Acenocoumarol/Nicoumalone is an oral anticoagulant. It acts by preventing the formation of harmful blood clots. Although it does not dissolve the existing blood clots, it inhibits them from growing larger and causing serious problems.
You should continue taking Acenomac for as long as recommended by your doctor. Depending upon the condition you are being treated for, you may have to take it for several months or years or maybe for the rest of your life.
Q. What should I avoid while taking Acenomac?
You should avoid alcohol while taking Acenomac as alcohol may interfere with working of Acenomac. In addition to that, avoid cranberry juice or other cranberry products as there may be a risk of enhanced blood thinning. Avoid breastfeeding or getting pregnant as it may harm your child.
Q. Do I need to stop Acenomac if I have to undergo a surgery?
Depending on the type of surgery that is to be performed, your doctor will tell you whether to continue or stop Acenomac. It will be decided by your doctor after weighing the risks and benefits of discontinuing Acenomac.
Q. Is Acenomac same as warfarin?
Both Acenomac and warfarin are blood thinners, but they have some differences. Warfarin has a more stable blood thinning effect.
Q. How long does it take for Acenomac to start working?
It takes a little longer for Acenomac to start working. On an average, it may take 3-4 days for Acenomac to show its blood-thinning effect. For these 3-4 days, heparin may be used and then discontinued.
Q. What if I forget to take a dose?
If you forget to take a dose of Acenomac, take it as soon as you remember. However, if it is time for your next dose then skip the missed dose. Do not double the dose and continue your normal schedule. Keep a diary or set a reminder, so that you do not forget it often.
Q. What monitoring is required while taking Acenomac?
The bleeding times should be carefully monitored from 2nd or 3rd dose of Acenomac and till the clotting status is stabilized. Thereafter, the bleeding time can be monitored monthly. This frequency may be more in elderly.
Information last updated by Dr. Varun Gupta, MD Pharmacology on 29th Nov 2019. The medicine details are for information purpose only. Consult a doctor before taking any medicine.