Prescription requiredAnticoagulant

Acitrom 4 Tablet — Side Effects & Warnings

Known side effects of Acitrom 4 Tablet include Bleeding, easy bruising, nosebleeds, bleeding gums, blood in urine, black/tarry stools, nausea, vomiting, abdominal discomfort, diarrhea, rash, hair loss, dizziness. Not everyone experiences these side effects.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated August 2026

Common Side Effects

Bleeding
easy bruising
nosebleeds
bleeding gums
blood in urine
black/tarry stools
nausea
vomiting
abdominal discomfort
diarrhea
rash
hair loss
dizziness

This is not an exhaustive list. Consult your doctor if you notice any unusual symptoms.

Important Warnings

High risk of serious bleeding; seek urgent care for unusual bleeding, severe headache, weakness, vomiting blood, or black stools. Requires regular PT/INR monitoring. Use with caution in liver or kidney disease, uncontrolled hypertension, history of bleeding, peptic ulcer, recent surgery/trauma, alcohol misuse, and in elderly patients. Maintain consistent vitamin K intake; avoid sudden dietary changes. Inform healthcare providers before any procedure/dental work. Do not self-medicate with painkillers like NSAIDs without advice.

Drug Interactions

Acitrom 4 Tablet may interact with the following:

Other anticoagulants (heparin
DOACs)
antiplatelets (aspirin
clopidogrel)
NSAIDs (ibuprofen
diclofenac)
many antibiotics (e.g.
macrolides
fluoroquinolones
cotrimoxazole)
antifungals (azole group)
amiodarone
statins (some)
antiepileptics (phenytoin
carbamazepine)
thyroid hormones
SSRIs/SNRIs
corticosteroids
herbal products (St John’s wort
ginkgo
garlic) and vitamin K-containing supplements/foods

Always tell your doctor about all medicines you are taking, including over-the-counter drugs and supplements.

Pregnancy Safety

Not recommended (can harm the unborn baby); consult doctor

Alcohol Interaction

Use with caution (alcohol can increase bleeding risk and affect INR)

Habit Forming

Storage

Store at room temperature (below 25°C), in a dry place away from moisture and direct light. Keep in original blister pack and out of reach of children.

Acitrom 4 Tablet — Safety Summary

Composition: Acenocoumarol (4mg)
Prescription: Required (Rx)
Pregnancy: Not recommended (can harm the unborn baby); consult doctor
Alcohol: Use with caution (alcohol can increase bleeding risk and affect INR)
Habit forming: No

Acitrom 4 Tablet — Safety FAQs

What should I do if I experience side effects?

Mild side effects often resolve on their own. If side effects are severe or persistent, stop the medicine and consult your doctor immediately.

Are all listed side effects common?

No. Some side effects are common while others are rare. Not everyone experiences side effects. Consult your doctor if you are concerned.

Can I take this medicine with other drugs?

Some medicines interact with each other. Always inform your doctor about all medicines you are currently taking.

When should I seek emergency help?

Seek immediate medical attention if you experience severe allergic reactions (difficulty breathing, swelling of face/throat), chest pain, or any life-threatening symptoms.

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Safety disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice. If you experience severe side effects, seek medical attention immediately.

Acitrom 4 Tablet — Side Effects & Warnings

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated August 2026