himolan 500mg tablet - Ethamsylate (500mg) medicine

Ethamsylate 500 mg Tablet: Complete Medicine Guide

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🏭 Karnataka Antibiotics & Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Unusual bruising or bleeding

If experiencing severe symptoms, call emergency services immediately.

What is himolan 500mg tablet used for?

Ethamsylate 500 mg tablet is a haemostatic medicine used to control excessive bleeding by strengthening capillaries and improving platelet function. It is commonly prescribed for heavy menstrual bleeding and surgical bleeding.

  • Generic Name: Ethamsylate (500mg)
  • Manufacturer: Karnataka Antibiotics & Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 himolan 500mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एथैमसिलेट 500 मिलीग्राम टैबलेट है, जिसका उपयोग अत्यधिक रक्तस्राव को नियंत्रित करने के लिए किया जाता है। यह रक्त वाहिकाओं को मजबूत बनाकर और प्लेटलेट्स के कार्य को बेहतर बनाकर रक्तस्राव कम करती है। इसका उपयोग मासिक धर्म में अत्यधिक रक्तस्राव, सर्जरी के दौरान और बाद में रक्तस्राव, और छोटी रक्त वाहिकाओं से होने वाले रक्तस्राव के इलाज के लिए किया जाता है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, मतली, पेट खराब होना और त्वचा पर चकत्ते शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर एलर्जी प्रतिक्रिया, रक्त विकार या थ्रोम्बोएम्बोलिक घटनाएं शामिल हो सकती हैं। यदि आपको असामान्य रक्तस्राव, चोट लगने पर नील या रक्त के थक्के के लक्षण जैसे सीने में दर्द या पैर में सूजन दिखे तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को अपने डॉक्टर के निर्देशानुसार ही लें। अनुशंसित खुराक से अधिक न लें। यदि आपको रक्त के थक्के, गुर्दे की बीमारी या यकृत की बीमारी की history है तो अपने डॉक्टर को बताएं। गर्भावस्था के दौरान इस दवा का उपयोग केवल डॉक्टर की सलाह पर करें। स्तनपान कराने वाली माताएं उपयोग से पहले डॉक्टर से परामर्श करें। इस दवा को बच्चों की पहुंच से दूर रखें। ठंडी, सूखी जगह पर धूप से बचाकर रखें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 himolan 500mg tablet Uses & Benefits

[{"condition":"Heavy menstrual bleeding (menorrhagia)","description":"This medicine helps reduce excessive blood loss during menstruation by strengthening capillary walls and improving platelet function.","evidence":"Well-established"},{"condition":"Perioperative bleeding","description":"Used to reduce bleeding during and after surgical procedures, especially in surgeries with high risk of capillary bleeding.","evidence":"Established"},{"condition":"Capillary bleeding","description":"Helps control bleeding from small blood vessels in conditions like epistaxis, hematuria, and gastrointestinal bleeding.","evidence":"Limited"}]

Off-label uses: [{"condition":"Prevention of bleeding in patients on antiplatelet therapy","description":"Sometimes used off-label to reduce bleeding risk in patients taking drugs like aspirin or clopidogrel.","evidence":"Limited"}]

Primary treatment for: Heavy menstrual bleeding

Also treats: Perioperative bleeding, Capillary bleeding

📋 Drug Information

Generic Name(s)Ethamsylate (500mg)
Brand Namehimolan 500mg tablet
ManufacturerKarnataka Antibiotics & Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassBLOOD RELATED
Action ClassHaemostatic agent
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place. Protect from light and moisture.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Do not exceed the prescribed dose.
3
Inform your doctor if you have a history of blood clots.
4
Avoid alcohol while taking this medicine.
5
Consult your doctor if bleeding persists beyond 7 days.
6
Report any unusual bleeding or bruising immediately.
7
Do not use this medicine for longer than prescribed without medical supervision.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Heavy menstrual bleeding
This medicine is commonly prescribed for this.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionEthamsylate is rapidly absorbed from the gastrointestinal tract after oral administration. The absolute bioavailability is not well established from the available information.
DistributionEthamsylate is distributed widely in the body, with high concentrations in the kidneys, liver, and spleen. It crosses the placenta and is excreted in breast milk in small amounts.
Protein BindingNot established from the available information.
MetabolismEthamsylate is not extensively metabolized in the liver. It is primarily excreted unchanged in the urine.
Half-LifeThe elimination half-life of Ethamsylate is approximately 2 to 3 hours.
ExcretionEthamsylate is excreted mainly through the kidneys, with about 70-80% of the dose recovered in urine as unchanged drug within 24 hours.
BioavailabilityNot established from the available information.
Onset of ActionThe haemostatic effect of this medicine begins within 1 to 2 hours after oral administration.
Peak Plasma TimePeak plasma concentrations are reached approximately 1 to 2 hours after oral intake.
Duration of ActionThe effect of a single dose lasts for about 4 to 6 hours.

How It Works

Ethamsylate works by increasing capillary resistance and promoting platelet adhesion. It inhibits the action of prostaglandins that cause vasodilation and capillary fragility. This medicine also enhances the aggregation of platelets at sites of bleeding, helping to form a stable clot more quickly. It does not affect the normal clotting cascade or increase the risk of thrombosis in healthy individuals.

Mechanism Steps

1
Capillary stabilization: Ethamsylate strengthens the capillary walls by increasing the cross-linking of collagen and reducing capillary permeability.
2
Platelet adhesion enhancement: It promotes the adhesion of platelets to the subendothelial collagen, which is the first step in clot formation.
3
Prostaglandin inhibition: This medicine inhibits the synthesis of prostaglandins that cause vasodilation and increased capillary fragility.
4
Reduced bleeding time: The combined effects lead to a reduction in bleeding time without affecting normal coagulation parameters.

💡 How to Take himolan 500mg tablet

Strength: Ethamsylate 500 mg immediate-release tablet

1Take this medicine orally with a glass of water.
2Take it with food to reduce stomach upset.
3Swallow the tablet whole. Do not crush or chew.
4Take at evenly spaced intervals as prescribed.
5Do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 500 mg three to four times daily, depending on the condition being treated. For heavy menstrual bleeding, it is often taken from the onset of bleeding until bleeding stops. For surgical bleeding, it may be given before and after the procedure. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal function. Consult a doctor for appropriate dosing.
Renal ImpairmentDose adjustment may be needed in patients with renal impairment. Consult a doctor.
Hepatic ImpairmentDose adjustment may be needed in patients with hepatic impairment. Consult a doctor.
Maximum Daily DoseThe maximum recommended daily dose is 2000 mg, but this must be confirmed by a clinician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of himolan 500mg tablet

✅ Common Side Effects

Headache (Common (5-10%))
Usually resolves on its own. Consult your doctor if it persists or worsens.
Nausea (Common (5-10%))
Take the medicine with food to reduce nausea. If it continues, consult your doctor.
Stomach upset (Common (5-10%))
Take with meals. Avoid spicy foods. Consult your doctor if severe.
Skin rash (Uncommon (1-5%))
Discontinue use and consult your doctor if rash develops.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, difficulty breathing, or severe dizziness.
Thromboembolic events (blood clots) (Rare (<0.1%))
Seek immediate medical attention if you notice chest pain, shortness of breath, leg swelling, or sudden severe headache.
Blood disorders (e.g., agranulocytosis, thrombocytopenia) (Rare (<0.1%))
Report any unusual bruising, bleeding, fever, or sore throat to your doctor immediately.

⚠️ Rare Side Effects

Hypotension
Seek medical attention if you feel faint or dizzy.
Arrhythmia
Consult a doctor if you experience palpitations or irregular heartbeat.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Aspirin Major
Clopidogrel Major
Ibuprofen Moderate
Alteplase Moderate
Antacids Minor

🚨 Major Interactions

  • Anticoagulants (e.g., warfarin)
  • Antiplatelet agents (e.g., aspirin, clopidogrel)

⚡ Moderate Interactions

  • NSAIDs (e.g., ibuprofen)
  • Thrombolytic agents (e.g., alteplase)

🍷 Alcohol Interaction

Alcohol may increase the risk of stomach bleeding and should be avoided while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to Ethamsylate or any component of the formulation","Active thromboembolic disease","Porphyria","Severe renal impairment"]

⚠️ Warnings & Precautions

["Use with caution in patients with a history of blood clots.","Avoid in patients with known porphyria.","Not recommended for use in children unless prescribed by a pediatrician.","Elderly patients may be more susceptible to side effects.","Inform your doctor if you are pregnant or planning to become pregnant.","Do not use for prolonged periods without medical supervision."]

🤱 Lactation Safety

Ethamsylate is excreted in breast milk in small amounts. Consult your doctor before use during breastfeeding.

💊 Overdose Management

Overdose may cause nausea, vomiting, headache, and hypotension. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ 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.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Inform your doctor if you have a history of blood clots, kidney disease, or liver disease. Avoid using this medicine during pregnancy unless clearly needed and advised by your doctor. Breastfeeding mothers should consult their doctor before use. Keep this medicine out of reach of children. Store in a cool, dry place away from direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine. Dose adjustment may be needed based on kidney function.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It should be used during pregnancy only if clearly needed.

🏥 Post-Surgery Considerations

This medicine may be prescribed after surgery to reduce bleeding. Follow your surgeon's instructions carefully.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may be continued or adjusted to control bleeding.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on blood vessels.
🥗
Eat a balanced diet rich in iron to prevent anemia from blood loss.
😴
Stay hydrated.
💧
Avoid excessive alcohol consumption.
🧘
Get adequate rest during heavy bleeding episodes.

🏋️ Exercise Considerations

Avoid strenuous exercise if you are experiencing heavy bleeding. Consult your doctor before starting any exercise routine.

🥗 Diet Recommendations

Include iron-rich foods like leafy greens and red meat.
Increase vitamin C intake to improve iron absorption.
Avoid spicy foods if you experience stomach upset.

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery if you feel dizzy.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if you experience any serious side effects or if your symptoms do not improve within 7 days.

📅 Long-Term Use Effects

Long-term use of this medicine should be monitored by a doctor. Regular blood tests may be needed to check for any blood disorders. Do not use for prolonged periods without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Tranexamic acid

Another haemostatic agent that can be used for heavy menstrual bleeding.

Evidence: Well-established
Hormonal therapy

For heavy menstrual bleeding, hormonal options like oral contraceptives may be considered.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. Continue routine vaccinations as scheduled.

📦 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 at room temperature and protect from moisture. If traveling across time zones, adjust dosing schedule as advised by your doctor. Declare it at customs if required.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with heavy menstrual bleeding
She was prescribed this medicine for menorrhagia. After taking it as directed, her bleeding reduced significantly within two days. She experienced mild nausea initially, which subsided when she took it with food.
💡 Lesson: Taking this medicine with food improves tolerability and helps control heavy bleeding effectively.
👤 A 50-year-old man scheduled for dental extraction
He was given this medicine before and after the procedure to prevent excessive bleeding. The surgery was successful with minimal blood loss. He reported no side effects.
💡 Lesson: This medicine can be safely used perioperatively to reduce bleeding risk in minor surgical procedures.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 1 to 2 hours after oral administration.

Q: Can I take it during pregnancy?

A: Consult your doctor before use during pregnancy. It should be used only if clearly needed.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for himolan 500mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Ethamsylate is a blood thinner.
    Fact: Ethamsylate is a haemostatic agent that helps stop bleeding, not a blood thinner.
  • Myth: Ethamsylate can be taken for any bleeding.
    Fact: It is specific for capillary bleeding and should be used only as prescribed.

🔄 Alternative Options

Generic Alternatives

  • Ethamsylate 500 mg tablet (various manufacturers)

Brand Alternatives

  • Ethasyl 500 tablet

📊 Comparison with Similar Medicines

[{"medicine":"Ethamsylate","class":"Haemostatic","main_use":"Capillary bleeding","route":"Oral"},{"medicine":"Tranexamic acid","class":"Antifibrinolytic","main_use":"Heavy menstrual bleeding","route":"Oral"}]

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