्य रूप से कार्निटाइन की कमी के इलाज के लिए इस्तेमाल की जाती है। कार्निटाइन शरीर में ऊर्जा बनाने और वसा को तोड़ने में मदद करता है। यह दवा उन लोगों के लिए है जिनके शरीर में पर्याप्त कार्निटाइन नहीं बनता या जो किडनी की बीमारी, दौरे की दवाओं या अन्य कारणों से कार्निटाइन खो देते हैं। यह दवा मांसपेशियों की कमजोरी, थकान और दिल की समस्याओं में सुधार कर सकती है। इसे डॉक्टर के बताए अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में जी मिचलाना, उल्टी, पेट में परेशानी, दस्त और शरीर से मछली जैसी गंध आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको दौरे पड़ें, सांस लेने में तकलीफ हो, चेहरे या गले में सूजन आए, या त्वचा पर चकत्ते पड़ें, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से दवा की मात्रा न बदलें और न ही बंद करें। इसे पानी के साथ निगलें। अगर पेट में परेशानी हो तो इसे भोजन के साथ लें। अगर आपको किडनी, लीवर या मिर्गी की बीमारी है, तो डॉक्टर को बताएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें। दवा को कमरे के तापमान पर सूखी जगह पर रखें।
💊 acylcar tablet Uses & Benefits
[{"condition":"Primary carnitine deficiency","description":"This medicine is used to treat primary carnitine deficiency, a rare genetic disorder in which the body cannot transport carnitine into cells, leading to impaired fat metabolism and energy production.","evidence":"Well-established"},{"condition":"Secondary carnitine deficiency","description":"It is used to treat secondary carnitine deficiency that may result from certain medical conditions such as chronic kidney disease, valproic acid therapy, or other metabolic disorders.","evidence":"Well-established"},{"condition":"Valproate-induced carnitine deficiency","description":"This medicine may be prescribed to prevent or treat carnitine deficiency caused by long-term use of valproic acid, an anti-seizure medication.","evidence":"Moderate"},{"condition":"Carnitine deficiency in dialysis patients","description":"Patients on chronic hemodialysis often lose carnitine and may benefit from supplementation with this medicine under medical supervision.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Fatigue in chronic illness","description":"Sometimes prescribed off-label to improve fatigue in conditions such as chronic fatigue syndrome or fibromyalgia, though evidence is limited.","evidence":"Limited"},{"condition":"Male infertility","description":"Levo-carnitine has been studied off-label to improve sperm motility and quality in some men with infertility.","evidence":"Limited"},{"condition":"Hyperthyroidism","description":"Some research suggests levo-carnitine may help manage symptoms of hyperthyroidism, but this is not an approved use.","evidence":"Limited"}]
Primary treatment for: Primary carnitine deficiency
Also treats: Secondary carnitine deficiency, Valproate-induced carnitine deficiency, Carnitine deficiency in dialysis patients
📋 Drug Information
| Generic Name(s) | Levo-carnitine |
| Brand Name | Acylcar Tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | VITAMINS MINERALS NUTRIENTS |
| Action Class | Amino acids |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture and heat. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| 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
Levo-carnitine is essential for the transport of long-chain fatty acids into the mitochondria, where they are oxidized to produce energy. It also helps remove toxic acyl groups from the mitochondria, preventing their accumulation. By facilitating fatty acid oxidation, this medicine supports normal energy metabolism, especially in tissues that rely heavily on fat as fuel, such as the heart and skeletal muscles. In carnitine deficiency, supplementation restores these vital functions.
Mechanism Steps
💡 How to Take acylcar tablet
Strength: Levo-carnitine 500 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 500 mg to 1000 mg taken two to three times daily, depending on the indication and the patient's carnitine levels. For primary carnitine deficiency, doses may be higher. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced kidney function and may require lower doses. Dose should be individualized by a clinician based on renal function. |
| Renal Impairment | In patients with kidney impairment, dose reduction may be necessary. For patients on dialysis, levo-carnitine is often given intravenously after dialysis sessions. Oral dosing should be carefully adjusted under medical supervision. |
| Hepatic Impairment | No specific dose adjustment is established for patients with liver impairment. Use with caution and under medical supervision. |
| Maximum Daily Dose | The maximum recommended daily dose is 3000 mg (3 grams) for adults, but this may vary based on the indication and medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of acylcar tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Valproic acid | Major | |
| Warfarin | Major | |
| Cephalosporins | Moderate | |
| Levothyroxine | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Valproic acid
- Warfarin
⚡ Moderate Interactions
- Cephalosporins (e.g., cefditoren)
- Thyroid hormone (levothyroxine)
🍷 Alcohol Interaction
Alcohol can interfere with carnitine metabolism and may worsen the underlying condition. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to levo-carnitine or any component of the tablet","Severe kidney impairment without close medical supervision","Use in patients with a history of seizures should be monitored closely"]
⚠️ Warnings & Precautions
["Use with caution in patients with kidney disease, as a metabolite can accumulate and cause serious side effects.","May increase the risk of seizures in patients with a history of epilepsy.","Not recommended for use in patients with severe liver disease without medical supervision.","Do not use for weight loss or athletic performance enhancement.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Do not share this medicine with others."]
🤱 Lactation Safety
Levo-carnitine is present in breast milk. It is generally considered safe during breastfeeding, but consult your doctor before use.
💊 Overdose Management
Overdose of levo-carnitine may cause severe nausea, vomiting, diarrhea, and abdominal cramps. In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice. Swallow the tablet whole with a full glass of water, with or without food. If it upsets your stomach, take it with meals. Inform your doctor if you have kidney disease, liver disease, epilepsy, or any other medical condition before starting this medicine. Your doctor may need to adjust your dose or monitor you more closely. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before using this medicine. Do not share this medicine with others, even if they have similar symptoms. Keep this medicine out of the reach of children. Store it at room temperature, away from moisture and heat. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for your next dose. Never double the dose to make up for a missed one. Regular follow-up visits and blood tests may be needed to check how well the medicine is working and to monitor for side effects. Report any new or worsening symptoms to your doctor promptly.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced kidney function and may require lower doses. Regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor. This medicine may be continued if needed, but only under medical supervision.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It is generally safe to continue, but your doctor will advise.
🦷 Dental Procedures
No specific precautions are needed for dental procedures. However, inform your dentist about all medicines you take.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is encouraged, but avoid overexertion. Listen to your body and rest when needed. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is not known to impair your ability to drive or operate machinery. However, if you experience dizziness or fatigue, avoid these activities until you feel better.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Stopping suddenly can worsen your condition. Your doctor will determine when and how to stop based on your progress.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored by a doctor. Regular blood tests may be needed to check carnitine levels and kidney function. In patients with kidney disease, accumulation of a metabolite can occur, so monitoring is essential.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Red meat and dairy are rich in carnitine, but dietary intake may not be enough for deficiency.
Evidence: LimitedAnother form of carnitine that may be used for different indications.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are known. However, consult your doctor before any vaccination.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from moisture. If traveling across time zones, adjust your dosing schedule gradually under medical advice. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Improvement in symptoms may be noticed within days to weeks, depending on the individual and the severity of deficiency.
A: Yes, taking it with food can reduce stomach upset.
A: It is generally considered safe when prescribed by a doctor, but consult your doctor before use.
🤔 Common Patient Concerns
🔄 Substitutes for acylcar tablet
View AllAlternative brands with exact same active ingredient:
-
elkar tabletSun Pharmaceutical Industries Ltd ₹93.75 4.7% COSTLIER
-
druvit 500mg tabletDruto Laboratories ₹102.60 14.6% COSTLIER
-
carniup 500mg tabletFeron Healthcare Pvt Ltd ₹120.00 34% COSTLIER
-
forage 500mg tabletLap Farmacia Ltd ₹143.44 60.2% COSTLIER
-
lencar 500mg tabletElder Pharmaceuticals Ltd ₹145.31 62.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a weight loss supplement.
Fact: This medicine is not approved for weight loss and should not be used for that purpose. - Myth: It can boost energy in healthy people.
Fact: It only helps if you have a carnitine deficiency. It does not increase energy in healthy individuals. - Myth: It is safe to take without a prescription.
Fact: This is a prescription medicine and should only be taken under medical supervision.
🔄 Alternative Options
Generic Alternatives
- Levo-carnitine 500 mg tablet (generic)
Brand Alternatives
- Carnisure 500 tablet