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Nicoumalone tablets contain the active ingredient acenocoumarol (previously known as nicoumalone in the UK) which is a type of medicine called an oral anticoagulant. It is used to stop blood clots forming within the blood vessels. Blood clots normally only form to stop bleeding that has occurred as a result of injury to the tissues. The clotting process is complicated and begins when blood cells called platelets clump together at the site of damage and produce chemicals that activate clotting factors in the blood. Clotting factors are proteins that are produced by the liver. Vitamin K is essential for their production. The activated clotting factors cause a protein called fibrinogen to be converted into another called fibrin. Fibrin binds the platelets together forming a blood clot. This is the bodyÆs natural way of repairing itself. Sometimes however a blood clot can form abnormally within the blood vessels. This is known as a thrombus and can be dangerous because the clot may detach and travel in the bloodstream where it becomes known as an embolus. The clot may eventually get lodged in a blood vessel thereby blocking the blood supply to a vital organ such as the heart brain or lungs. This is known as a thromboembolism.Some people have an increased tendency for blood clots to form within the blood vessels. This is usually due to a disturbance in the blood flow within the blood vessels. For example fatty deposits on the walls of the blood vessels (atherosclerosis) can disrupt the blood flow giving a tendency for platelets to clump together and start off the clotting process. Slow blood flow in the leg and pelvic veins can also result in clots forming (deep vein thrombosis). These clots can break off and travel to the lungs (pulmonary embolism). A type of fast irregular heartbeat called atrial fibrillation can also disrupt blood flow and may lead to blood clots forming in the heart. Heart valve disease can have the same effect particularly if artificial heart valves have been fitted. Clots in the heart can detach and travel to the brain causing a stroke. Acenocoumarol is used to reduce the risk of blood clots forming inside the blood vessels in conditions such as these. Acenocoumarol works by preventing the vitamin K dependent production of the clotting factors described above. Acenocoumarol prevents the production of these clotting factors by inhibiting the action of vitamin K. Without these clotting factors fibrinogen cannot be converted into fibrin and blood clots are therefore less likely to occur.Acenocoumarol takes about three days to produce its full anticoagulant effect because while it prevents the production of new clotting factors it takes about this long for clotting factors that have already been produced to be used up. For this reason when treating blood clots such as deep vein thrombosis (DVT) or pulmonary embolism a faster acting injectable anticoagulant such as a heparin is often used as well to begin with.The anticoagulant effect of acenocoumarol is measured in terms of the prothombin time which is the time taken for blood clotting to occur in a sample of blood to which calcium and a substance known as thromboplastin have been added. This time is expressed as the International Normalised Ratio (INR). Your doctor will take regular blood samples and adjust your dose of acenocoumarol as necessary to make your INR fall into the range that has been shown to be effective at preventing blood clots in your particular condition.What is it used for?Treating and preventing blood clots in the blood vessels for example in the following cases:Preventing abnormal blood clots in conditions with increased risk eg rheumatic heart disease atrial fibrillation and after insertion of artificial (prosthetic) heart valves Treatment and prevention of blood clots lodged in the veins of the leg (deep vein thrombosis) Treatment and prevention of blood clots that have travelled to the lungs (pulmonary embolism)
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About Acitrom Sinthrom:
Product Type: Prescription Drugs 1
Acitrom ( Sinthrom Generic Nicoumalone )
Acitrom (Sinthrom Generic Nicoumalone)
Sinthrom Generic Nicoumalone
1mg 200(2 x 100) Tablets 1mg 400(4 x 100) Tablets 1mg 100 Tablets 2mg 400(4 x 100) Tablets 2mg 200(2 x 100) Tablets 2mg 100 Tablets 4mg 200(2 x 100) Tablets 4mg 100 Tablets 4mg 400(4 x 100) Tablets
Sinthrom Generic Nicoumalone Acitrom

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World Drug News. Government funding crisis in Swaziland disrupts supply of HIV/AIDS supplies. "An acute government funding crisis in Swaziland, Africa's last absolute monarchy, is disrupting supplies of HIV/AIDS drugs and hampering the fight against the virus in the country with the world's highest infection rate, Medecins Sans Frontieres (MSF) said Friday," Reuters reports. "Stocks of testing kits and related chemicals were 'almost dry,' making it next-to-impossible to chart the progress of the 70,000 patients on therapy or more than 130,000 other people carrying the virus, the aid agency said," according to Reuters.
"With 26 percent of its adult population, or more than 200,000 people infected, Swaziland ranks as the most AIDS-affected country," Reuters writes (Cropley, (9/9). In related news, a new report from Swaziland's government "has found that more than half of [30,000 Swazis, mostly women, working] in Swaziland's garment industry are living with HIV, and officials are realizing that the once-hailed promise of manufacturing employment has become a financial and medical nightmare for tens of thousands of Swazi women," PlusNews reports (8/11).
This article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.
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