altrom 1mg tablet - Acenocoumarol (1mg) medicine

altrom 1mg tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Ikon Remedies Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 26, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 26, 2026

What is altrom 1mg tablet used for?

Acitrom 2 Tablet (Acenocoumarol) is used to treat CARDIAC. It contains Acenocoumarol (1mg), which Inhibits vitamin K epoxide reductase, preventing activation of vitamin K-depende. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Acenocoumarol
  • Manufacturer: Ikon Remedies Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š altrom 1mg tablet Uses & Benefits

Prophylaxis and treatment of venous thromboembolism, Prevention of thromboembolism in atrial fibrillation, Prophylaxis after heart valve replacement, Treatment of pulmonary embolism

Off-label uses: Prevention of recurrent myocardial infarction, Antiphospholipid syndrome

๐Ÿ“‹ Drug Information

Generic Name(s)Acenocoumarol
Brand NameAcitrom 2 Tablet
ManufacturerIkon Remedies Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassVitamin K antagonists
Route of AdministrationOral
StorageStore at room temperature (15-30ยฐC), protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionRapidly absorbed from the gastrointestinal tract.
DistributionDistributes widely into body tissues; crosses placenta.
Protein BindingHigh (approximately 98-99%) bound to plasma proteins, mainly albumin.
MetabolismExtensively metabolized in the liver via CYP450 enzymes, primarily CYP2C9.
Half-Life8-11 hours
ExcretionPrimarily excreted in urine as metabolites; small amount in feces.
BioavailabilityApproximately 100% (oral).
Onset of Action24-72 hours
Peak Plasma Time1-3 hours
Duration of Action2-5 days

How It Works

Inhibits vitamin K epoxide reductase, preventing activation of vitamin K-dependent clotting factors (II, VII, IX, X) and anticoagulant proteins C and S.

Mechanism Steps

1Inhibits vitamin K epoxide reductase (VKORC1)
2Blocks recycling of vitamin K
3Reduces synthesis of active clotting factors II, VII, IX, X

๐Ÿ’ก How to Take altrom 1mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of altrom 1mg tablet

โœ… Common Side Effects

  • Bleeding (e.g., epistaxis, bruising, gum bleeding)
  • Nausea
  • Diarrhea
  • Abdominal pain
  • Alopecia

๐Ÿšจ Serious Side Effects

  • Major hemorrhage (e.g., intracranial, gastrointestinal)
  • Skin necrosis
  • Purple toes syndrome
  • Hepatic injury

โš ๏ธ Rare Side Effects

  • Calciphylaxis
  • Tracheobronchial calcification
  • Pancreatitis
  • Priapism

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk due to additive anticoagulation.
Aspirin Major Increased bleeding risk due to antiplatelet effect.
NSAIDs Major Increased bleeding risk due to GI irritation and antiplatelet effect.
Heparin Major Increased bleeding risk due to additive anticoagulation.
Clopidogrel Major Increased bleeding risk due to antiplatelet effect.
Rifampin Major Decreased anticoagulant effect due to enzyme induction.
Phenytoin Major Increased phenytoin levels and altered anticoagulation.
Cimetidine Major Increased anticoagulant effect due to inhibition of metabolism.
Metronidazole Major Increased anticoagulant effect due to inhibition of metabolism.
Fluconazole Major Increased anticoagulant effect due to inhibition of CYP2C9.

๐Ÿšจ Major Interactions

  • Warfarin
  • Aspirin
  • NSAIDs
  • Heparin
  • Clopidogrel
  • Rifampin
  • Phenytoin
  • Cimetidine
  • Metronidazole
  • Fluconazole

โšก Moderate Interactions

  • Amiodarone
  • Statins
  • SSRIs
  • Omeprazole
  • Allopurinol
  • Oral contraceptives
  • Corticosteroids

โ„น๏ธ Minor Interactions

  • Antacids
  • Ranitidine
  • Vitamin K
  • Herbal supplements (e.g., ginkgo, garlic)

๐Ÿฝ๏ธ Food Interactions

Foods high in vitamin K (e.g., leafy greens) may reduce efficacy; consistent intake recommended., Cranberry juice may increase INR.

๐Ÿท Alcohol Interaction

Acute alcohol intake may increase anticoagulant effect; chronic use may decrease effect.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to acenocoumarol, Active bleeding, Hemorrhagic tendencies, Severe liver or kidney disease, Uncontrolled hypertension, Pregnancy, Lactation, Recent surgery with bleeding risk, Bacterial endocarditis

๐Ÿ“Š Monitoring Parameters

Prothrombin time (PT) and INR regularly; assess for signs of bleeding or thrombosis.

๐Ÿคฑ Lactation Safety

Not recommended; excreted in breast milk in small amounts, but risk of bleeding in infant.

๐Ÿ’Š Overdose Management

Administer vitamin K (phytonadione) orally or intravenously; severe bleeding may require fresh frozen plasma or prothrombin complex concentrate.

โฐ Missed Dose

Take as soon as remembered if within 12 hours; skip if >12 hours and resume next scheduled dose. Do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 26, 2026

๐Ÿ”— View Profile

๐Ÿ”„ Substitutes for altrom 1mg tablet

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Alternative brands with exact same active ingredient (Acenocoumarol (1mg)):

Medical Note: Always consult your doctor before switching medications.

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