Nimalin 4mg Tablet is an oral anticoagulant that helps prevent harmful blood clots in the legs, lungs, brain, and heart. It is used for deep vein thrombosis, pulmonary embolism, and stroke prevention.

Nimalin 4mg Tablet is an oral anticoagulant which helps prevent formation of harmful blood clots in the legs, lungs, brain and heart. For the best result, take it at the same time every day. It is required to get regular blood tests (PT/INR) done to make sure this medicine is working properly. It can increase the risk of bleeding, so be careful while shaving, cutting nails, using sharp objects or enganging in contact sports (e.g. football, wresling). Let your doctor know if you see blood in your vomits, urine or stool (black or tarry).

Uses of Nimalin Tablet

Treatment and prevention of Blood clots

Benefits of Nimalin Tablet

In Treatment and prevention of Blood clots

Nimalin 4mg Tablet is a type of medicine known as an anticoagulant. Although it does not “dissolve” blood clots, it can prevent them from getting bigger so your body can dissolve them over time. It will also prevent new ones from forming. It works by blocking a substance in the body which is involved in blood clotting. This keeps your blood flowing freely around your body and makes it less likely that a clot will form inside a blood vessel. This can help prevent or reduce damage caused by stroke, clots in your lungs (pulmonary embolism), or other blood vessels (thrombosis). It can also make it less likely that parts of a clot will break off and travel to other parts of the body. You should take it regularly and make appropriate lifestyle changes to help this medicine be effective.

Side effects of Nimalin Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Nimalin

Hemorrhage

How to use Nimalin Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nimalin 4mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Nimalin 4mg Tablet.

Pregnancy

UNSAFE

Nimalin 4mg Tablet is highly unsafe to use during pregnancy. Seek your doctor's advice as studies on pregnant women and animals have shown significant harmful effects to the developing baby.

Breast feeding

SAFE IF PRESCRIBED

Nimalin 4mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

Driving

SAFE

Nimalin 4mg Tablet does not usually affect your ability to drive.

Kidney

CAUTION

Nimalin 4mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Nimalin 4mg Tablet may be needed. Please consult your doctor.
Use of Nimalin 4mg Tablet is not recommended in patients with severe kidney disease.

Liver

CAUTION

Nimalin 4mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Nimalin 4mg Tablet may be needed. Please consult your doctor.
Use of Nimalin 4mg Tablet is not recommended in patients with severe liver disease.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Nimalin 4mg Tablet

₹18.7/Tablet

Acitrom 4 Tablet

Abbott L

₹17.13/tablet

same price

Acenomac 4mg Tablet

Macleods Pharmaceuticals Pvt Ltd

₹10/tablet

42% cheaper

Artiflo 4mg Tablet

Zuventus Healthcare Ltd

₹14.15/tablet

18% cheaper

Nicoz 4mg Tablet

Ajanta Pharma Ltd

₹5.22/tablet

70% cheaper

Acethromb 4mg Tablet

Suvik Hitek Pvt Ltd

₹6.34/tablet

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View all substitutes

Quick tips

Avoid making sudden major changes to your diet during treatment with this medicine.
Nimalin 4mg Tablet increases your risk of bleeding. Be careful while shaving, cutting fingernails or toenails, using sharp objects or engaging in contact sports (e.g. football, wrestling).
Notify your doctor if you see blood in your vomit, urine or stool (black, tarry stools or bright red blood).
Do not consume alcohol while taking Nimalin 4mg Tablet as this may increase its side effects.
If you are going to have a surgery or dental treatment, you may be asked to stop taking Nimalin 4mg Tablet temporarily.
Do not discontinue use without consulting your doctor as this may increase your chances of having another heart attack or stroke.

Fact Box

Chemical Class

4-hydroxycoumarin Derivative

Habit Forming

Therapeutic Class

BLOOD RELATED

Action Class

Vitamin K antagonists

Patient concerns

My father in law is being admitted in hospital due to blood clot in brain. His right leg and arm seems to be paralysed. Doctors in the hospital not briefing us on the problem exactly. Need your second opinion. His age is 67. Having Smoking habit.

Dr. Sunil Sekhri

Diabetology

There are blood clots in the brain arteries

In 3 months pregnancy some blood clots have came

Dr. Dharna Gupta

Obstetrics and Gynaecology

Get an USG done urgently

I was pregnant in January. I was feeling all symptoms of being pregnant. When I was undergone SCG test, It was negative. Even my blood report also shows absence of HCG. As I am feeling pregnancy symptoms, I continued to do HCG tests for 3 .5months. During this tenure, I had almost no monthly periods.(only sometimes spots seen). I consulted Gynaecologist for this problems. I had undergone sonography test two times. It was showing some blood clots. Doctor suggested to do Anti Mullerian hormone test for uneven/ stopped period for long time. He also gave tablets for period which was consumed by me and I had period for four days in first week of April. AMH test showed worrying result. It was showing value- 0.7. A lower normal range is 0.7 to .0.9. Doctor suggested to complete three month course of OVARUS (75mg) tables. Is there any worries about lower AMH ? What is the reason for this problem? I have thyroid problem and I am taking Eltroxine 100mg since last 7 years.

Dr. Sonu Balhara Ahlawat

Obstetrics and Gynaecology

Yes low amh shows poor ovarian reserve and it indicates that u should try for pregnancy soon

My penis has some bent to left side when irrected time.I googled that,see there blood clots inside the penis.if any medicine can cure it.? And my penis is around 4 inches.How can increase my penis ?

Dr. Shyam Gupta

Obstetrics and Gynaecology

Hello Anu. Slight curve is natural if you don't have pain during sex. Welcome to 1mg. There are several pills cream and pump are marketed you can choose anyone but none of them are proved to be 100%. Personally I suggest you that you try those things but don't depend on or also don't get disappointed. Size of penis has no role in organ of female. Orgasm of female depends on your foreplay and smart act and attachments. So be confident and stop worry about small penis size. If your penis is more that 5 inch erect then it is sufficient. Stop smoking, reduce belly fat, shave pubic hair, take antioxidant, exercise pelvic floor,take multivitamins containing ginseng and arginine.Here I mentioned some of herbal pills choice is yours: opti-men multivitamin etc

FAQs

How long do I need to take Nimalin 4mg Tablet?

You should continue taking Nimalin 4mg Tablet 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.

What should I avoid while taking Nimalin 4mg Tablet?

You should avoid alcohol while taking Nimalin 4mg Tablet as alcohol may interfere with working of Nimalin 4mg Tablet. 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.

Do I need to stop Nimalin 4mg Tablet 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 Nimalin 4mg Tablet. It will be decided by your doctor after weighing the risks and benefits of discontinuing Nimalin 4mg Tablet.

Is Nimalin 4mg Tablet same as warfarin?

Both Nimalin 4mg Tablet and warfarin are blood thinners, but they have some differences. Warfarin has a more stable blood thinning effect.

How long does it take for Nimalin 4mg Tablet to start working?

It takes a little longer for Nimalin 4mg Tablet to start working. On an average, it may take 2-3 days for Nimalin 4mg Tablet to show its blood-thinning effect. For these 2-3 days, heparin may be used and then discontinued.

What if I forget to take a dose?

If you forget to take a dose of Nimalin 4mg Tablet, 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.

What monitoring is required while taking Nimalin 4mg Tablet?

The bleeding times should be carefully monitored from 2nd or 3rd dose of Nimalin 4mg Tablet and till the clotting status is stabilized. Thereafter, the bleeding time can be monitored monthly. This frequency may be more in elderly.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Weitz JI. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 865-71
Acenocoumarol. Luxembourg: Merus Labs Luxco II S.à R.L.; 1972 [revised 08 Oct. 2015]. (online) Available from:
Castellano JM, Narayan RL, Vaishnava P, et al. Anticoagulation during pregnancy in patients with a prosthetic heart valve. Nat Rev Cardiol. 2012;9(7):415-24. [Accessed 14 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Acenocoumarol. [Updated 2020 Jan 20]. [Accessed 19 Feb. 2020] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). Acenocoumarol. [Accessed 14 Mar. 2019] (online) Available from:
Abbott. Acenocoumarol [Product Information]. [Accessed 09 Jun, 2023] (online) Available from:

Marketer details

Name: Shinto Organics (P) Limited

Address: 110, Industrial Area, Phase-II, Panchkula (Haryana) - 134113

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.