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MD (Pharmacology), MBBS
Last updated
25 Nov 2023 | 11:59 PM (IST)

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Nistrom 4mg Tablet

Prescription Required
SALT COMPOSITION
Salt Synonyms
Nicoumalone
Storage
Store below 25°C

Product introduction

Nistrom 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.

Nistrom 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 Nistrom Tablet

  • Treatment and prevention of Blood clots

Benefits of Nistrom Tablet

In Treatment and prevention of Blood clots

Nistrom 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 Nistrom 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 Nistrom

  • Hemorrhage

How to use Nistrom 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. Nistrom 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 Nistrom 4mg Tablet.
Pregnancy
UNSAFE
Nistrom 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
Nistrom 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
Nistrom 4mg Tablet does not usually affect your ability to drive.
Kidney
CAUTION
Nistrom 4mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Nistrom 4mg Tablet may be needed. Please consult your doctor.
Use of Nistrom 4mg Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Nistrom 4mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Nistrom 4mg Tablet may be needed. Please consult your doctor.
Use of Nistrom 4mg Tablet is not recommended in patients with severe liver disease.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Nistrom 4mg Tablet
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Quick tips

  • Avoid making sudden major changes to your diet during treatment with this medicine.
  • Nistrom 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 Nistrom 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 Nistrom 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
No
Therapeutic Class
BLOOD RELATED
Action Class
Vitamin K antagonists

Patient concerns

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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
arrow

User feedback


FAQs

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

You should continue taking Nistrom 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 Nistrom 4mg Tablet?

You should avoid alcohol while taking Nistrom 4mg Tablet as alcohol may interfere with working of Nistrom 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 Nistrom 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 Nistrom 4mg Tablet. It will be decided by your doctor after weighing the risks and benefits of discontinuing Nistrom 4mg Tablet.

Is Nistrom 4mg Tablet same as warfarin?

Both Nistrom 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 Nistrom 4mg Tablet to start working?

It takes a little longer for Nistrom 4mg Tablet to start working. On an average, it may take 2-3 days for Nistrom 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 Nistrom 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 Nistrom 4mg Tablet?

The bleeding times should be carefully monitored from 2nd or 3rd dose of Nistrom 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

  1. 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
  2. Acenocoumarol. Luxembourg: Merus Labs Luxco II S.à R.L.; 1972 [revised 08 Oct. 2015]. (online) Available from:External Link
  3. 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:External Link
  4. 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:External Link
  5. Central Drugs Standard Control Organisation (CDSCO). Acenocoumarol. [Accessed 14 Mar. 2019] (online) Available from:External Link
  6. Abbott. Acenocoumarol [Product Information]. [Accessed 09 Jun, 2023] (online) Available from:External Link

Marketer details

Name: Neiss Labs Pvt Ltd
Address: 802, DLH Park, S.V. Road, Goregaon (W), Mumbai-400064, INDIA
Country of origin: India
Expires on or after: March, 2025

A licensed vendor partner from your nearest location will deliver Nistrom 4mg Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.

In case of any issues, contact us

Email ID: [email protected]
Phone Number: 0124-4166666
Address: 5th Floor Tower - B of the Presidency Building, 46/4 Mehrauli Gurgaon Road, Sector 14, Gurugram, Haryana-122001, India

MRP
56
Inclusive of all taxes
10.0 tablets in 1 strip
Add to cart
Cash on delivery available

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